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目的分析1989-2014年南宁市不同医疗卫生机构艾滋病病例报告变化特点。方法以全国艾滋病综合防治信息系统数据为基础,选取报告地为南宁的已终审卡26 183例艾滋病病例进行描述性流行病学分析。结果南宁市报告病例的医疗卫生机构168家,2005-2014年报告病例较1989-2004年增加5倍,其中乡镇卫生院、县级医疗机构增幅最大且随访率较高;病例由以CDC报告为主转变为以医疗机构报告为主,现住址为外地的病例较多,农村地区、中老年病例增加明显。结论基层医疗卫生机构在艾滋病疫情发现中起着重要作用,农村地区/中老年艾滋病的蔓延不容忽视。
Objective To analyze the changes of AIDS cases in different medical and health institutions in Nanning from 1989 to 2014. Methods Based on the data of National AIDS Integrated Prevention and Control Information System, 26 183 cases of AIDS confirmed cases in Nanning were selected for descriptive epidemiological analysis. Results A total of 168 medical and health institutions were reported in Nanning City. The reported cases in 2005-2014 increased 5 times from 1989 to 2004. Among them, township hospitals and county-level medical institutions saw the largest increase and the follow-up rate was high. Cases were reported by CDC as The main change to the report of the main medical institutions, the current address is more cases in the field, rural areas, middle-aged and elderly cases increased significantly. Conclusion Primary health care institutions play an important role in the detection of AIDS epidemic. The spread of AIDS in rural areas / middle-aged and elderly can not be ignored.