2009-2012年湖州市艾滋病确证实验室HIV抗体检测结果分析

目的分析湖州市艾滋病网络实验室艾滋病病毒（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。方法对HIV抗体初筛阳性标本，采用酶联免疫吸附试验（ELISA）和胶体硒法进行复检，两种试剂均呈阳性或一阴一阳的用蛋白免疫印迹法（WB）进行确证，确证阳性病例进行流行病学分析。结果717份HIV抗体初筛阳性标本，复核阳性333例，确证阳性321例，其中男性230例，女性91例。各类医院检查的占45．5％（146／321）；初中及以下文化占74．1％（238／321）；异性性传播占65．1％（209／321），男男同性性传播占15．9％（51／321）。结论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。

An analysis of HIV antibody test results from Huzhou HIV confirmation laboratory in 2009- 2012

Objective To understand the characteristics of Human immunodeficiency virus（HIV） epidemic and control programs in Huzhou, and provide a scientific basis for prevention and control of AIDS. Methods HIV antibody screening positive samples were retested by both ELISA and colloidal selenium fast reagents and positive retested samples were confirmed by western blott （WB）. Epidemiological investigation was performed in WB-positive patients. Results Of the 717 HIV antibody screening positive samples, 333 retested positive, among which 321 were confirmed by WB, including 230 males and 91 females. Most samples came from hospitals （146 cases）. People with education level of junior high school or lower accounted for 74.1% （238/321）. Heterosexual transmission accounted for 65.1 % （209/321）, and male homosexual transmission accounted for 15.9% （51/321）. Conclusion More should be done to strengthen the health education and intervention on high-risk behaviors to curb the spread of AIDS.