某市吸毒人群艾滋病梅毒丙肝乙肝感染情况调查

Investigation on HIV,Syphilis,HCV and HBV infection in city drug abusers

目的分析本市吸毒人群艾滋病病毒(HIV)、梅毒螺旋体、丙型肝炎(丙肝)病毒、乙型肝炎(乙肝)病毒(HBV)感染情况。方法对2008至2010年来戒毒所自愿和强制戒毒者436例采集血液标本,用酶联免疫吸附试验(ELISA)、蛋白印迹试验(WB)检测、确证HIV感染;用快速血浆凝集试验(RPR)明胶颗粒凝集试验(TPPA)检测梅毒感染;用ELISA检测丙肝和乙肝,严格按照试剂盒说明书操作。结果 436例吸毒者中检出抗-HIV阳性7例(1.61%)、梅毒阳性5例(1.15%)、HbsAg阳性65例(14.90%)、HCV阳性18例(4.12%)。结论其他省市吸毒人群中HIV感染率高的惊人,相比较我市吸毒人群HIV总体上虽处于低流行水平,但已经超过1%,已经进入警戒线,提示我们为避免我市吸毒人群艾滋病感染率增高,应加强对此人群的健康教育。

Objective To understand HIV, Syphilis, HCV and HBV infection among drug abusers and to provide the information for controlling these diseases. Methods In 2008 and 2010, the blood specimens of 436 drug abusers, who are voluntary and compulsory to withdraw from the drug abuse, were collected. HIV infection was confirmed with ELISA and WB. Syphilis infection wad detected with quick plasma agglutination test （RPR） and gelatin particles agglutination（TPPA）. HCV and HBV were determined with ELISA detection reagents box based on the instruction. Results 7 HIV infected cases among the 436 DUS were detected and the detection rate was 1.61%, 5 cases of Syphilis and detection rate 1.15%; 65 HbsAg cares and detection rate 14.90 % ;18 HCV cases and detection rate4.12%.Conclusion Compared with that of the other city, the HIV infection rate in drug abusers was low in our city, but it has surpassed 1 %, but it amounts to tipping point which tells us that we should reinforced the healthy education for them in order to avoid the increase of the HIV infection rate in the drug abusers in our city.