[1]赵玉,刘媛媛.西安市某综合医院2007-2017年HIV感染监测结果分析[J].中国皮肤性病学杂志,2019,(07):800-804.[doi:10.13735/j.cjdv.1001-7089.201806055]
 ZHAO Yu,LIU Yuanyuan.Analysis of HIV Infection Surveillance in a General Hospital of Xi'an from 2007 to 2017[J].The Chinese Journal of Dermatovenereology,2019,(07):800-804.[doi:10.13735/j.cjdv.1001-7089.201806055]
点击复制

西安市某综合医院2007-2017年HIV感染监测结果分析
分享到:

《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2019年07期
页码:
800-804
栏目:
性传播疾病
出版日期:
2019-06-16

文章信息/Info

Title:
Analysis of HIV Infection Surveillance in a General Hospital of Xi'an from 2007 to 2017
文章编号:
1001-7089(2019)07-0800-05
作者:
赵玉刘媛媛
西安市中心医院,陕西 西安 710003
Author(s):
ZHAO YuLIU Yuanyuan
(Central Hospital of Xi'an,Xi'an 710003,China)
关键词:
人类免疫缺陷病毒 综合医院 监测
Keywords:
HIV General hospital Surveillance
分类号:
R 512.91
DOI:
10.13735/j.cjdv.1001-7089.201806055
文献标志码:
B
摘要:
目的 了解综合医院患者中HIV感染现状及流行趋势,为预防和控制此病提供依据。方法 对2007-2017年西安市中心医院HIV监测资料进行统计分析。结果 2007-2017年共筛查病例176 226例,HIV初筛阳性306例,HIV确诊阳性122例,初筛阳性病例未送检确诊数176例,HIV初筛阳性失访率57.52%。HIV初筛阳性数逐年上升,且科室分布广泛。初筛的准确率一直处于较高水平,但初筛阳性失访人数比例逐年上升。感染途径以性传播为主占95.09%,其中异性传播占57.38%,同性传播占37.71%,男男同性传播比例上升明显。结论 该医院HIV抗体初筛阳性数以较大幅度逐年上升,且科室分布广泛,医务工作者应提高对此病的认识,加强主动筛查的意识,减少HIV初筛阳性患者的失访。
Abstract:
Objective To investigate the status and the prevalence of HIV infection in a general hospital,and to provide evidence for HIV prevention and control.Methods Statistical analysis was conducted on data of HIV infection surveillance in Xi'an Central Hospital from 2007 to 2017.Results From 2007 to 2017,176 226 cases were initially screened,of which 306 cases were positive for initial HIV screening and 122 cases were diagnosed as HIV positive.In addition,176 positive cases for initial screening were not sent for examination,and the rate of lost to follow-up for HIV initial screening was 57.52%.The incidence of positive HIV for antibody screening was rising by a large margin,and the cases were widely distributed in varied departments.The accuracy of primary screening was at a high level,but the proportion of lost to follow-up was increased.The major transmission was sexual contact(95.09%),including heterosexual transmission(57.38%)and homosexual transmission(37.71%).The percentage of transmission among men had increased obviously in recent years.Conclusion In this hospital the number of patients screened positive for HIV antibody is rising by a large margin,and they are widely distributed.The medical staff need to recognize the clinical symptoms of such disease,strengthen the awareness of active screening,and reduce the number of patients who has been screened positive for HIV but are lost to follow-up.

参考文献/References:

[1] 王亚男,胡清海,张博雯,等.2006-2016年某综合性医院确诊HIV阳性患者特征分析[J].中国公共卫生,2018,34(6):914-917.
[2] Centers for Disease Control and Prevention(CDC).Missed opportunities for earlier diagnosis of HIV infection-South Carolina,1997-2005[J].MMWR Morb Mortal Wkly Rep,2006,55(47):1269-1272.
[3] 江灵,王华,黄远帅.某综合性医院2009-2016年HIV感染流行病学调查分析[J].中国输血杂志,2018,31(4):415-417.
[4] 贺栋,虎翼,刘丽,等.宁夏某综合医院93例HIV/AIDS患者初诊科室分布及首诊病因调查[J].宁夏医科大学学报,2015,6:680-681.
[5] 梅淑娟.2008-2016年长春市报告HIV/AIDS流行特征分析[J].公共卫生与预防医学,2017,28(4):36-38.
[6] 王娟,贺淑芳,卢红艳,等.北京市2010-2016年15~24岁学生艾滋病疫情状况[J].中国学校卫生,2017,38(9):1426-1428.
[7] 殷方兰,钟培松,张永,等.不同性取向的男男性行为人群行为特征差异性分析[J].中国皮肤性病学杂志,2018,32(8):898-901.
[8] 欧阳雪,郑惠能,谢群.2010-2013年厦门市医院检出HIV阳性病例流行病学分析[J].中国医院统计,2014,21(2):130-131.
[9] 中国疾病预防控制中心性病艾滋病预防控制中心性病控制中心.2015年12月全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2016,22(2):69.
[10] 马晶,郭秀婵,曾毅,等.HIV抗体检测技术研究进展[J].病毒学报,2006,22(2):155-158.
[11] 曾小妹,陈言,莫少雄,等.海南省2011-2015年艾滋病病例报告情况分析[J].中国皮肤性病学杂志,2018,32(10):1172-1176.
[12] 曾刚,吕繁,罗夏,等.医疗机构门诊艾滋病筛查策略实施效果比较[J].中华预防医学杂志,2013,47(11):1010-1013.
[13] 杨科,杨正培,程周恒,等.扩大检测HIV抗体在发现患者中的作用与效果评价[J].中国皮肤性病学杂志,2018,32(6):662-665.

相似文献/References:

[1]王军雄,陈倩倩,李水凤,等.以阴囊斑丘疹为主要表现的二期梅毒并HIV感染1例[J].中国皮肤性病学杂志,2016,(11):1152.[doi:10.13735/j.cjdv.1001-7089.201604119]
 WANG Jun-xiong,CHEN Qian-qian,LI Shui-feng,et al.A Case of Secondary Syphilis Merger HIV Infection Mainly Performed as Maculopapule on the Scrotum[J].The Chinese Journal of Dermatovenereology,2016,(07):1152.[doi:10.13735/j.cjdv.1001-7089.201604119]
[2]王袁,张树敬,蔡黎霞,等.肿瘤专科医院就诊患者HIV感染情况分析[J].中国皮肤性病学杂志,2017,(04):410.[doi:10.13735/j.cjdv.1001-7089.201610013]
 WANG Yuan,ZHANG Shu-jing,CAI Li-xia,et al.Prevalence and Analysis of HIV Infection in Tumor Patients in Cancer Hospital[J].The Chinese Journal of Dermatovenereology,2017,(07):410.[doi:10.13735/j.cjdv.1001-7089.201610013]
[3]黄敖,罗宏,张莲,等.5-氨基酮戊酸光动力疗法治疗尖锐湿疣合并HIV感染25例疗效观察[J].中国皮肤性病学杂志,2018,(06):733.[doi:10.13735/j.cjdv.1001-7089.201710070]
 HUANG Ao,LUO Hong,ZHANG Lian,et al.Effect of Photodynamic Therapy on Condyloma Acuminata Combined with HIV for 25 Patients[J].The Chinese Journal of Dermatovenereology,2018,(07):733.[doi:10.13735/j.cjdv.1001-7089.201710070]
[4]刘洋,刘毅,史丙俊,等.二期梅毒合并生殖器疱疹和HIV感染1例[J].中国皮肤性病学杂志,2013,(02):170.

备注/Memo

备注/Memo:
[作者单位] 西安市中心医院,陕西 西安 710003
更新日期/Last Update: 2019-06-15