2016—2018年上海市性病患者艾滋病和梅毒扩大检测情况分析

Extended detection situation on AIDS and syphilis in patients with sexually transmitted diseases in Shanghai from 2016 to 2018

【目的】了解上海市性病门诊对性病患者开展艾滋病和梅毒扩大检测的情况及效果。【方法】在全市16个区的25家开设性病门诊的医疗机构对首次诊断性病的患者开展艾滋病和梅毒扩大检测,对检测结果进行描述性分析。【结果】2016-2018年6月,25家医疗机构性病患者的艾滋病和梅毒检测率都有不同幅度的增长。首次诊断的性病患者艾滋病检测率为85. 1%,艾滋病检测阳性率为0. 6%;梅毒检测率为67. 1%,梅毒检测阳性率为2. 4%。皮肤性病科的艾滋病检测率(87. 4%,10 013/11 459)、梅毒检测率(70. 8%,3 961/5 592)和梅毒检测阳性率(2. 4%,94/3 961)均为最高。诊断为梅毒的性病患者艾滋病检测率(90. 5%,5 620/6 213)和检测阳性率(0. 9%,51/5 620)最高。【结论】应通过加强宣传干预、提高医务人员意识及医疗机构提供良好支持环境等途径继续推动性病门诊扩大检测工作,提高检测可及性。

[Objective] To investigate the effect of HIV and syphilis testing in sexually transmitted disease(STD) patients in Shanghai. [Methods] Descriptive statistic data was collected to analyze the effect of HIV and syphilis testing for first diagnosed STD patients in 25 hospitals with STD clinics in Shanghai. [Results] HIV testing rate(85. 1%) and testing positive rate(0. 6%),syphilis testing rate(67. 1%) and testing positive rate(2. 4%) were increased from 2016 to 2018. Patients from STD department had the highest HIV testing rate(87. 4%,10 013/11 459),syphilis testing rate(70. 8%,3 961/5 592)and testing positive rate(2. 4%,94/3 961). First diagnosed syphilis patients had the highest HIV testing rate(90. 5%,5 620/6 213) and testing positive rate(0. 9%, 51/5 620). [Conclusion] Propaganda and intervention should be strengthened,and doctor’ s awareness about testing promoting should be enhanced and supportive environment provided to promote HIV and syphilis testing further in STD clinics.