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[目的]分析评价成都市艾滋病监测现状,提高监测效果。[方法]对监测系统运行情况、2006~2009年病例报告、哨点监测、自愿咨询检测(VCT)资料进行分析。[结果]成都市艾滋病监测网络逐步完善;检测份数和报告病例年均增长速度为30.65%和36.06%;异性和同性传播逐年上升,注射吸毒逐年下降(P﹤0.01);样本来源于医院、VCT的比例逐年上升,羁押人群比例逐年下降(P﹤0.01);报告病例约2/3为既往感染,60.61%的艾滋病病人样本来源于医院;哨点监测吸毒者、男男性接触者、暗娼的检出率中位数为5.25%、9.61%、0.43%;VCT检出率达1.78%。[结论]成都市艾滋病监测体系健全,监测力度大,大量的既往感染者被发现;哨点监测效率高;医院已成为发现HIV/AIDS的主要窗口,VCT成为接近高危人群,早期发现阳性病例的重要途径。
[Objective] To analyze and evaluate the status of AIDS surveillance in Chengdu and improve the monitoring results. [Methods] The operation status of monitoring system, case reports from 2006 to 2009, sentinel surveillance and voluntary counseling and testing (VCT) data were analyzed. [Results] The HIV / AIDS surveillance network in Chengdu was gradually improved. The average annual growth rate of detected copies and reported cases was 30.65% and 36.06% respectively. Heterosexual and same-sex transmission increased year by year with a decrease in injecting drug use year by year (P <0.01) The proportion of VCT increased year by year, and the proportion of detainees decreased year by year (P <0.01). About two-thirds of the reported cases were previously infected and 60.61% of AIDS patients were from hospitals. The sentinels monitored drug addicts, men who had sex with men and sex workers The median detection rate was 5.25%, 9.61% and 0.43%, respectively. The detection rate of VCT was 1.78%. [Conclusion] The surveillance system of AIDS in Chengdu is sound, with great monitoring efforts. A large number of former infected persons were found; the sentinel surveillance was efficient; and the hospital was the main window for finding HIV / AIDS. VCT became a close-at-risk population and early detection of positive cases Important way