北京市疾病預(yù)防控制中心VCT門(mén)診點(diǎn)MSM的HIV檢測(cè)和導(dǎo)醫(yī)情況
發(fā)布時(shí)間:2018-07-02 07:32
本文選題:男男性行為人群 + 自愿咨詢(xún)檢測(cè)門(mén)診; 參考:《中國(guó)艾滋病性病》2015年04期
【摘要】:目的評(píng)估2012年北京市疾病預(yù)防控制中心(CDC)艾滋病病毒(HIV)自愿咨詢(xún)檢測(cè)(VCT)門(mén)診點(diǎn),男男性行為人群(MSM)的HIV檢測(cè)水平和HIV感染確診后的導(dǎo)醫(yī)情況。方法采用回顧性研究。收集2012年1月1日至12月31日北京市CDC VCT門(mén)診點(diǎn)MSM的HIV檢測(cè)和HIV感染確診后導(dǎo)醫(yī)情況等相關(guān)數(shù)據(jù),并按月份整理。刪除重復(fù)檢測(cè)者和既往陽(yáng)性者后,收集新確診陽(yáng)性者的CD+4T淋巴細(xì)胞(簡(jiǎn)稱(chēng)CD4細(xì)胞)檢測(cè)和抗病毒治療情況。利用Cox比例風(fēng)險(xiǎn)模型評(píng)估HIV感染確診后CD4細(xì)胞水平和開(kāi)始抗病毒治療(ART)的相關(guān)性。結(jié)果2012年,北京市CDC VCT門(mén)診總共檢測(cè)HIV和梅毒1639人次,其中52.9%(867/1639)是MSM,142例為新發(fā)現(xiàn)的HIV感染者/AIDS病人。新發(fā)現(xiàn)的HIV感染者中,4.9%(7/142)是現(xiàn)患梅毒,12.7%(18/142)是既往梅毒患者。90.1%(128/142)的新發(fā)現(xiàn)HIV感染者已進(jìn)行了陽(yáng)性告知,85.2%(121/142)檢測(cè)了CD4細(xì)胞計(jì)數(shù),48.8%(59/121)的CD4細(xì)胞計(jì)數(shù)350個(gè)/μL。在121名接受了CD4細(xì)胞檢測(cè)的MSM中,15名CD4細(xì)胞計(jì)數(shù)200個(gè)/μL的MSM開(kāi)始了治療;在40名CD4細(xì)胞計(jì)數(shù)為200~350個(gè)/μL的MSM中,有30人(75.0%)開(kāi)始了治療。結(jié)論 2012年,北京市MSM中新發(fā)現(xiàn)HIV感染的人數(shù)依然在增加,HIV陽(yáng)性MSM開(kāi)始抗病毒治療的比例依然有待提高。
[Abstract]:Objective to evaluate the HIV detection level of MSM in the outpatient clinic of HIV voluntary counseling and testing (VCT) in the Beijing Center for Disease Control and Prevention (CDC) in 2012 and to evaluate the medical guidance of MSM after the diagnosis of HIV infection. Methods retrospective study was used. From January 1 to December 31, 2012, the data of MSM in Beijing CDC VCT outpatient points were collected and analyzed by month. After the repeated tests and previous positive cases were deleted, the CD 4 T lymphocytes (CD4 cells) and antiviral therapy of the newly diagnosed positive patients were collected. Cox proportional hazard model was used to evaluate the correlation between CD4 cell level and the onset of antiviral therapy (art) after HIV infection. Results in 2012, a total of 1639 HIV and syphilis cases were detected in Beijing CDC VCT outpatient clinics, of which 52.9% (867 / 1639) were newly found HIV infected / AIDS patients. Among the newly found HIV infected persons, 4.9% (7 / 142) were syphilis, 12.7% (18 / 142) were syphilis patients. 90.1% (128 / 142) of the newly found HIV-infected persons had been informed of the positive results, 85.2% (121 / 142) had detected CD4 cell counts, 48.8% (59 / 121) of CD4 cells per 渭 L. In 121 MSM patients with CD4 cell count, 15 patients (75.0%) were treated with 200 / 渭 L CD4 cell counts and 30 (75.0%) of 40 MSM patients with CD4 cell counts ranging from 200 to 350 (渭 L). Conclusion in 2012, the number of new HIV infections in MSM in Beijing is still increasing, and the proportion of HIV positive MSM starting anti-viral therapy still needs to be increased.
【作者單位】: 北京市疾病預(yù)防控制中心性病艾滋病防治所;
【基金】:"十二五"重大專(zhuān)項(xiàng),我國(guó)艾滋病流行趨勢(shì)、疫情評(píng)估和預(yù)測(cè)數(shù)學(xué)模型研究(2012ZX10001001)~~
【分類(lèi)號(hào)】:R512.91
【參考文獻(xiàn)】
相關(guān)期刊論文 前3條
1 苗立波;;北京市海淀區(qū)艾滋病自愿咨詢(xún)檢測(cè)現(xiàn)況[J];首都公共衛(wèi)生;2007年06期
2 趙麗英;張海艷;周艷麗;寧夏;王s,
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