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目的了解皮肤病和性病患者艾滋病病毒(HIV)抗体的阳性率及人群分布情况,评估HIV的流行趋势,制定艾滋病防控措施,从而有效控制艾滋病的传播和扩散。方法对2010年1月至2012年12月西畴县皮肤病防治站皮肤科综合门诊就诊的233例皮肤病和性病患者及同期302例非皮肤病性病患者HIV抗体检测结果进行对比分析。结果在233例皮肤病性病患者标本中,初筛阳性者14例,HIV抗体确认阳性者14例,HIV感染率为6.01%(14/233),比同期非皮肤病性病患者的0.33%(1/302)为高,感染年龄主要集中在21~40岁,以男性、农民、民工居多,感染者人群主要以男同性恋、性病、带状疱疹(含复发)患者为主。结论 HIV感染呈逐年上升趋势,并已向普通人群扩散,男同性恋、皮肤病和性病人群是HIV感染的重点监测对象,阳性率明显高于非皮肤病、性病患者。通过对皮病、性病患者提供PITC及VCT,对及早发现阳性病例,有效控制艾滋病的传播,增强医护人员的自我防护意识,尽可能避免艾滋病职业暴露事件的发生等具有重要的意义。
Objective To understand the prevalence and population distribution of HIV antibodies in dermatology and STDs, assess the prevalence of HIV and formulate AIDS prevention and control measures so as to effectively control the spread and spread of AIDS. Methods A total of 233 dermatological and venereal diseases patients and 302 non-dermatological disease HIV antibody test results from January 2010 to December 2012 in Xudeng Dermatology Prevention Station of Xochong County were compared and analyzed. Results Of the 233 cases of dermatosis patients, 14 were positive and 14 were positive for HIV antibody. The HIV infection rate was 6.01% (14/233), higher than that of non-dermatosis patients (0.33%, 1 / 302), the age of infection mainly concentrated in the 21 to 40 years old. Mostly men, peasants and migrant workers were mainly infected with gonorrhea, STDs and herpes zoster (including recurrent). Conclusion HIV infection has been increasing year by year and has spread to the general population. Male gay, skin and sexually transmitted diseases are the key surveillance targets of HIV infection. The positive rate is significantly higher than that of non-dermatological and venereal diseases. Through the provision of PITC and VCT to patients with dermatosis and STDs, it is of great significance to detect positive cases early, effectively control the spread of AIDS, enhance self-protection awareness among medical staffs, and avoid occupational exposure to HIV whenever possible.