2002～2008年某医院院内HIV抗体检测结果分析

目的了解综合性医院就诊患者中人类免疫缺陷病毒(HIV)的感染状况,分析其感染途径,提出预防措施。方法采用酶联免疫吸附试验(ELISA)对患者血清进行初筛,初筛阳性者再行复检,其检测结果如为一阴一阳或两阳者送浙江省疾病预防控制中心(CDC)采用免疫印迹法(WB)确证。结果在19714名患者中,共检出7例HIV抗体阳性者,2002～2005年仅为1例,2006～2008年共有6例,其中青壮年占80.33%,以流动人员为主;传播途径以血液、性传播为主,具有输血史、静脉吸毒、不安全性行为、伴发性传播疾病等危险因素。结论对高危人群和可能经医源性途径传播和感染HIV的患者进行常规抗-HIV检测,是尽早发现HIV感染并防止其传播的必要措施。同时要做好AIDS患者及高危人群的宣传教育工作。

Analysis on the Results of HIV Antibody Detected in A Hospital from 2002 to 2008

Objective To study the condition of the HIV infection in general hospital,analyze infection channels and post preventive measures.Methods Patients' blood serum was taken by ELISA,and those with positive results underwent tests once again.If the results showed that one test showed positive and the other negative or both tests were positive,then,the samples would be sent to Zhejiang Center of Disease Control(CDC) to verify by western blot.Results Seven patients were infected among 19714 persons.There was only one HIV positive patient in 2002～2005,and there were six in 2006～2008,most of whom were migrant workers,and the infectious channel was mainly through blood and sexutal transmission,and they showed such risk factors as blood transfusion,i.v.drug taking,unsafe sexual behavior complicated with disease transmission.Conclusion It is a necessary measure to test anti-HIV among high-risk populations in order to prevent HIV dissemination and infection.At the same time,better education of AIDS knowledge among AIDS patients and high-risk populations is needed.