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目的了解基层综合性医院就诊患者中HIV感染现状,分析感染者相关特征,为艾滋病相关防治策略及措施的制定提供依据。方法采用酶联免疫吸附试验对患者血清进行初筛,初筛阳性者再进行复检,其检测结果为一阴一阳或者双阳者送成都市疾病预防控制中心采用免疫印迹法(WB)确诊。结果 2010-2013年共检测血清样本59 027例,确诊HIV阳性126例,阳性率为0.213 5%。感染者以汉族(91.27%)、男性(79.37%)、40岁以下青壮年(76.19%)、高中及以下文化程度(95.24%)和有婚姻经历者(74.60%)为主;阳性样本主要来自其他就诊者检测、术前检测及性病门诊(92.86%);传播途径以异性传播为主(91.27%)。结论对入院患者进行HIV检测,是发现感染者、控制艾滋病蔓延的有效途径之一,同时也是降低医源性感染风险的有效手段。
Objective To understand the current status of HIV infection among patients in primary general hospitals and to analyze the related features of those infected and provide the basis for the development of AIDS related prevention and control strategies and measures. Methods Serum was preliminarily screened by enzyme-linked immunosorbent assay (ELISA), and then re-tested. The results of one test were yin-yang or yang-yang. Chengdu CDC was diagnosed by Western blotting (WB). Results A total of 59 027 serum samples were tested in 2010-2013, of which 126 were confirmed positive for HIV. The positive rate was 0.213 5%. The majority of infected persons were Han nationality (91.27%), male (79.37%), young adults under 40 years of age (76.19%), high school education and below (95.24%) and marriage experience (74.60% Other medical examination, preoperative testing and STD clinics (92.86%); transmission of heterosexual transmission (91.27%). Conclusions HIV testing in hospitalized patients is one of the effective ways to detect those infected and control the spread of AIDS. It is also an effective way to reduce the risk of iatrogenic infection.