新余市哨点监测人群的艾滋病、丙型肝炎、梅毒病毒感染状况分析  

Analysis of the infection status of human immunodeficiency virus,hepatitis C and treponema pallidum from sentinel monitoring in Xinyu

作　　者：潘虹[1] 毛尚根 周银古 刘瑞弘[1] 晏火兰 李腾根 

机构地区：[1]新余市疾病预防控制中心,江西新余338000

出　　处：《中国卫生检验杂志》2016年第7期1027-1029,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的了解新余市男男性行为（MSM）、孕产妇（PRG）、长卡司机（DRV）和侵入性治疗（INT）人群艾滋病病毒（HIV）、丙型肝炎病毒（HCV）、梅毒螺旋体（TP）感染状况及流行趋势,为艾滋病性病的综合防治及干预提供科学依据。方法每年在一定时间内连续对MSM、PRG、DRV、INT人群进行哨点监测,对其血清进行HIV、HCV、TP检测。结果2013年-2015年,MSM的HIV感染率最高,与PRG、DRV、INT间差异具有统计学意义（χ-2值分别为12.917、12.894、10.940,P〈0.05）,且逐年增加,2015年感染率达3.85%,显著高于2013年。各人群的HCV感染率均较低,不同人群、不同年份HCV感染率差异均无统计学意义（χ-2=1.513,P〉0.05）。各人群的TP-总感染率和TP-现症感染率均很高,尤其是MSM。各年龄阶段的HIV、HCV及TP-总感染率、TP-现症感染率差异无统计学意义（P〉0.05）。结论政府应加强艾滋病性病防治知识的宣传教育,特别要加大MSM人群的行为干预力度。同时开展多病种联合监测,提高监测效果,遏制疾病扩散。Objective To investigate the infection status and prevalence of human immunodeficiency virus（ HIV）,hepatitis C virus（ HCV） and treponema pallidum（ TP） in MSM,pregnant women（ PRG）,long distance truck drivers（ DRV）,invasive treatment（ INT） groups,so as to provide scientific basis for the comprehensive prevention and intervention of AIDS and venereal disease. Methods Sentinel surveillance was repeatedly conducted among MSM,PRG,DRV,INT groups within the certain time every year,and the antigens were detected for HIV,HCV,TP. Results During 2013- 2015,the infection rate of HIV in MSM group was the highest,and the difference was statistically significant compared with the PRG,DRV,INT groups（ χ-2=12. 917,12. 894,10. 940,P〈0. 05）,and increased year by year. HIV infection rate was 3. 85% in 2015,significantly higher than in 2013. HCV infection rates were low in each group,there was no statistical significance on the difference of HCV infection rates among different groups and different years（ χ-2= 1. 513,P〈0. 05）. Overall TP infection rate and current TP infection rate were both very high in each group,especially MSM. There was no statistical significance on the difference of the infection rates of HIV,HCV,total TP and current TP among different ages（ P〈0. 05）. Conclusion The government should strengthen publicity and education of AIDS prevention knowledge,to increase intervention efforts on MSM especially. To carry out multi- joint arms monitoring at the same time,so as to improve monitor effect and curb the spread of this disease.

关 键 词：哨点 艾滋病 梅毒 丙型肝炎 感染率 

分 类 号：R512.91[医药卫生—内科学]