2005—2021年天津市医疗机构HIV/AIDS检测发现情况分析  

Detection of HIV/AIDS cases in medical institutions in Tianjin Municipality from 2005 to 2021

作　　者：柏建芸[1,2] 赵芳凝 候金余 郭燕 郑敏娜[1,2] 李龙[1,2] 于茂河 BAI Jianyun;ZHAO Fangning;HOU Jinyu;GUO Yan;ZHENG Minna;LI Long;YU Maohe(Department of HIV/AIDS and STDs Control and Prevention,Tianjin Center for Disease Control and Prevention,Tianjin 300011,China;Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease,Tianjin 300011,China)

机构地区：[1]天津市疾病预防控制中心性病艾滋病预防控制所,天津300011 [2]天津市传染病病原微生物重点实验室,天津300011

出　　处：《预防医学》2023年第6期475-479,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：天津市医学重点学科(TJYXZDXK-050A)。

摘　　要：目的了解2005—2021年天津市医疗机构艾滋病病毒感染者和艾滋病患者(HIV/AIDS)检测发现情况,为优化医疗机构HIV抗体检测策略提供依据。方法通过医疗机构信息系统和中国疾病预防控制信息系统艾滋病综合防治信息系统,收集2005—2021年天津市医疗机构HIV抗体检测资料,分析医疗机构HIV抗体阳性检出率和HIV/AIDS病例特征。结果2005—2021年天津市医疗机构每年HIV抗体检测量从86102人次增加至1369345人次,年均增长18.88%;HIV抗体阳性检出率从2.44/万上升至2.85/万(P<0.05),年均2.79/万;医疗机构检测量和检测发现的HIV/AIDS病例数占全市的比例均呈上升趋势(P<0.05)。不同样本来源中,性病门诊和其他就诊者检测的HIV抗体阳性检出率较高,分别为53.69/万和12.25/万;20~<40岁HIV抗体阳性检出率最高,为5.40/万;男性检出率(5.84/万)高于女性(0.53/万)(均P<0.05)。2005—2021年天津市医疗机构累计检测发现HIV/AIDS病例3610例,年龄M(QR)为38(24)岁,其中男性3277例,占90.78%;传播途径以男男性行为为主,占63.46%;晚发现比例为65.60%,首次CD4+T淋巴细胞检测及时率从2005年的23.81%提高至2021年的71.54%(P<0.05)。结论2005—2021年天津市医疗机构HIV抗体检测量和HIV抗体阳性检出率均呈上升趋势,主要通过性病门诊和其他就诊者检测发现,且检测发现的HIV/AIDS病例主要为男性。Objective To investigate the detection of HIV/AIDS cases in medical institutions in Tianjin Municipality from 2005 to 2021,so as to provide insights into optimization of HIV antibody testing strategies in medical institutions.Methods All data pertaining to individuals receiving HIV antibody tests in medical institutions in Tianjin Municipality from 2005 to 2021 were collected from the information systems in medical institutions and the HIV/AIDS Prevention and Control Information System of Chinese Disease Prevention and Control Information System.The positive rate of HIV antibody and epidemiological characteristics of HIV/AIDS cases in medical institutions were analyzed.Results The number of HIV antibody tests increased from 86102 person-times in 2005 to 1369345 person-times in 2021 in medical institutions in Tianjin Municipality,with annual increase by 18.88%.The positive rate of HIV antibody increased from 2.44/104 to 2.85/104(P<0.05),with annual increase by 2.79/104.Both the proportion of the number of HIV antibody tests and the number of HIV/AIDS cases detected by medical institutions in the whole city appeared a tendency towards a rise(P<0.05).A high positive rate of HIV antibody was seen in sexually transmitted disease clinics(53.69/104)and other testing services(12.25/104),and the highest positive rate of HIV antibody was seen in individuals at ages of 20 to 39 years(5.40/104),while the positive rate of HIV antibody was higher in men(5.84/104)than in women(0.53/104)(P<0.05).A total of 3610 HIV/AIDS cases were detected in medical institutions in Tianjin Municipality from 2005 to 2021,with a median age of 38(interquartile range,24)years.Of all HIV/AIDS patients,there were 3277 men(90.78%),and men who have sex with men was the predominant transmission route(63.46%),while the proportion of late identification of HIV/AIDS cases was 65.60%.In addition,the proportion of timely detection for the first CD4+T lymphocyte count testing increased from 23.81%in 2005 to 71.54%in 2021(P<0.05).Conclusions The number of HIV

关 键 词：艾滋病 HIV抗体检测 医疗机构 

分 类 号：R512.91[医药卫生—内科学]