伊宁市HIV/HBV重叠感染情况调查及防控  

Investigation on overlapping HIV/HBV infection in Yining City and its prevention and control

作　　者：胡晓远[1] 金涛[1] 马媛媛[1] 倪明健[1] HU Xiaoyuan;JINTao;MA Yuanyuan;Ni Mingjian(Center for Disease Control and Prevention of the Uygur Autonomous Region of XinJiang,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,乌鲁木齐830001

出　　处：《公共卫生与预防医学》2020年第4期116-118,共3页Journal of Public Health and Preventive Medicine

基　　金：新疆防治艾滋病规模化现场流行病学干预研究(2018ZX10715007);新疆艾滋病防控研究重点实验室(XJYS1706)。

摘　　要：目的调查伊宁市人类免疫缺陷病毒(HIV)/乙型肝炎病毒(HBV)重叠感染情况,并研究其防控措施。方法对2017年1月至2019年10月伊宁市疾控中心记录的21例HIV/HBV重叠感染患者开展调查。结果男性占比(66.67%)高于女性(33.33%),36~60岁和17~35岁(42.86%和33.33%)、初中和小学及以下(57.14%和28.57%)、性工作者及务工(42.86%和28.57%)占比均较高;常见临床表现有长期发热、消瘦、全身酸痛等;HIV主要为性传播(61.90%);HBV主要为血液传播和性传播(47.62%和9.52%);该组患者中大三阳占比最高(42.86%),其次为单纯HBsAg阳性(23.81%)、小三阳(19.05%)、HBsAg/抗HBC阳性(14.29%)。结论伊宁市HIV/HBV重叠感染者男性、36~60岁、初中及以下、性工作者及务工占比较高,临床表现复杂,特征明确,且大多患者HBV传染能力强,危害严重,需加强预防和管理。Objective To investigate the superinfection of human immunodeficiency virus(HIV)/hepatitis B virus(HBV)in Yining City,and to study on its prevention and control measures.Methods A total of 21 cases of HIV/HBV superinfection recorded by Yining CDC from January 2017 to October 2019 were investigated.Results In this group,the proportion of male(66.67%)was higher than that of female(33.33%),36-60 years old and 17-35 years old(42.86%and 33.33%),junior high school and primary school and below(57.14%and 28.57%),sex workers and migrant workers(42.86%and 28.57%)were higher.The common clinical manifestations of this group were long-term fever,emaciation,general pain and so on.HIV was mainly sexually transmitted(61.90%).HBV was mainly transmitted by blood and sex(47.62%and 9.52%).The proportion of big three Yang was the highest(42.86%),followed by simple HBsAg(23.81%),small three yang(19.05%),HBsAg/anti HBC(14.29%).Conclusion In Yining City,36-60 years old of male,junior high school and below,sex workers and migrant workers account for a relatively high proportion,and their clinical manifestations were complex,with clear features.Therefore,prevention and management should be strengthened.

关 键 词：人类免疫缺陷病毒 乙型肝炎 重叠感染 防控 

分 类 号：R183[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]