2015—2018年中山市某综合医院HBV、HCV、TP和HIV感染状况调查

Investigation on the status of HBV,HCV,TP and HIV infection in a general hospital in Zhongshan from 2015 to 2018

目的 调查了解中山市某综合医院乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)、艾滋病病毒(HIV)感染状况及流行病学特征,为该地区针对性防控策略的制定提供参考。方法 2015年1月1日—2018年12月31日在中山市某综合医院接受血清HBV表面抗原及HCV、TP、HIV抗体检测的门诊、住院患者及体检者,统计HBV、HCV、TP、HIV阳性率,分析不同年份、性别、年龄人群感染情况。结果 2015—2018年,HBV阳性率依次为13.70%、13.09%、13.19%、12.98%,HCV阳性率依次为0.86%、0.78%、0.81%、0.82%,TP阳性率依次为2.61%、2.48%、2.36%、2.18%,HIV阳性率依次为0.45%、0.53%、0.60%、0.54%;不同年份HBV、TP、HIV阳性率差异有统计学意义(趋势χ^(2)值=17.231、26.940、6.434,P<0.05);男性HBV、TP、HIV阳性率均高于女性,差异有统计学意义(P<0.05)。不同年龄段HBV、HCV、TP、HIV阳性率差异有统计学意义(P<0.05);41~50岁者HBV阳性率最高(18.19%),>60岁者HCV阳性率最高(1.24%),31~40岁者TP阳性率最高(3.59%),31~40岁者HIV阳性率最高(0.82%)。结论 2015—2018年该院四种传染病以HBV感染率居高,HCV、TP、HIV感染率相对较低。HBV、TP感染率呈下降趋势,HIV感染率呈先上升后下降趋势。

Objective To investigate the status and epidemiological characteristics of hepatitis B virus(HBV),hepatitis C virus(HCV),Treponema pallidum(TP),and human immunodeficiency virus(HIV)infection in a general hospital in Zhongshan,so as to provide reference for targeted prevention and control.Methods Included outpatients,inpatients patients and physical examination persons who received serum HBV surface antigen and HCV,TP,and HIV antibody testing in a general hospital in Zhongshan from January 1,2015 to December 31,2018.The positive rates of HBV,HCV,TP,HIV infection were counted,and the positive rates of four infectious diseases among people of different genders and ages were analyzed.Results From 2015 to 2018,the positive rates of HBV were 13.70%,13.09%,13.19%,12.98%,the positive rates of HCV were 0.86%,0.78%,0.81%,0.82%,the positive rates of TP were2.61%,2.48%,2.36%,2.18%,and the positive rates of HIV were 0.45%,0.53%,0.60%,0.54%.The positive rates of HBV,TP and HIV were statistically different in different years(trendχ^(2)value=17.231,26.940,6.434,P0.05).The positive rates of HBV,TP and HIV infection in male were higher than those of female,the difference was statistically significant(P 0.05).The positive rates of HBV,HCV,TP and HIV infection among people of different ages were significantly different(P0.05).The positive rates of HBV was highest among those aged 41-50 years old(18.19%),the positive rates of HCV was highest among those 60 years old(1.24%),the positive rates of TP was highest among those aged 31-40 years old(3.59%),and the positive rates of HIV was highest among 31-40 years old(0.82%).Conclusion From 2015 to 2018,the rates of HBV infection was highest among the four infectious diseases,the rates of HCV,TP,HIV infection were relatively low.Tthe rates of HBV,TP infection showed a downward trend,while the rates of HIV infection showed first increased and then decreased.