| 于茂河,郭燕,周宁,柏建芸,赵芳凝,龚卉,候金余,江国虹.天津市2005-2017年医疗机构新报告HIV/AIDS特征分析[J].中华流行病学杂志,2020,41(11):1871-1875 |
| 天津市2005-2017年医疗机构新报告HIV/AIDS特征分析 |
| An analysis on newly reported HIV/AIDS cases in medical institutions in Tianjin, 2005-2017 |
| 收稿日期:2019-12-05 出版日期:2020-11-25 |
| DOI：10.3760/cma.j.cn112338-20191205-00860 |
| 中文关键词: HIV/AIDS 医疗机构 新报告 |
| 英文关键词: HIV/AIDS Medical institution New report |
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| 中文摘要: |
| 目的 分析天津市2005-2017年医疗机构新报告HIV/AIDS特征，为更好地在医疗机构中开展相关的艾滋病防治工作提供依据。方法 对新报告HIV/AIDS的流行病学调查及随访资料进行分析，同时回顾调查2005-2017年医疗机构新报告HIV/AIDS的科室来源及主要就诊疾病。结果 2005-2017年天津市医疗机构新报告HIV/AIDS 3 035例，医疗机构报告HIV/AIDS病例年均增长24.8%，其中49.2%（1 343/2 728）来源于住院病例，50.8%（1 385/2 728）来源于门诊病例，性病门诊就诊者检测在2011-2017年HIV阳性检出率呈现增长趋势（χ2=18.469，P=0.005）；医疗机构住院病例、门诊病例首次CD4+T淋巴细胞计数（CD4）（χ2=17.189，P=0.000）及新报告当年发生死亡比例（χ2=61.198，P=0.000）差异有统计学意义；二级医院与三级医院新报告HIV/AIDS首次CD4值（χ2=16.751，P=0.000）及新报告当年发生死亡比例（χ2=18.926，P=0.000）差异有统计学意义；不同科室新报告HIV/AIDS首次CD4值（χ2=37.620，P=0.000）及新报告当年发生死亡比例（χ2=95.489，P=0.000）差异有统计学意义。结论 2005-2017年天津市医疗机构门诊新报告HIV/AIDS较为及时，二级医院新报告HIV/AIDS比三级医院及时。在医疗机构重点科室门诊积极倡导医务人员中主动提供HIV检测服务，对于天津市艾滋病防治工作具有重要意义。 |
| 英文摘要: |
| Objective To analyze the characteristics of newly reported HIV/AIDS cases in medical institutions in Tianjin from 2005 to 2017 and provide evidence for the improvement of AIDS prevention and treatment in medical institutions. Methods The data of the newly reported cases of HIV/AIDS in medical institutions in Tianjin from 2005 to 2017 were analyzed. Meanwhile a retrospective survey was conducted on the source department of medical institutions and the main disease for treatment of HIV/AIDS cases. Results A total of 3 035 HIV/AIDS cases were reported in medical institutions in Tianjin from 2005 to 2017 with an annual increase of 24.8%, among these cases, 49.2% (1 343/2 728) were reported from inpatients and 50.8% (1 385/2 728) were reported from outpatients. There was an increasing trend in the HIV positive detection rate in STD outpatients from 2011 to 2017 (χ2=18.469, P=0.005). The counts of the first CD4+ T cell counts (CD4) (χ2=17.189, P=0.000) among the cases from inpatients and outpatients and the proportions of deaths in the year when the cases were found differed (χ2=61.198, P=0.000), the differences were significant. And the statistically significant differences in the counts of the first CD4 (χ2=16.751, P=0.000) and the proportions of deaths in the year when the cases were found (χ2=18.926, P=0.000) existed among the cases in grade Ⅲ hospitals and in grade Ⅱ hospitals; meanwhile the differences in the counts of the first CD4 (χ2=37.620, P=0.000) and the proportions of deaths in the year when the cases was found (χ2=95.489, P=0.000) among the cases from different departments were significant. Conclusion The timeliness of HIV/AIDS case reporting by outpatient departments was better in medical institutions in Tianjin, and the case reporting in grade Ⅱ hospitals were more timely than in grade Ⅲ hospitals; so it is suggested to provide active HIV test in key departments of medical institutions for the better HIV/AIDS prevention and control in Tianjin. |
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