2005-2013年萧山区不同检测途径的HIV阳性发现率比较

Comparison and analysis on detection approach of HIV infected patients from 2005 to 2013 in Xiaoshan

目的比较不同检测途径的艾滋病病毒(HIV)阳性发现率,以便采取更经济更合理的发现途径。方法对萧山区2005-2013年不同检测途径的HIV检测数据和高危人群相关检测情况进行比较分析。结果 15类检测途径共检测血液标本1 097 776份,检测数量前3位的为术前病人检测、孕产期检测、娱乐场所人员体检,分别占检测总数的43.6%、21.8%、6.3%。阳性率前3位的为:阳性者配偶或性伴检测、自愿咨询检测、羁押人员体检,阳性率分别为15.63%、0.61%、0.11%。高危人群检测中男男性行为人群(MSM)阳性率最高,为5.99%。结论艾滋病自愿咨询检测、高危人群检测是较好地发现HIV阳性的途径。加强对阳性者的干预,促进性伴和配偶的检测意义较大。

Objective To study the detection result of Acquired Human immunodeficiency viruses（HIV）, and provide more efficiency way to find infected patients. Methods Comparison and analysis on HIV detection data in- cluding key crowd and sentinel surveillance from 2005 to 2013 in Xiaoshan. Results The top three number of pa- tient detection in 15 kinds of detection methods were preoperative patients testing, pregnancy testing, and entertain- ment staff testing accounting for 43.6 %, 21.8 %, 6.3%, respectively. And the top three approaches with high pos- itive rate were positive spouse or sexual partner detection, voluntary counseling, and prisoner with a positive rate of 15.63% ,0.61%,0. 11%. Meanwhile, the group of men who have sex with men （MSM） had the highest positive rate of 5.99 %. Conclusion AIDS voluntary counseling and testing and high-risk groups detection are better ways to find patients. It is a meaningful work to strengthen the positive intervention and promote the significance of detec- tion of sexual partners and spouses.