论文部分内容阅读
目的 掌握克拉玛依市梅毒和艾滋病的发病趋势和流行特点 ,为政府部门制定防治政策提供科学依据。 方法 梅毒血清学检测用 RPR和 TPHA进行筛检和证实。HIV抗体血清学检测用酶联免疫吸附实验 ( EL ISA)进行初筛 ,阳性血清用确认实验 ( WB)进行确诊。 结果 在 10 491名受检人员中检出梅毒 5 0例 ,感染率为 0 .48% ;对其中的 4788名进行了 HIV抗体检测 ,检出 HIV感染者 11例 ,感染率为 0 .2 3 %。在 12类重点人群中 ,性病门诊就诊者梅毒感染率为5 .11% ,远高于其它人群 (χ2 =2 5 1.49,P<0 .0 5 ) ;吸毒人员 HIV感染率为 9.2 8% ,明显高于其它人群 (χ2 =3 5 3 .66,P<0 .0 5 )。梅毒和 HIV感染者以本地居民为主 ,感染途径分别以非婚性接触和静脉注射吸毒为主。 结论 我市梅毒感染率呈逐年上升趋势 ;吸毒人群中 HIV流行的危险性加大。加强重点人群性病艾滋病检测和以健康教育为主的行为干预 ,是控制性病艾滋病蔓延的重要措施与手段
Objective To grasp the trend and epidemic characteristics of syphilis and AIDS in Karamay City and provide a scientific basis for government departments to formulate prevention and control policies. Methods Syphilis serological tests were screened and confirmed with RPR and TPHA. HIV antibody serology was tested by ELISA, and positive sera were confirmed by confirmatory test (WB). Results Fifty cases of syphilis were detected among 10 491 subjects, the infection rate was 0.48%. 4788 of them were tested for HIV antibody and 11 cases of HIV infection were detected, the infection rate was 0.23 %. Among the 12 key groups, the prevalence of syphilis among STD clinics was 5.111%, much higher than that of other groups (χ2 = 2.55, P <0.05). The HIV infection rate among drug addicts was 9.28% Significantly higher than other groups (χ2 = 353.66, P <0.05). Syphilis and HIV-infected persons are mainly local residents, with non-marital and intravenous drug abuse as the routes of infection. Conclusion The prevalence of syphilis in our city has been increasing year by year. The risk of HIV epidemics in drug addicts is increasing. Strengthening key HIV / AIDS testing and behavioral interventions focusing on health education are important measures and measures to control the spread of STD / AIDS