柳州地区HIV感染者合并HBV、HCV及TP感染现状分析

目的分析人类免疫缺陷病毒（HIV）感染者中合并乙型肝炎病毒（HBV）、丙型肝炎病毒（HCV）以及梅毒螺旋体（TP）感染的流行现状及其特点。方法对确诊的184例HIV感染者进行流行病学调查，并采集血标本进行HBV、HCV和梅毒血清学检测。结果HIV感染者感染途径分别为：静脉注射毒品44．0％，性传播20．1％，母婴传播4.3％，输血或血制品3．8％，其他（原因不详）27．7％。184例HIV感染者中，抗-HCV阳性者36人（19．6％），HBsAg阳性者29人（15．8％），梅毒感染者21人（11．4％）。HIV、HBV和HCV三重感染者9人，约占4．9％。结论柳州市HIV感染以静脉注射毒品为主，性传播有所上升，HIV感染正由特殊人群向普通人群蔓延。HIV合并HBV、HCV、TP感染较为常见。建议在性病门诊中常规开展HIV的筛查，对HIV感染者常规进行HBV、HCV的相关检查并积极采取相关的预防治疗措施。

Present Situation of HIV,HCV and TP Coinfection in HIV-lnfected Patients in Liuzhou Area

Objective To analyses the HBV, HCV and TP coinfection in HIV-infected patients and its epidemiological characteristics in Liuzhou area. Methods Blood samples were collected from 184 HIV-infected patients and tested for HBV, HCV and TP. Results HIV were spread via intravenous injection in drug abuser（44.0%）, sexual contact （20.1%）, vertical infection during pregnancy （4.3%）, blood product （3.8%）, and other unknown ways （27.7%）. In 184 cases of H IV-infected patients, 36 patients had anti-HCV （19.6%）, 29 patients had H BsAg（15.8%）, 21 patients had TP eoinfection（11.4%）, 9 patients had all HIV, HBC and TP coinfection （4.9% ）. Conclusion In Liuzhou area, HIV infection was principally acquired through intravenous drug abuse. The spread of HIV through sexual contact was rising year by year. HIV showed a tendency of spreading from high risk group togeneral population. Coinfection with HBV, HCV, and TP in HIV-infected patients was common. It is suggested to perform HIV screening in venereal epidemic out-patients department, and HBV, HCV routine testing for HIV-infected patients.