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目的:通过对南京市某戒毒所吸毒人员抗-HBV、抗-HCV、抗-HIV和梅毒抗体的检测以及问卷调查,了解吸毒人群这几种经血液、性传播疾病的感染情况及相关危险因素,为预防控制这些病在这组人群的流行提供科学依据。方法:对南京市某戒毒所2008年的160名吸毒者进行抗-HBV、抗-HCV、抗-HIV和梅毒抗体检测以及问卷调查,并对结果进行统计和分析。结果:南京市吸毒人员HBV感染率为51.25%(82/160),HCV感染率为53.13%(85/160),梅毒感染率为3.75%(6/160),HIV感染率为0%(0/160)。HCV、HBV的感染途径以静脉注射毒品为主,而共用注射器导致感染率升高。结论:被调查吸毒人群中HCV、HBV和梅毒感染率大大高于普通人群,存在血源性疾病和性传播疾病的传播和流行的风险,应加强对吸毒人群的监测、宣传教育和行为干预。
OBJECTIVE: To investigate the anti-HBV, anti-HCV, anti-HIV and syphilis antibodies in drug addicts in Nanjing and the questionnaire survey to understand the prevalence of blood-borne and sexually transmitted diseases among drug users and related risk factors , For the prevention and control of these diseases in this group of people to provide a scientific basis for the epidemic. Methods: The anti-HBV, anti-HCV, anti-HIV and syphilis antibody test and questionnaire survey were performed on 160 drug addicts in a drug rehabilitation center in Nanjing in 2008, and the results were statistically analyzed. Results: The HBV infection rate was 51.25% (82/160), the infection rate of HCV was 53.13% (85/160), the syphilis infection rate was 3.75% (6/160) and the HIV infection rate was 0% (0 / 160). HCV, HBV infection is mainly intravenous drug, while sharing syringes lead to infection rate. Conclusion: The infection rates of HCV, HBV and syphilis in the surveyed drug users are much higher than those in the general population. There is a risk of transmission and epidemic of blood-borne diseases and sexually transmitted diseases. Monitoring, education and behavior intervention should be strengthened among drug users.