2016―2018年成都市某综合性医院HIV抗体检测结果分析

Characteristics of HIV-positive patients diagnosed in a general hospital in Chengdu from 2016 to 2018

目的了解2016―2018年成都市某综合性医院人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体筛查情况和确诊HIV感染者的流行病学特征,为医院制定HIV的防控措施提供科学参考。方法通过医院检验系统,收集2016―2018年全院HIV抗体筛查数据,进一步收集同期新确诊HIV感染者的一般人口学特征以及就诊科室等信息,利用SPSS 20.0进行统计分析。结果2016―2018年医院共进行HIV抗体筛查204641人次,发现489人HIV确诊阳性,平均每千人次HIV抗体筛查发现HIV确诊阳性病人2.39例,2016―2018年筛查阳性率分别为2.45‰、2.26‰、2.47‰。489例确诊阳性病例主要为男性(84.05%),50岁及以上(42.54%),已婚有配偶(43.76%)。274例确诊阳性病例(56.03%)是因其他就诊者检测被发现。皮肤科、方便门诊的筛查阳性率分别达到2.32%、1.27%。结论皮肤科、方便门诊是发现HIV感染者的重点科室,应加强在重点科室和高危人群中的筛查。

Objective To investigate infection status and epidemiologic characteristics of human immunodeficiency virus(HIV)positive patients diagnosed in a general hospital in Chengdu from 2016 to 2018,and to provide scientific reference for prevention and control of HIV in hospital.Methods The antibody screening test for HIV during 2016 to 2018 was collected through the hospital inspection system.Furthermore,the demographic characteristics and the department information of HIV-infected patients were retrospectively collected.The SPSS 20.0 software was used for statistical analysis.Results The plasma HIV antibodies of 204641 inpatients were detected,489 plasma samples were positive with the positive rate of 2.39‰.The positive rates for three years were 2.45‰,2.26‰and 2.47‰,respectively.The main patients were males(84.05%),aged 50 years and over(42.54%),and married(43.76%).More than half of the patients(56.03%)were detected by other symptoms visits.The top two departments with the most positive patients were dermatological department and convenient outpatient service(2.32%and 1.27%,respectively).Conclusions Dermatological department and convenient outpatient service are the key departments.Screening test for key departments and high-risk groups should be strengthened.