摘要
目的了解性病患者的艾滋病病毒(HIV)感染状况并分析其临床特征。方法自愿接受HIV咨询检测的基础上,对临床确诊的412例性病患者进行HIV-1/2抗体检测,并对其临床特征进行分析研究。结果412例性病患者的HIV检出率为2.9%。性病患者中检出HIV阳性率依次为:尖锐湿疣6.2%,生殖器疱疹4.2%,梅毒3.4%,淋病1.5%,非淋菌性尿道炎1.0%。合并感染HIV的性病患者中,83.3%的患者有多性伴,商业性行为普遍存在,安全套使用率极低。感染HIV的尖锐湿疣患者及生殖器疱疹患者以频繁复发为突出表现,1例合并感染HIV的梅毒患者半年即进展为神经梅毒。结论性病患者是HIV感染的重要高危人群,危险性行为是其感染HIV和其它性病的主要原因,应该加强性病患者的HIV监测。对临床上频繁复发的尖锐湿疣及生殖器疱疹患者,快速进展的梅毒患者,应高度怀疑合并HIV感染的可能。
Objective To investigate HIV prevalence among STD patients and analyze their clinical characteristics, Methods Under HIV voluntary counseling and testing,412 diagnosed STD patients were detected for HIV 1/2 antibody; clinical characteristics of those STD patients with HIV were analyzed, Results HIV positive rate was 2.9% among 412 STD patients. HIV positive rate was 6.2 %, 4.2 %, 3.4 %, 1.5 % and 1.0 % among patients with condyloma acuminata, genital herpes, syphilis, gonorrbea and nongonococcal urethritis, respectively, 83.3 % of the STD patients with HIV had multiple sexual partners. Commercial sexual behaviors were common and condom use rates were very low among the STD patients with HIV, The patients with HIV and condyloma acuminatum or genital herpes relapsed frequently. One patient with HIV and syphilis developed neurosyphilis in 6 months, Conclusion Patients with STD were important HIV high-risk population, and unsafe sexual behaviors were the major factor for contracting HIV/STD. Therefore, it is important to strengthen HIV surveillance among STD patients. Frequent relapses in patients with condyloma acuminatum or genital herpes and rapid progress in patients with syphilis may provide a clue to suspect the possibility of co-intection with HIV.
出处
《中国艾滋病性病》
CAS
2006年第5期412-414,共3页
Chinese Journal of Aids & STD
基金
"十五"国家科技攻关计划项目(2004BA719A14)
云南省科技攻关计划项目(2004NG12)资助课题
