摘要
目的对梧州市的HIV感染长期不进展病例进行流行病学描述性分析,以了解HIV感染长期不进展病例的流行病学分布特点。方法从艾滋病综合防治信息系统中筛选出感染时间至少5年以上、现住址为梧州市的HIV感染存活病例、并且从未接受过抗逆转录病毒治疗、CD4检测结果从未低于410 cells/μL的病例,进行年龄、性别、感染途径、接受随访及CD4检测等情况的流行病学描述性分析。结果根据以上述条件筛选,在2 956例存活的感染者及病人中共筛选出72例HIV感染长期不进展病例,占2.44%（72/2 956）。其中男性57例,女性15例。30~49岁年龄段的54例,占该年龄段存活病例的3.10%（54/1 743）。经注射吸毒途径感染的38例,占该途径感染的存活病例5.03%（38/755）。有工作的41例,占有工作的存活病例1.88%（41/2 181）。除诊断年限为10年组的病例接受随访的次数平均不足每年1次外,其余诊断年限组的病例每年接受1次以上的随访;所有的病例每年或每两年接受一次CD4检测。结论根据本次分析结果,应该加强规范化的随访干预,提供更多的健康教育宣传,对特征人群采用更行之有效的干预措施,使其更加关心自身的健康,积极面对社会,更好的保护和促进身体免疫功能。
Objective We analyzed the epidemiological characteristics of HIV infection long term non- progressors（LTNPs） in Wuzhou City. Methods All the HIV-infected survivals who had a reporting time period of more than 5 years, acurrent living address, did not received anti- retroviral therapy, and all times CD4^＋T lymphocyte count≥410cells/u L wereselected for the present study. We analyzed the results by using gender, age, route of transmission, times of receiving follow-upand the CD4^＋lymphocyte count. Results Among the 2 956 HIV- infected survivals, 72 HIV infected persons werecategorized as LTNP according to rigorous definition, which accounted for 2.44%（72/2 956）. Among them, 57 were male, 15 were female. And 54 of them were aged 30-49 years, accounted for 3.10%（54/1 743） of that age survival cases. And 38 wereinjecting drug transmission, accounted for 5.03%（38/755） of the way infection survival cases. And 41 had jobs, accounted for1.88%（41/2 181）of whom had jobs survival. In addition to the group with diagnosis year for 10 years received follow-up lessthan once a year on average, the rest of the diagnosis year group of cases received follow-up more than 1 times each year. All ofthem received the CD4^＋T lymphocyte count at least once per one or two years. Conclusion According to the analysis results,we should strengthen the standardized follow-up intervention, provide more health education and promotion. More effectiveinterventions should be taken on characteristic crowds, so as to make it more concerned about their own health, and activelyface the community and better protect and promote the body＇s immune function.
出处
《中国热带医学》
CAS
2016年第11期1113-1115,共3页
China Tropical Medicine
关键词
艾滋病感染
长期
不进展
流行病学
HIV-infected
long term
non-progressors
epidemiology
