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目的通过分析凉山州2006-2012年各类医疗卫生机构HIV检测工作进展,为完善凉山州艾滋病检测服务工作提出针对性建议。方法采用“中国疾病预防控制信息系统”内的“艾滋病综合防治信息系统”导出的HIV检测数据,按不同类型医疗卫生机构进行统计分析。结果2006-2012年,凉山州医疗卫生机构HIV检测量分别为47576、21 056、113 525、248 400、317 863、714 050和679 256例,共计2 141 541例;检出HIV阳性数各年分别为747、576、4653、4 262、5 466、3 848和3 790例,共计23 349例;各年HIV阳性检出率分别为1.57%、2.73%、4.10%、1.72%、1.72%、0.54%和0.56%,呈下降趋势。县级以上综合医疗机构HIV检测人数占总检测量的比例由2007年的0.89%,上升到2012年的39.33%,检出HIV阳性数所占总的HIV阳性检出数的0.87%到23.83%;各级疾控机构HIV检测人数所占比例由2006年的100%下降到2012的22.44%,但2012年HIV阳性检出数所占总的HIV阳性检出数仍达65.15%。2006-2012年,凉山州各级疾控机构、妇幼保健机构、县级以上综合医疗机构、乡镇、社区医疗机构、血站各年平均HIV阳性检出率分别为2.06%,0.17%,0.42%,0.15%和0.03%。结论凉山州艾滋病检测覆盖面逐渐扩大,检出HIV阳性数不断增加;自愿咨询检测仍将是主要发现HIV感染者和AIDS患者的主要途径。
Objective By analyzing the progress of HIV testing in various medical and health institutions in Liangshan Prefecture from 2006 to 2012, we put forward some suggestions to improve the HIV testing service in Liangshan Prefecture. Methods The HIV testing data derived from “HIV / AIDS Integrated Information System” in “China Disease Prevention and Control Information System” were used for statistical analysis by different types of medical and health institutions. Results From 2006 to 2012, the detection rates of HIV in medical and health institutions in Liangshan Prefecture were 47576, 21 056, 113 525, 248 400, 317 863, 714 050 and 679 256 respectively, a total of 2 141 541 cases; Respectively 747,576,4653,4 262,5 466,3 848 and 3 790 cases, a total of 23 349 cases; the positive rates of HIV positive in each year were 1.57%, 2.73%, 4.10%, 1.72%, 1.72% 0.54% and 0.56%, showing a downward trend. The proportion of HIV testing in general medical institutions above county level accounted for 0.87% to 23.83% of the total test cases, up from 0.89% in 2007 to 39.33% in 2012. The number of HIV positive cases was 0.87% ; The proportion of HIV testing at all levels of CDC dropped from 100% in 2006 to 22.44% in 2012, but the total number of HIV positive tests still reached 65.15% in 2012. From 2006 to 2012, the average HIV positive rates of CDC institutions, MCH institutions, general medical institutions above county level, townships, community medical institutions and blood stations in Liangshan Prefecture were respectively 2.06%, 0.17% and 0.42% , 0.15% and 0.03%. Conclusion The coverage of HIV / AIDS in Liangshan Prefecture is gradually expanding, and the number of positive HIV positives is continuously increasing. Voluntary counseling and testing will still be the main way to find HIV-infected patients and AIDS patients.