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目的分析湖州市艾滋病网络实验室HIV抗体检测情况和艾滋病流行特征,为指导艾滋病防治提供科学依据。方法按照《全国艾滋病监测指南》,针对不同人群进行HIV抗体监测,初筛阳性者用蛋白印迹法进行确证,对HIV感染者进行个案调查,分析艾滋病流行特征和趋势。结果 2009-2012年共检测1 263 102例,初筛阳性717例,经蛋白印迹法确认阳性321例,阳性率0.03%,321例感染者中男性230例,女性91例,男性高于女性;送检人群以医院各类检查为主,为146例,占45.5%;文化程度以初中及以下为主,为238例,占74.1%;传播途径以性传播为主,异性传播209例,占65.1%,男男同性传播41例,占12.8%。结论湖州市艾滋病仍处于低感染阶段,但是感染人数呈逐年上升趋势,疫情不断扩展,应加大健康教育和对高危人群行为干预的力度,遏制艾滋病的蔓延。
Objective To analyze HIV antibody detection status and HIV / AIDS epidemic characteristics in HIV / AIDS network laboratory in Huzhou City and provide scientific evidence for AIDS prevention and treatment. Methods According to the “Guidelines for HIV / AIDS Surveillance in China”, HIV antibody surveillance was conducted for different groups of people. Positive cases were screened by Western blotting. Individuals with HIV infection were investigated and the characteristics and trends of AIDS epidemic were analyzed. Results A total of 1 263 102 cases were detected in 2009-2012, 717 were positive in primary screening, 321 positive were confirmed by Western blotting, the positive rate was 0.03%. Among 321 infected persons, 230 were male and 91 were female, which was higher in males than in females. There were 146 cases, accounting for 45.5% of the total number of people being examined in the hospital, 238 cases (accounting for 74.1%) of junior high school and below, and 209 cases of heterosexual transmission 65.1%, 41 were male or same sex transmission, accounting for 12.8%. Conclusions AIDS in Huzhou City is still at a low infection stage, but the number of infections shows an upward trend year by year. The epidemic continues to expand. Health education and behavior intervention in high-risk groups should be stepped up to curb the spread of AIDS.