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目的通过系统分析2009年天津市不同检出途径中发现HIV阳性者的首次CD4+T淋巴细胞均值以及单位发现每例HIV阳性者的成本,评估天津市不同检出途径早期发现HIV感染者的效率。方法采用统计学方法系统分析天津市2009年报告的HIV阳性者首次CD4+T淋巴细胞检测值以及单位成本,以不同检出途径中HIV阳性检出率,首次CD4+T淋巴细胞均值情况,以及发现HIV阳性者的单位成本为指标来评估不同HIV检出途径对于早期发现HIV感染者的效率。结果 2009年天津市不同检出途径中,自愿咨询检测途径HIV阳性感染者检出率最高,而性病门诊就诊者的HIV阳性感染者的首次CD4+T淋巴细胞均值最高,同时从单位成本分析性病门诊就诊者发现HIV抗体阳性者的单位成本最低。结论应加大对自愿咨询检测的宣传力度,从而进一步提高HIV阳性者的检出效率;同时还应加强对性病门诊的经费投入和管理,以尽早发现HIV阳性者,减少二代传播。
OBJECTIVE: To systematically analyze the mean of first CD4 + T lymphocytes in HIV-positive individuals from different detection methods in Tianjin in 2009 and the cost per HIV-positive individuals in each detection area in Tianjin, and to evaluate the efficiency of early detection of HIV-infected individuals in different detection methods in Tianjin . Methods The statistical analysis was used to systematically analyze the first CD4 + T lymphocyte test value and the unit cost of HIV positive cases reported by Tianjin in 2009, and the detection rate of HIV positive and the first mean CD4 + T lymphocyte count in different detection methods, and The unit cost of finding HIV positive individuals was used as an index to assess the efficiency of different HIV detection pathways for early detection of HIV infection. Results In 2009, among the detection methods in Tianjin, the detection rate of HIV positive persons was the highest in voluntary counseling and testing, and the mean of first-time CD4 + T lymphocytes was the highest in HIV-infected STD clinic patients. In the mean time, The out-patient clinicians found the lowest unit cost of HIV-positive people. Conclusions The promotion of voluntary counseling and testing should be stepped up so as to further improve the detection rate of HIV positive persons. At the same time, funding and management of STD clinics should be strengthened so as to detect HIV positive persons as early as possible and reduce the second generation transmission.