成都男男性行为人群中艾滋病患者合并其他传染病的调查分析

Investigation on Other Infectious Diseases in Men Who Have Sex with Men,with Acquired Immune Deficiency Syndrome in Chengdu City

目的总结成都市某男男性行为人群(MSM)中人类免疫缺陷病毒(HIV)感染者合并其他传染病的情况,为科学防治艾滋病提供依据。方法 2010年1月-12月,采用网络、现场、活动场所收发调查问卷,用Excel统计结果数据。结果共调查104例艾滋病患者,合并肝炎感染者11例(10.58%),其中乙肝病毒感染者8例(7.69%),丙肝病毒感染者3例(2.88%);合并性传播疾病感染61例(58.65%),其中梅毒感染26例(25%),尖锐湿疣感染者17例(16.35%),生殖器疱疹感染者10例(9.62%),淋病感染者2例(1.92%),沙眼衣原体感染者4例(3.85%),生殖道支原体感染者2例(1.92%);合并真菌感染者87例(62.14%),其中耶氏肺孢子菌感染者6例(5.77%),马尔尼菲青霉菌感染者2例(占1.92%),隐球菌感染者5例(4.81%),组织胞浆菌1例(0.96%);合并结核感染者23例(22.12%)及非结核分枝杆菌3例(2.88%);病毒感染14例(13.46%),全部为水痘-带状疱疹病毒感染;寄生虫感染(弓形虫)1例(0.96%)。结论在MSM人群中HIV患者性传播疾病感染比例高;真菌感染率高;结核感染率高;HCV感染和弓形虫感染率低。

Objective To investigate the incidence of infectious diseases in men who have sex with men（MSM） with acquired immune deficiency syndrome（AIDS） in Chengdu,in order to provide some references for preventing and controlling AIDS scientifically.Methods From January to December 2010,unified questionnaires were adopted for the investigation through the network,at the scene or in the activity area.The data collection and analysis was performed by microsoft office excel 2003.Results The total number of respondents with HIV/AIDS was 104.Among them,11（10.58%） had hepatitis infection including 8（7.69%） of HBV infection and 3（2.88%） of HCV infection;61（58.65%） had sexually transmitted diseases including 26（25%） of syphilis,17（16.35%） of condyloma acuminatum infection,10（9.62%） of genital herpes,2（1.92%） of gonorrhea,4（3.85%） of chlamydia trachomatis and 2（1.92%） of genital tract mycoplasma infection;87（62.14%） had fungal infection including 6（5.77%） of pneumocystis jirovecii pneumonia（PJP）,2（1.92%） of penicilliosis marneffei infection,5（4.81%） of cryptococcus infection,and 1（0.96%） of histoplasma capsulatum infection;23（22.12%） had TB infection and 3（2.88%） had non-tuberculosis mycobacterium infection;14（13.46%） had virus infection of varicella-zoster;and 1（0.96%） had parasitic infection of toxoplasma gondii.Conclusion In this group of MSM with HIV/AIDS,there is a high incidence of sexually transmitted diseases,fungal infection and tuberculosis,and a low incidence of HCV infection and toxoplasma gondii infection.