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目的了解防城港市艾滋病报告死亡病例的流行病学特征,提出防控对策。方法对2012年报告的艾滋病死亡病例94例进行分析。结果 2012年当年死亡并报告94例,其中死于艾滋病45例(47.9%),病例分布在边境地区和农村分别为74.6%和70.1%,以男性和初中文化为主,分别为87.2%和为83.3%;异性传播为89.4%。死亡病人94例中,只有62.8%死亡前最后一次接受CD4+淋巴细胞计数检测,未能动态监测到其免疫状况而给予早期治疗;只有31.9%死亡前接受抗病毒治疗。结论早期筛查和发现病人,加强艾滋病感染者和病人随访转介和管理,提高救治能力,减轻感染者和病人医疗负担,扩大抗病毒治疗覆盖面,降低艾滋病病死率。
Objective To understand the epidemiological characteristics of AIDS deaths reported in Fangchenggang City and to propose prevention and control measures. Methods 94 cases of AIDS deaths reported in 2012 were analyzed. Results There were 94 deaths and 94 deaths in 2012, of which 45 (47.9%) died of AIDS. The distribution was 74.6% and 70.1% respectively in border areas and rural areas, with male and junior middle school cultures accounting for 87.2% and 83.3%; heterosexual transmission was 89.4%. Of the 94 deaths, only 62.8% of them were tested for CD4 + lymphocyte count before their death, and early treatment was failed to dynamically monitor their immune status; only 31.9% died of antiviral therapy before they died. Conclusion Early screening and detection of patients, strengthen the referral and management of HIV-infected patients and patients follow-up, improve the treatment capacity, reduce the medical burden of infected patients and patients, expand the coverage of anti-virus treatment and reduce AIDS mortality.