克拉玛依市重点人群梅毒、艾滋病检测结果分析

Analysis of HIV and Syphilis Serological Testing Result among High Risk Population in Karamay

目的 掌握克拉玛依市梅毒和艾滋病的发病趋势和流行特点 ,为政府部门制定防治政策提供科学依据。 方法 梅毒血清学检测用 RPR和 TPHA进行筛检和证实。HIV抗体血清学检测用酶联免疫吸附实验 ( EL ISA)进行初筛 ,阳性血清用确认实验 ( WB)进行确诊。 结果 在 10 491名受检人员中检出梅毒 5 0例 ,感染率为 0 .48% ;对其中的 4788名进行了 HIV抗体检测 ,检出 HIV感染者 11例 ,感染率为 0 .2 3 %。在 12类重点人群中 ,性病门诊就诊者梅毒感染率为5 .11% ,远高于其它人群 (χ2 =2 5 1.49,P<0 .0 5 ) ;吸毒人员 HIV感染率为 9.2 8% ,明显高于其它人群 (χ2 =3 5 3 .66,P<0 .0 5 )。梅毒和 HIV感染者以本地居民为主 ,感染途径分别以非婚性接触和静脉注射吸毒为主。 结论 我市梅毒感染率呈逐年上升趋势 ;吸毒人群中 HIV流行的危险性加大。加强重点人群性病艾滋病检测和以健康教育为主的行为干预 。

Objective To understand the trend and epidemiological features of syphilis/HIV in Karamay and provide a scientiftic basis for preventive strategies. Methods Syphilis serology examtination was filtrated and confirmed by using RPR and WB. HIV antibodies was screened and confirmed by using ELISA and WB. Result Of 10491 examined persons,50 were confirmed to be infected syphilis, with an infection rate of 0.48% ;4788 among all examined persons was tested for HIV,11 was confirmed to be HIV positive,infection rate was 0.23%.In twelve kinds of high risk population,syphilis infection rate of STD outpatients was 5.11%, higher than the other population(χ 2=251.49,P<0.05);HIV infection rate of drug users was 9.28%,higher than the other population(χ 2=353.66,P<0.05).The Infected cases of syphilis and HIV were mostly native residents.The infected path lies mainly in no-marriage sexual behavior and sharing injection eqipment among drug users. Conclusion The infection rate of syphilis was increased yearly in Karamay.Dangerous of HIV prevevance increased among drug users.It was important measure and means of prerventing STD and HIV prevalence by strengthening test of STD and HIV among high risk populations and carrying out health education.