广东省1995～2001年HIV抗体阳性献血员合并HBV、HCV、梅毒感染状况调查

目的 了解广东省1995～2001年献血员HIV流行的特征及与其他传染病合并感染情况，为制定HIV经血源传播防治策略提供依据。方法 收集1995～2001年广东省HIV抗体阳性献血员资料进行分析，并进行HBV、HCV和梅毒血清学检测。结果 1995～2001年，广东省累计HIV抗体阳性献血员167例，占全省报告HIV感染总数的5．44％(167／3072)，且献血员中HIV抗体阳性人数逐年增长。167例病例中以男性为多(88．02％)；年龄主要集中在20～29岁组(55．09％)；病例送检地区以广州、深圳和东莞为主；其原籍主要是广东省和河南省。128例肌，抗体阳性献血员中抗-HCV、梅毒抗体及HBsAg阳性率分别为79．69％、7．81％及3．13％，HIV／HCV／梅毒、HIV／HBV／HCV、HIV／HBV／梅毒三重感染率分别为7．81％、3．13％及0，未发现四重感染。结论 广东省肌，抗体阳性献血员合并HCV和梅毒感染率高。应加强献血员的筛查及流动人口的管理，以控制HIV,HBV和HCV经献血员向一般人群传播。

Prevalence of hepatitis B, hepatitis C and syphilis among HIV positive blood donors in Guangdong province,1995-2001

Objective To understand Prevalence of hepatitis B, hepatitis C and syphilis among HIV positive blood donors in Guangdong province. Methods All blood samples of HIV positive blood donors from 1995 to 2001 were serologically screened for HBV, HCV and Syphilis. Results From 1995 to 2001, 167 HIV positive blood donors were found in Guangdong province, accounting for 5.44%(167/ 3 072 ) of the total HIV reports. The number of the reported HIV positive blood donors increased annually during the period. Out of 167 donors 88.02% were male and 55.09% aged 20-29. They were mainly found in Guangzhou, Shenzhen and Dongguan and they mainly came from Guangdong and Henan province. A total 128 donors were tested and the prevalence of hepatitis B, hepatitis C and Syphilis were 3.13%, 79.69% and 7.81% respectively. The co-infection prevalence of HIV/HCV/Syphilis, HIV /HBV/HCV and HIV/HBV/Syphilis among them were 7.81%, 3.13% and 0 respectively. No blood donor infected with HIV, HBV, HCV and Syphilis simultaneously. Conclusion High prevalence of, hepatitis C, syphilis infection was found among HIV positive blood donors in Guangdong province. Effective measures should be implemented to prevent further transmission of HIV from blood donors to general population.