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目的 :研究海洛因滥用者HIV感染情况 ,了解这一人群HIV感染的上升势头 ,探索减少HIV传播的途径。方法 :采用PA明胶颗粒凝集试验和金标快速初筛法对 75 44例海洛因滥用者进行初筛 ;阳性者进行复查并报上级防疫部门进行复查确诊。结果 :75 44例海洛因滥用者中抗 HIV阳性者 2 5 1例 ,占 3 32 8% ,其中男性 2 0 3例 ,女性 4 8例。静脉注射海洛因者 178例 ,肌肉注射海洛因者 5 2例 ,以香烟吸者 3例 ,用烟枪吸者 2例 ,口服者 1例。静脉注射时间最短者为 1个月 ,最长者 13年。居住地区排在前几位的是 :新疆 12 6例 ,北京 6 9例 ,重庆 10例 ,黑龙江 5例。结论 :海洛因滥用者是HIV易感人群 ;静脉注射毒品是感染HIV的主要途径 ,加强毒品的滥用和HIV/AIDS的预防工作有利于截止HIV/AIDS的蔓延。
Objectives: To study HIV infection among heroin abusers and to understand the rising trend of HIV infection in this population and explore ways to reduce the spread of HIV. Methods: A total of 75 44 cases of heroin abusers were screened with PA gelatin particle agglutination test and gold standard rapid screening method. The positive cases were reviewed and reported to the superior epidemic prevention departments for reexamination. Results: Of the 75 44 heroin abusers, 251 were anti-HIV positive, accounting for 3232%, of which 203 were male and 48 were female. There were 178 cases of intravenous heroin, 52 cases of intramuscular injection of heroin, 3 cases of cigarettes, 2 cases of smoker and 1 case of oral. The shortest intravenous injection time is 1 month, the longest 13 years. Residential areas ranked in the top few are: 12 6 cases in Xinjiang, Beijing 69 cases, 10 cases in Chongqing, Heilongjiang 5 cases. Conclusion: Heroin abusers are HIV-susceptible; intravenous drug use is the main route of HIV infection. Enhancing drug abuse and prevention of HIV / AIDS are conducive to ending the spread of HIV / AIDS.