544例新确证HIV阳性病例丙肝感染状况调查  

Analysis on HCV infection status among 544 new confirmed HIV cases

作　　者：尚学兰[1] 谢志强[2] 曹杰斌[1] 王书敏[1] SHANG Xuelan;XIE Zhiqiang;CAO Jiebin;WANG Shumin(Zhengzhou Erqi District Center for Disease Control and Prevention,Zhengzhou,China 450052,China)

机构地区：[1]郑州市二七区疾病预防控制中心,河南郑州450052 [2]河南省疾病预防控制中心

出　　处：《河南预防医学杂志》2020年第4期266-269,共4页Henan Journal of Preventive Medicine

摘　　要：目的了解新确诊的人类免疫缺陷病毒(HIV)阳性者中感染丙肝病毒(HCV)的现状。方法从"艾滋病综合防治信息系统"中查询"确认(替代策略)检测阳性日期"在2016年1月1日至12月31日,"郑州市第六人民医院"确证HIV阳性已终审的病例544例,对其进行HCV抗体检测,HCV抗体阳性者检测HCV核酸。结果544例新确证HIV阳性病例中,男性455例(占83.6%),女性89例(占16.4%),性别比是5∶1;性传播,占98.3%(535/544),其中同性传播占40.3%(219/544);抗-HCV阳性率是8.82%(48/544);HCV RNA阳性率是5.15%(28/544)。经性传播感染535例病例中,抗-HCV阳性率是8.22%(44/535),HCV RNA阳性率是4.49%(24/535)。经同性传播的219例病例中,抗-HCV阳性率是4.11%(9/219),HCV RNA阳性率是2.28%(5/219);经异性传播途径的316例病例中,抗-HCV阳性率是11.08%(35/316),HCV RNA阳性率是6.01%(19/316)。结论新确诊的艾滋病病例中,丙肝阳性率较高,高于普通就诊人群。在艾滋病高危人群中宣传艾滋病防治知识,同步宣传丙肝的防治知识。Objective To understand the HCV infection condition among the new confirmed HIV cases.Methods 544 new confirmed HIV cases were from“National AIDS Comprehensive Prevention and Control information System”confirmed by Sixth People Hospital of Zhengzhou from January 1 to December 31,2016.Blood samples of 544 cases from the HIV confirmed test were detected for anti-HCV and hepatitis C virus.Results Among 544 cases the males were 455(83.6%),and the females were 89(16.4%).The main route was Sexual transmission accounted for 98.3%(535/544),among which MSM(man sexual man)transmission accounted for 40.3%(219/544).In 544 confirmed HIV cases,the positive rates of anti-HCV and HCV RNA were 8.82%(48/544)and 5.15%(28/544).In 535 cases infected by sexual transmission route,the positive rates of anti-HCV and HCV RNA were 8.22%(44/535)and 4.49%(24/535).In 219 cases infected by MSM transmission route,the positive rates of anti-HCV and HCV RNA were 4.11%(9/219)and 2.28%(5/219).In 316 cases infected by heterosexual transmission route,the positive rates of anti-HCV and HCV RNA were 11.08%(35/316)and 6.01%(19/316).Conclusions The HCV positive rates were the higher in new confirmed HIV cases than in common population.AIDS were prevented and controlled,at the same time HCV were done.

关 键 词：HIV/AIDS 丙肝 感染状况 

分 类 号：R512.91[医药卫生—内科学]