男性性病门诊就诊者HIV感染状况的调查及分析

目的了解综合医院性病门诊男性就诊者中,艾滋病病毒(HIV)的感染状况,分析其流行病学特征。方法 2009年1月-2010年12月,对性病门诊就诊的男性患者进行问卷调查及相应的性病学检测,对自愿接受HIV血清学检测者采用酶联免疫吸附试验(ELISA)进行HIV初筛,阳性者用蛋白印迹(WB)法进行确认。结果 1 653例就诊者中,发现梅毒107例,淋病56例,沙眼衣原体感染67例,尖锐湿疣72例,生殖器疱疹30例,共332例。共发现14例HIV感染者,均为男男性行为人群(MSM),且同时合并感染其他性病。梅毒患者合并HIV感染率为35.29%(6/17),尖锐湿疣患者的HIV感染率为32.0%(8/25)。结论 MSM的性病患者是HIV感染的重要高危人群。对临床上有男男性行为的梅毒及肛周尖锐湿疣的患者,应加强HIV的检测。

Investigating and analyzing the prevalence of HIV infection among male patients attending STD clinics

Objective To understand and analyze the prevalence and characteristic of HIV infection among male patients attending STD clinics.Methods The male patients who attended the STD clinics from Jan.2009 to Dec.2010 were questioned and tested for STD.And those who accepted the serological test voluntarily would be tested for HIV infection with ELISA,and would be confirmed with Western blot.Result Among the 1 653 patients,332 were infected with STD,including syphilis(107),gonorrhea(56),chlamydia infection(67),condyloma acuminatum(72) and genital herpes(30).And 14 HIV infected patients co-infected with other STDs were MSM.The proportion of syphilis patients with HIV infection was 35.29%(6/17) and the proportion of CA patients with HIV infection was 32.0%(8/25).Conclusion STD patients from MSM are important high risk population who are susceptible to HIV infection.Enhanced HIV infection test should be clinically focused on male patients who are infected with syphilis and CA around anus and are homosexual.