南京市2000-2014年无偿献血员HIV监测工作分析  

Analysis of HIVpositive cases among unpaid blood donors in Nanjing from 2000 to 2014

作　　者：朱宁[1] 张敏[1] 朱正平[1] 吴苏姝[1] 濮志清[1] 郭璐[1] 刘黎[1] 徐园园[1] 

机构地区：[1]南京市疾病预防控制中心,南京210003

出　　处：《中国艾滋病性病》2016年第6期455-457,共3页Chinese Journal of Aids & STD

摘　　要：目的了解南京市数十家医疗单位的临床用血质量安全状况,预防经采供血途径感染艾滋病病毒（HIV）。方法从国家《艾滋病综合防治数据信息系统》中,下载南京市2000-2014年报告的样本来源为无偿献血人员的HIV感染病例数据库,用Excel 2003、SPSS 18.0软件汇总分析。结果南京市数十家医疗单位的临床用血来源于南京市血液中心和江苏省血液中心两家采供血机构,2000-2014年全市采供血系统筛查无偿献血员1 953012人份,发现HIV抗体阳性176例,阳性检出率平均9.01/10万,由2000年的1/10万上升至2014年的20.17/10万,呈逐年上升趋势。176例HIV阳性献血员中,男164例,女12例;汉族169例（96.02%）;平均27.73岁（18-51岁）;其中20-34岁组135例（76.70%）,未婚者115例（65.34%）,已婚者43例（24.43%）,离异或丧偶者15例（8.52%）;现住址南京市者107例（60.80%）;大专以上88例（50.00%）,高中48例（27.27%）,初中26例（14.77%）;学生36例（20.45%）,干部职员32例（18.18%）,商业服务29例（16.48%）。同性性传播88例（50.%）,异性性传播66例（37.50%）。2012-2014年发现的81例HIV阳性献血者,男男性行为感染54例（占66.67%）。结论南京市无偿献血员中HIV感染人数及阳性检出率均呈逐年上升趋势,以未婚、低龄、男男性行为传播为主。需加强人群的宣传教育、行为干预等措施,阻断HIV从采供血途径向受血人群的传播。Objective To understand the safety and quality of donated blood for clinical use in the medical institutions in Nanjing,to avoid human immunodeficiency virus（HIV）infection via blood.Methods Data of the cases infected with HIV of unpaid blood donors were collected from the national HIV/AIDS information system for prevention and control in Nanjing during 2000-2014,and Excel 2003 and SPSS 18.0were used for the analysis.Results Among 1 953 012 blood donors tested,there were 176 cases infected with HIV,with a rising trend from 1/100,000 in 2000,20.17/100,000 in 2014,and the average 9.01/100,000.Of the 176 HIV cases,164 were male,and 12 female.The age distribution was between 18-51 years with the average of 27.73 years and 135（76.70%）were in the group between 20-34 years old.115cases（65.34%）were unmarried,43cases（24.43%）married,and 15cases（8.53%）divorced or widowed.107cases（60.80%）were Nanjing residents.88cases（50.00%）had the education level of college or above,48cases（27.27%）of high school,and 26cases（14.77%）of junior high school.36cases（20.45%）were students,32cases（18.18%）office workers,and 29cases（16.48%）business services.88cases（50.00%）were infected via homosexual transmission,and 66cases（37.5%）via heterosexual transmission.Conclusion HIV positive blood donors in Nanjing are rising year by year,with sexual contact as the major route,especially homosexual transmission.We need to further spread HIV/AIDS knowledge and strengthen education and behavior intervention,to block the HIV spreading via blood.

关 键 词：艾滋病病毒 无偿献血员 抗体筛查 阳性检出率 

分 类 号：R373.9[医药卫生—病原生物学]