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目的:分析外籍船员感染HIV病毒的调查与处置过程,探讨在国境口岸进行艾滋病监测及管理的方法。方法:对一艘外轮中18名船员进行血清学检测,初筛实验采用酶标法、胶体硒法,确认实验采用免疫印迹法,同时进行流行病学调查。结果:通过认真细致的流行病学调查结合临床表现和实验室检查,5名船员被确诊为HIV携带者。结论:口岸检验检疫机构应加大对高危人群的监测力度,加强与相关部门合作,形成规范化合作机制,共同参与输入性病例的调查与处置,有效防止疫情自境外传入和扩散。
OBJECTIVE: To analyze the investigation and disposal of foreign crew members infected with HIV and to explore ways to monitor and manage AIDS at border crossings. Methods: Serological tests were carried out on 18 crew members in an outer wheel. The preliminary screening experiments were performed by ELISA and colloidal selenium method. The experiments were confirmed by Western blotting and epidemiological investigation. Results: Five crew members were identified as HIV carriers through careful and meticulous epidemiological investigation combined with clinical presentation and laboratory tests. Conclusion: The port inspection and quarantine authorities should step up monitoring of high-risk groups, strengthen cooperation with relevant departments, form a standardized cooperation mechanism, participate in the investigation and disposal of imported cases and effectively prevent the spread of the outbreak from the outside.