2005-2015年北京同仁医院艾滋病监测检测分析  

Analysis of HIV/AIDS surveillance and laboratory testing in Beijing Tongren Hospital, 2005-2015

作　　者：杜晓英[1] 李佳[2] 孙伟东[2] 辛若雷[2] DU Xiao-ying LI Jia SUN Wei-dong XIN Ruo-lei.(Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing 100730, China Beijing Center for Disease Control and Prevention)

机构地区：[1]首都医科大学附属北京同仁医院预防保健科,北京100730 [2]北京市疾病预防控制中心(北京市预防医学研究中心)性病艾滋病防治所

出　　处：《国际病毒学杂志》2016年第6期405-408,共4页International Journal of Virology

基　　金：国家自然科学基金（81273136）

摘　　要：目的 分析北京同仁医院艾滋病检测和疫情报告特征,探讨医疗机构在艾滋病监测检测和病例发现中的作用.方法 2005-2015年,对到北京同仁医院接受咨询检测、有创诊疗、住院治疗和术前检查等患者进行艾滋病检测.将HIV-1抗体阳性病例报告至传染病报告信息管理系统,对人口统计学资料进行描述性流行病学统计分析.结果 2005-2015年,北京同仁医院累计进行575 669人次艾滋病筛查.检出艾滋病筛查阳性反应病例191例次（0.332‰）,确证阳性病例150例（0.261‰）,确证阳性预期比例为78.5％.报告阳性病例以男性为主（占84.0％）,20-50岁年龄段为最主要受累群体（83.3％）.30.0％以上病例具有大专及以上学历.56.0％的病例最可能通过男男性行为途径感染,其次为异性性接触（27.3％）.最主要报告病例来源科室为眼科（约占30.7％）和内科（约占26.7％）,其次为皮科（约占24.7％）和耳鼻喉科（约占8.7％）.结论 北京同仁医院总体艾滋病检出率略低于北京地区平均水平,但是病例构成和人群分布与北京地区流行特征相近.加强相关医疗机构眼科、耳鼻喉科就诊患者的艾滋病检测和病因学研究,发现更多可能的感染者,避免医源性艾滋病播散和职业暴露事件发生.Objective To analyze the characteristics of HIV/AIDS surveillance and epidemic reports in Beijing Tongren Hospital,and to explore the roles of hospital-based HIV/AIDS surveillance and laboratory testing in HIV infection reports.Methods The individuals were recruited for obligatory HIV testing,who received consulting and testing,wound-causing diagnosis and therapy,in-hospital therapy and presurgery preparation,from 2005 to 2015.Blood samples were collected for HIV antibody screening,including screening tests and confirmatory test.The patients with HIV-1 antibody positive were reported to China Information System for Diseases Control and Prevention.We utilized SPSS 19.0 package to analyze demographic data for descriptive epidemiological analysis.Results A total of 575 669 accumulated individuals were screened for HIV in Beijing Tongren Hospital,2005-2015.Among them,191 cases （0.332‰） were screened as positive reaction by ELISA or chemiluminescence immunoassay,and 150 cases （0.261‰o） were confirmed to be HIV-1 antibody positive using MPD or IMT HIV-1/2 WB kits.The expectancy rate of confirmatory positive was 78.5%.Among the positive cases,Male individuals accounted for 84.0%,and most of them （83.3%） were at the age of 20 to 50.About 56% of cases were infected by men who have sex with men （MSM）,secondly by heterosexual contacts （27.3%）,while 30.0 per cent individuals had academic record above college.The cases were mainly reported from ophthalmology department （30.7%）,medicine department （26.7%）,others in dermatology department （24.7%） and otolaryngological department （8.7%）.Conclusions The positive rate of HIV/AIDS screening was slightly lower in Beijing Tongren Hospital,however,the constitution and population distribution of the cases were similar,compared to the average rate in Beijing city.The etiology of ophthalmology and otolaryngological diseases should be reinforced and attention should be paid to these patients,to find more possible HIV infections,and to exclude the ha

关 键 词：艾滋病 HIV感染 筛查试验 疫情监测 

分 类 号：R197.32[医药卫生—卫生事业管理]