四川省肿瘤医院2005~2018年肿瘤住院患者HIV抗体筛查结果分析

目的 了解四川省肿瘤医院2005~2018年肿瘤住院患者HIV的感染状况和流行特征。方法 采用酶联免疫吸附（ELISA）法对我院237472例住院患者进行HIV抗体检测，同时对HIV抗体阳性患者的临床资料进行回顾性分析。结果 住院肿瘤患者HIV抗体的总体阳性率为1.42‰（338/237472），其中男性患者HIV抗体阳性检出率为2.18‰（244/111885），女性患者HIV抗体阳性检出率为0.75‰（94/125587），性别差异有统计学意义（P＜0.05）；年龄组以21~30岁检出率最高2.18‰；病种以头颈病区的头颈部肿瘤所占构成比最大21.89%；职业分布较广，且以农村居民为主（48.57%）。结论 住院肿瘤患者HIV感染例数呈逐年上升趋势，以中老年男性为主，并存在病区、病种、职业构成差异的特点，为确保医患安全和防止院内感染，应对住院肿瘤患者HIV进行长期监测。

Analysis of HIV Antibody Screening Results of Tumor Inpatients in Sichuan Cancer Hospital from 2005 to 2018

Objective To understand the HIV status and epidemiological characteristics of tumor inpatients in the Sichuan Cancer Hospital from 2005 to 2018. Methods ELISA analysis was performed on 237,472 inpatients in our hospital by enzyme-linked immunosorbent assay (ELISA). The clinical data of HIV-positive patients were retrospectively analyzed. Results The overall positive rate of HIV antibody in hospitalized patients was 1.42‰ (338/237472). The positive rate of HIV antibody in male patients was 2.18‰ (244/111885), and the positive rate of HIV antibody in female patients was 0.75‰ (94/125587), the gender difference was statistically significant (P<0.05); the age group had the highest detection rate of 2.18‰ from 21 to 30 years old; the head and neck tumors in the head and neck area accounted for the largest ratio of 21.89%; occupation It is widely distributed and is dominated by rural residents (48.57%). Conclusion In order to ensure the safety of doctors and patients and to prevent nosocomial infection, the number of cases of HIV infection in inpatients with tumor showed an increasing trend year by year, mainly in middle-aged and elderly men, and there were differences in disease area, disease type and occupation composition. Long-term monitoring of HIV should be performed in inpatients with tumor.