摘要
目的分析2011-2015年天津市不同来源新报告的艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的情况,为尽早发现HIV/AIDS病例、及时提供随访和医疗服务,进而为有效防治艾滋病提供科学依据。方法对2011-2015年天津市新报告的HIV/AIDS病例的流行病学调查及随访资料进行统计学分析,结合病程信息对病例晚发现情况进行分析,同时通过BED捕获酶联免疫法(BED-CEIA)对血样进行检测,来判定其新近感染比例。结果累计报告的2 922例HIV/AIDS病人中,来源于自愿咨询检测(VCT)的占17.7%,专题调查的占35.0%,医疗机构检测的占26.1%,性病门诊就诊者检测的占8.2%,其他检测的占13.0%。专题调查病例晚发现的比例为20.5%,当年进行首次CD4^+T淋巴细胞计数检测的比例占93.8%,医疗机构发现的病例,经BED-CEIA检测判为新近感染的比例仅28.7%。来源于医疗机构、VCT与性病门诊的就诊者中,符合抗病毒治疗标准的病例,在发现当年即接受抗病毒治疗的比例分别为65.1%、65.6%与72.6%。结论天津市不同检测来源在发现病例的力度、发现病例的及时性、发现病例后及时接受CD4^+T淋巴细胞计数检测及抗病毒治疗方面存在差异。
Objective To analyze different sources of newly reported HIV/AIDS in Tianjin,from 2011 to 2015,so as to provide evidence for early detection of HIV/AIDS,timely follow-up and medical services.Methods The data of the reported HIV/AIDS cases from 2011 to 2015was analyzed to know the cases of late diagnosis and recent infections with the＇BED HIV-1 incidence capture enzyme immunoassay＇test.Results 2922HIV/AIDS cases were reported from 2011 to 2015,and among them 17.7% came from VCT clinics,35.0% from the special survey,26.1% from medical institutions,8.2%from STD clinics,and 13.0%from other sources of detection.The proportion of late diagnosis among the cases from special survey was 20.5%,and 93.8%cases received first CD4^＋T lymphocyte test in the year of HIV diagnosis.Only 28.7% of the cases from medical institutions were recently infected.The rates of cases receiving antiretroviral therapy in the year of HIV diagnosis accounted for 65.1% from medical institutions,65.6%from VCT clinics,and 72.6% from STD clinics,higher than the rates of cases from other sources.Conclusion Different sources result in different effectiveness and timeliness of HIV case detection,and different rates of the cases receiving of first CD4^＋T lymphocyte test and antiretroviral therapy.
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2017年第8期710-713,共4页
Chinese Journal of Aids & STD
基金
天津市卫生行业重点攻关项目(14KG119)
天津市卫生局科技基金(2015KZ053)~~
