性病门诊9844例患者HIV抗体筛查分析

Analysis of HIV Antibody Screening in 9 844 STD Outpatients

目的了解性病(STD)门诊患者中人类免疫缺陷病毒(HIV)感染情况。方法采用酶联免疫吸附试验(ELISA法)对9844例STD门诊患者进行HIV抗体检测,阳性者送省CDC做蛋白印迹试验(Western-Blot,WB)确诊。结果 9844例STD门诊患者中,HIV抗体阳性者71例,阳性检出率7.21‰(71/9844)。年龄分布以中青年为主,21～40岁年龄组占77.46%(55/71);职业分布虽涉及公务员、律师、学生、商人、个体户、美发师、汽车司机、服务人员、销售人员与邮递员等,但以无固定职业者为多(42/71例,59.15%)。结论对综合医院STD门诊患者进行HIV抗体筛查是发现HIV/AIDS患者的重要途径,应加强对性病患者的HIV抗体筛查,以便及时发现HIV/AIDS患者,这对切断HIV/AIDS患者的传染途径与避免医源性传播都有十分重要的意义。

Objective To understand the situation of the human immunodeficiency virus （HIV） infection in the sexu- ally transmitted diseases （STD） outpatients. Methods HIV antibody was tested by the enzyme-linked im- munosorbent assay （ELISA） in 9 844 cases of STD outpatients, positive serum was sent to the provincial CDC to confirm with Western blot test （ Western-Blot, WB ）. Results In the 9 844 cases of STD outpa- tients,there were 71 cases with HIV positive antibody,the positive rate was 7.21%o （71/9844）. The age of major patien~ was 21 to 40 old years （55/71,77.46%）. Although their occupational distribution involved civil servan .,lawyers, students and high school students, businessmen, self-employed, hairdresser, car driv- ers, service personnel, sales personnel and the postman, etc. but no fixed occupational patients was more （42/71,59. 15% ）. Conclusion The test of HIV antibody is an important way for finding HIV/AIDS pa- tients. The HIV/AIDS patients may be detect with HIV antibody screening in general hospital. It have a very important significance to cut transmission and avoid iatrogenic transmission of HIV/AIDS.