2016年哈尔滨市HIV抗体确证检测结果分析

Analysis of the test results of HIV antibody in Harbin in 2016

目的2016年对哈尔滨市HIV抗体确证检测结果分析，了解其年龄分布、样品来源等因素，为艾滋病的防治工作提供依据。方法根据《全国艾滋病检测技术规范》（2015年修订版）和人类免疫缺陷病毒（HIV 1＋2型）抗体检测试剂盒试剂说明书，进行免疫印迹试验，对确证结果进行流行病学分析。结果2016年共检测样本1 325份，确证结果阳性为1 044份（78.79%），确证结果不确定为149份（11.25%），确证结果阴性为132份（9.96%）。其中男性1 158份（87.3%），女性168份（12.7%）。21-30岁485份（36.60%），31-40岁290份（21.89%），41-50岁233份（17.58%）。样品来源于哈尔滨市各级疾病预防控制中心（简称疾控中心）艾滋病自愿咨询检测（HIV voluntary counseling ＆ testing，VCT）379份（28.53%），医疗机构的医务人员主动提供艾滋病检测（provider initiated HIV testing and counseling，PITC）门诊、住院患者762份（57.51%）。结论2016年哈尔滨市HIV抗体确证检测阳性者以21-50岁青壮年为主，以疾控中心和医疗机构为主要来源，加大疾病控制中心和医疗机构的HIV-Ab筛查力度，加强对青壮年的宣传教育，遏制艾滋病的蔓延。

ObjectiveTo analyze the test results of HIV antibody in Harbin in 2016, to understand its age distribution, sample origin and other factors, and to provide evidence for the prevention and treatment of acquired immunodeficiency syndrome （AIDS）.MethodsAccording to the national AIDS testing specification （revised in 2015） and the instructions of human immunodeficiency virus （HIV 1 ＋ 2） antibody test kit, western blot was carried out to confirm the result for epidemiological analysis.ResultsIn 2016, 1 325 samples were detected, with 1, 044 （78.79%） confirmatory positive samples, 149 （11.25%） non-confirmatory positive samples, and 132 （9.96%） confirmatory negative samples.The subjects were consisted of 1158 males （87.3%） and 168 females （12.7%）. The age distribution of subjects was also analyzed with 30 485 （36.60%） at age of 21-30 years, 290 （21.89%） at the age of 31-40 years, and 233 （17.58%） at the age of 41 to 50 years old.379 （28.53%） samples were collected from AIDS voluntary counseling testing program at all levels of the Centers for Disease Control and Prevention （CDC） of Harbin city.Samples from 762 outpatient and hospitalized patients （57.51%） were provided by medical staff （the provider initiated HIV testing and likely, PITC）.ConclusionThe confirmatory positive test results for HIV antibody in Harbin in 2016 show that young adults at the age of 21-50 years are the major population of HIV infection.CDC and medical institutions are the main source for the detection and screening of HIV antibody.Our data indicate that it is urgent to strengthen the publicity and education among young adults and to control the spread of HIV/AIDS.