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目的了解扬州市江都区HIV/AIDS检测途径与晚发现情况,为调整本地区HIV检测策略提供参考。方法对江都区2002年-2015年在册管理的257例HIV/AIDS患者的检测途径与晚发现情况进行回顾性分析。结果江都区257例HIV/AIDS的检测途径以“其他就诊者检测”为最多,占37.35%(96/257);被动检测方式占68.87%(177/257),主动检测方式占31.13%(80/257);晚发现比例为38.13%(98/257),其中被动检测方式与主动检测方式分别为46.33%(82/177)、20.00%(16/80),差异有统计学意义(χ2=8.01,P<0.01)。结论江都区HIV/AIDS以被动检测发现为主,晚发现比例较高;应增设HIV咨询检测窗口,加强检验人员技术培训,扩大艾滋病监测检测覆盖面,更多地发现感染者;同时要重点加强VCT等主动检测与监测,提高HIV/AIDS的早发现比例。
Objective To understand the ways and late detection of HIV / AIDS in Jiangdu District of Yangzhou City, and to provide reference for the adjustment of HIV testing strategies in this area. Methods A retrospective analysis was performed on the detection and late detection of 257 HIV / AIDS patients registered in Jiangdu District from 2002 to 2015. Results 257 cases of HIV / AIDS in Jiangdu district had the highest detection rate of 37.35% (96/257), 68.87% (177/257) of passive detection method and 31.13% (80/257). The late detection rate was 38.13% (98/257), of which the passive detection method and the active detection method were 46.33% (82/177) and 20.00% (16/80) respectively, the difference was statistically significant χ2 = 8.01, P <0.01). Conclusions HIV / AIDS in Jiangdu District was mainly found in passive tests and was found late in time. HIV counseling and testing window should be added to strengthen the technical training of inspectors to expand the coverage of HIV surveillance and detection, and to find more infected persons. At the same time, we should focus on strengthening VCT And other active detection and monitoring, improve early detection of HIV / AIDS ratio.