2013-2019年北京积水潭医院就诊者HIV检测结果分析  

Analysis of AIDS surveillance results in Beijing Jishuitan hospital from 2013 to 2019

作　　者：杨琳[1] 任燕 陈丽红[1] 刘爽[1] 单娇 陈辉[1] YANG Lin;REN Yan;CHEN Lihong;LIU Shuang;SHAN Jiao;CHEN Hui(Department of Disease Control and Prevention/Department of Nosocomial Infection Control,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院疾控处/院感处,北京100035

出　　处：《中国艾滋病性病》2021年第1期75-78,共4页Chinese Journal of Aids & STD

摘　　要：目的了解北京积水潭医院就诊者艾滋病病毒(HIV)感染现况及趋势、流行病学分布特征。方法回顾性分析2013-2019年医院就诊者HIV检测结果。结果2013-2019年共检测HIV 462505人次,初筛阳性498例(0.11%),确证阳性181例(0.04%);各年确证阳性率依次为0.02%(10/47291)、0.04%(22/61383)、0.05%(32/65238)、0.05%(33/69150)、0.04%(28/65488)、0.05%(36/74501)、0.03%(20/79454),2013-2018年呈增长趋势(χ^(2)趋势=4.036,P趋势<0.05),2019年较2018年略下降(χ^(2)=5.667,P<0.05)。HIV确证阳性者以男性(86.19%)、21~40岁(64.09%)、高中及以下学历(64.64%)、家务及待业(40.33%)为主。性行为感染占93.92%,男男同性性行为感染占44.75%。检出科室广泛,术前检测和皮肤性病门诊发现HIV感染者占到阳性样本的64.09%和17.13%。结论医院就诊者中HIV确证阳性率呈整体升高趋势,男性、21~40岁、低学历、家务及待业者是HIV感染的高危人群。在重点人群筛查基础上强化HIV检测常规化,通过术前检测等环节发现更多隐匿的无症状感染者。Objective To better understand the infection status and trend of HIV in patients seeking medical care in Beijing Jishuitan hospital.Methods The HIV detection data of the patients in the hospital from 2013-2019 were collected for a retrospective analysis.Results The number of patients tested for HIV increased year by year from 2013 to2019.A total of 462505 patients were screened,with 498(0.11%)HIV positive,and finally 181(0.04%)confirmed as HIV infection by WB testing.The detection rate of HIV infection from 2013-2019 were 0.02%,0.04%,0.05%,0.05%,0.04%,0.05%and 0.03%,respectively.From 2013 to 2018,it showed an increasing trend(χ^(2)=4.036,P<0.05),and detection rate of HIV infection in 2019 was lower than that in 2018(χ^(2)=5.667,P<0.05).The patients with HIV infection confirmation were predominated by male(86.19%),aged between 21–40 years(64.09%),with a high-school degree or less(64.64%)and housework or unemployed(40.33%).Sexual transmissions was the main route of infection(93.92%),and 44.75%was the men who have sex with men(MSM).Patients with HIV infection were detected from a wide range of departments,with 64.09%and 17.13%from preoperative testing and dermatology outpatient clinic.Conclusion The detection rate of HIV in the hospital shows an overall increasing trend.MSM,21-40 years old,low education,homework and the unemployed are high risk groups of HIV infection.On the basis of the HIV screening among the high risk groups,the routine HIV testing should be strengthened,and more asymptomatic HIV infected individuals should be detected through preoperative testing.

关 键 词：艾滋病病毒 筛查与检测 综合医院 流行病学特征 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]