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目的了解南阳市新报告艾滋病病例感染原因,为制定可行的防控策略提供参考。方法对457例本地报告的有详细流调信息的艾滋病例进行流行病学分析。结果南阳市本地新报告病例高危行为发生在外省/外市的占42.46%;男性以外省和南阳市感染为主(71.47%),女性以本地感染为主(47.27%);新报告病例55.00%为医疗机构首次发现;49.25%的病例首次CD4T淋巴细胞≤350个/μL;商业性传播行为造成婚内性传播的比例高达20.21%。结论异性传播病例为主要传播途径,应加强对男性流出人口的宣传教育,同时做好医疗机构筛查阳性病例有效转介工作,及早发现病人。
Objective To understand the causes of new cases of HIV infection in Nanyang City and provide reference for developing feasible prevention and control strategies. Methods Epidemiological analysis of 457 cases of locally reported AIDS epidemics with detailed epidemiological information was conducted. Results The newly reported local high-risk behaviors in Nanyang City accounted for 42.46% of the cases in other provinces / cities outside the province; mainly male (71.47%) were infected by other provinces and Nanyang City and mainly local women (47.27%); 55.00% For the first time, medical institutions found that the first CD4T lymphocyte count in 49.25% of the cases was ≤ 350 / μL; the rate of marital sex transmission caused by commercial transmission was as high as 20.21%. Conclusion Heterosexual transmission is the main route of transmission. Publicity and education should be strengthened for male outflow population. At the same time, effective referrals should be made for screening positive cases in medical institutions and early detection of patients.