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目的分析南宁市邕宁区吸毒人群艾滋病病毒(HIV)、丙型肝炎病毒(HCV)和梅毒感染情况,为艾滋病、丙型肝炎和梅毒的防治提供依据。方法对邕宁区美沙酮门诊登记服药的吸毒人群258人抽取静脉血,进行HIV、HCV和梅毒抗体检测,并对检测结果进行分析。结果 258名吸毒人群中HIV、HCV和梅毒抗体总体阳性率分别为11.63%、89.15%、5.43%;HIV/HCV、HCV/梅毒、HIV/HCV/梅毒合并感染率分别为11.24%、2.71%、0.39%;其中静脉注射毒品者HIV、HCV和梅毒抗体阳性率分别为11.16%、93.49%、4.65%;口吸毒品者没有检出HIV抗体,HCV和梅毒抗体阳性率为67.44%、9.30%。结论邕宁区吸毒人群HIV、HCV和梅毒阳性率较高,静脉注射毒品尤其是共用针具吸毒是传播HIV、HCV的主要原因,应加强对吸毒人群的监测和管理。
Objective To analyze the HIV, hepatitis C virus (HCV) and syphilis infections among drug users in Suining District of Nanning City, and provide evidence for the prevention and treatment of AIDS, hepatitis C and syphilis. Methods A total of 258 drug addicts enrolled in methadone clinics in Suining District were enrolled in this study. Blood samples were collected for detection of HIV, HCV and syphilis antibodies, and the results were analyzed. Results The overall positive rates of HIV, HCV and syphilis in 258 drug addicts were 11.63%, 89.15% and 5.43% respectively. The combined infection rates of HIV / HCV, HCV / syphilis and HIV / HCV / syphilis were 11.24% and 2.71% The positive rates of HIV, HCV and syphilis were 11.16%, 93.49% and 4.65%, respectively. No HIV antibody was detected in the oral drug users, and the positive rates of HCV and syphilis were 67.44% and 9.30% respectively. Conclusion The prevalence of HIV, HCV and syphilis in drug addicts in Suining area is high. Injecting drugs, especially the needle sharing drug, is the main reason for transmitting HIV and HCV, and the monitoring and management of drug addicts should be strengthened.