论文部分内容阅读
目的分析“天津深蓝工作组”参与扩大艾滋病病毒(HIV)检测和治疗一体化服务的成果,明确社区组织参加艾滋病防治的作用,为政府制定相关政策提供依据。方法对2009-2011年“天津深蓝工作组”干预覆盖的男男性行为人群(MSM)参加HIV检测和接受治疗的情况建立数据库,并进行分析。结果 2009-2011年,深蓝工作组共参与检测MSM 9 482人,HIV初筛阳性率为3.17%(301/9 482);初筛阳性者中接受确证检测的比例为80.73%(243/301),确证阳性率为86.01%(209/243)。2011年发现的确证阳性者全部进行CD4T淋巴细胞计数检测,CD4T淋巴细胞计数平均为405.35个/μL,其中CD4T淋巴细胞计数>200个/μL的占77.69%(94/121),≤50个/μL的比例为5.79%(7/121)。2009-2011年发现的HIV感染者和病人中,CD4T淋巴细胞计数≤350个/μL的114例病人中,接受抗病毒治疗的99人(占86.84%)。结论天津深蓝工作组参与扩大HIV检测和治疗一体化服务工作,具有动员参加HIV检测人数多、初筛阳性者接受确证检测率高、阳性发现率高、确证阳性者CD4T淋巴细胞计数高、符合治疗标准的接受治疗率高等特点。
Objectives To analyze the achievements of the “Tianjin Dark Blue Working Group” in expanding HIV testing and treatment integration services, clarify the role of community organizations in AIDS prevention and control, and provide the basis for the government to formulate relevant policies. Methods To establish and analyze the database of HIV testing and treatment for men who have sex with men (MSM) covered by Tianjin Deep Blue Working Group 2009-2011. Results A total of 9 482 MSM were detected in the dark blue team from 2009 to 2011. The positive rate of HIV screening was 3.17% (301/9 482). The positive rate of positive screening was 80.73% (243/301) , Confirming the positive rate was 86.01% (209/243). In 2011, the confirmed positives were all tested for CD4 T lymphocyte count with an average of 405.35 cells / μL for CD4 T lymphocyte count, 77.69% (94/121) with CD4 T lymphocyte count> 200 cells / μL, ≤50 cells / The ratio of μL was 5.79% (7/121). Of the 114 HIV-infected and patients with CD4T lymphocyte counts ≤350 cells / μL found in 2009-2011, 99 were resistant to antiviral therapy (86.84%). Conclusion Tianjin dark blue working group is involved in the expansion of HIV testing and treatment integration services. It has a large number of people who have been mobilized to participate in HIV testing. The positive screening rate and the positive detection rate are high, and the positive CD4 T lymphocyte count is high, in line with the treatment The standard rate of high treatment.