2010-2013年基层综合医院HIV检测分析

Analysis of HIV Testing in Primary General Hospital,2010-2013

目的了解基层综合性医院就诊患者中HIV感染现状,分析感染者相关特征,为艾滋病相关防治策略及措施的制定提供依据。方法采用酶联免疫吸附试验对患者血清进行初筛,初筛阳性者再进行复检,其检测结果为一阴一阳或者双阳者送成都市疾病预防控制中心采用免疫印迹法(WB)确诊。结果 2010-2013年共检测血清样本59 027例,确诊HIV阳性126例,阳性率为0.213 5%。感染者以汉族(91.27%)、男性(79.37%)、40岁以下青壮年(76.19%)、高中及以下文化程度(95.24%)和有婚姻经历者(74.60%)为主;阳性样本主要来自其他就诊者检测、术前检测及性病门诊(92.86%);传播途径以异性传播为主(91.27%)。结论对入院患者进行HIV检测,是发现感染者、控制艾滋病蔓延的有效途径之一,同时也是降低医源性感染风险的有效手段。

Objective To understand the status of HIV infection among patients visiting general hospital,analyze the characteristics of people living with HIV / AIDS（ PLHIV）,and thus to provide evidence for formulating prevention and control strategies. Methods Enzyme- linked immunosorbent assay（ ELISA） was employed to test the blood serum,and positive samples were screened with another reagent. Blood samples tested as positive in either reagent or both reagents were sent to Chengdu CDC,where western blot test（ WB） was adopted to confirm the infection. Results In total,59 027 blood samples were tested from 2010 to 2013,among which126 cases were confirmed HIV positive（ 0. 2135%）. The HIV positive cases were mainly Han nationality（91. 27%）,male（79. 37%）,aged 40 or below（76. 19%）,with senior high school or less education（95. 24%） and with marital experience（74. 60%）. A proportion of 92. 86% positive cases were of other outpatients for testing,for pre- operation test and from STD department. Most cases were infected through heterosexual transmission. Conclusion Enhancing HIV testing among hospital patients is an effective way to screen HIV cases and to control HIV / AIDS epidemic,as well as to decrease nosocomial infection.