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[目的]全面了解济南市市中区发现及现管理的羁押人员HIV感染及随访管理状况,探讨羁押人员中艾滋病感染者和病人有效管理模式。[方法]对济南市市中区近年来羁押人员中感染者和病人资料进行分析。[结果]至2008年年底,我区累计对7 421名羁押收教人员进行HIV抗体检测,检出HIV抗体阳性18例,阳性率为24.26/万。接收外地转来艾滋病犯人19例。羁押人员中在押病犯的管理达到100.00%,但释放后92.86%失访。[结论]羁押收教人员HIV感染率较高,主要为吸毒者和性乱人群。建议监管场所应持续开展羁押人员HIV感染的监测,预防艾滋病在监区流行,并对此类人群进行健康教育及行为干预。辖区疾控部门、公安司法部门与释放后居住地疾控部门应建立有效的转介网络,形成规范的转介机制,将释放后产生二代传播的可能性尽量降低。
[Objective] To understand the status of HIV infection and follow-up management among detainees who were found and managed in downtown area of Jinan City, and to explore the effective management mode of AIDS-infected persons and patients among detainees. [Methods] The data of infected persons and patients in detainees in downtown area of Jinan City were analyzed. [Results] By the end of 2008, a total of 7,421 detainees received HIV antibody tests in our district, and 18 HIV positive cases were detected, with a positive rate of 24.26 / million. 19 cases of receiving AIDS offenders in the field. The management of prisoners in custody reached 100.00%, but 92.86% were lost after the release. [Conclusion] HIV infection rates among detainees and teaching staff are high, mainly among drug addicts and sexual promiscuity. It is recommended that the regulatory sites should continue to monitor the HIV infection of detainees, prevent the spread of AIDS in the prison districts, and provide health education and behavioral interventions for such groups. The district CDC, the public security and judicial departments and the disease control departments after their release should establish an effective referral network to form a normative referral mechanism that will minimize the possibility of second-generation transmission after release.