2013年北京市VCT门诊患者HIV、HCV和梅毒检测结果分析

Analysis of the detection results of HIV,HCV and treponema pallidum in Beijing VCT clinics in 2013

目的了解北京市VCT门诊患者人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和梅毒感染的情况,为制定预防措施提供依据。方法对2013年全年在VCT门诊就诊的患者采集静脉血,用酶联免疫吸附试验(ELISA)进行抗HIV抗体、抗HCV抗体和梅毒抗体的检测,HIV初筛阳性者送艾滋病确证实验室进行确证。采用描述性流行病学方法,对结果进行统计学分析。结果 611名求询者中,HIV、HCV、梅毒的阳性率分别为20.46%、1.80%、16.86%。各年龄组之间,梅毒阳性率差异有统计学意义,而HIV和HCV阳性率差异无统计学意义。结论 VCT人群HIV和梅毒阳性检出率较高,应进一步做好艾滋病、性病的预防控制宣传工作,加大健康教育,加大临床患者及普通人群的自愿咨询和检测工作,把重点放在青壮年男性,同时,也不应忽视青少年和老年。

Objective To investigate the infectious status of HIV,HCV and treponema pallidum in VCT clinics in Beijing,in order to provide scientific basis for the AIDS prevention and control countermeasures. Methods Blood samples of the patients who came to the VCT clinics in 2013 were collected to test antibodies against HIV,HCV and treponema pallidum by enzyme-linked immuno sorbent assay（ ELISA）. Results Among the 611 outpatients,the positive rates of HIV,HCV and syphilis were20. 46%,1. 80% and 16. 86% respectively. Among the difference age groups,the differences on the positive rates of syphilis were statistically significant,while,the differences on the positive rates of HIV and HCV were not statistically significant. Conclusion High positive detection rates of HIV and syphilis were found in VCT clinics. We should further do a good job on the control and prevention,and publicity work of HIV and syphilis,enhance the health education,increase the voluntary counseling and testing of the clinical patients and the general population,put the focus on young men. At the same time,it should not be neglected youth and the elderly.