综合医院住院患者中60例HIV感染者临床资料分析

目的探讨岑溪市人民医院住院患者中经初筛为HIV感染者的流行病学、临床特点。方法回顾分析2008-2010年本院住院患者中60例初筛为HIV感染者的临床数据资料,包括住院人口统计学、机会感染疾病及HIV筛查情况等。结果 60例中,2008年10例(占2008年总住院患者15284人数的0.065%),2009年20例(占2009年总住院患者17276人数的0.116%),2010年30例(占2010年总住院患者19805人数的0.151%);男39例(65.00%),女21例(35.00%);以20～50岁为高发年龄段,占70.00%;49例经性途径感染,7例经吸毒感染,3例经输血途径感染。科室分布以内科、外科为主,内科、外科比例1:0.56;机会性感染中,细菌性肺炎6例(10.00%),肺结核7例(11.70%),口腔念珠菌病8例(13.30%);皮肤性病16例28.00%。患者一般情况良好,其中25例HIV感染者的合并症和继发病均治愈或好转出院,51例转当地预防疾控中心治疗,9例放弃治疗,死亡15例。结论住院患者HIV的感染率逐年上升,感染者分布科室广,且感染者的一般情况良好,不易及时检出,因而在条件允许的情况下,建议综合性医院对所有住院患者均进行HIV筛查。

The Clinical Characteristics of 60 Case of HIV Infection in General Hospital Inpatients

Objective To explore the epidemiology and clinical features of the inpatients who are preliminarily screened as HIV infectors in Cenxi People’s Hospital.Method Review and analysis the clinical data(2008～2010)of 60 cases of these infectors,including demography for inpatient population,opportunistic infections and HIV screenings.Results Among the 60 cases,10 cases from 2008(0.065% of the inpatient population of the year),and 20 from 2009(0.116% of the whole infection population).Thirty-nine cases were male(65%) and 21 were female(35%).20～50 years old to be the high incidence age group,accounting for 70.00%.49 cases of infections through sex,7 cases from drug use,3 cases of infection by blood transfusion.Distributed mostly in internal medicine and surgery,with a ratio of 1:0.56.In opportunistic infections,Bacteria pneumonia were 6 cases(10%),Tuberculosis were 7 cases(11.70%),Oral candidiasis were 8 cases(13.30%),Dermatology and Venereology were 16 cases(28%).25 HIV infectors were in good condition which complications and secondary affections were cured or getting better so as to leave the hospital,51 cases moved to the local Disease Prevention and Control Center,9 cases gaved up treatment,and 15 cases died.Conclusion Rate of HIV infections grows year by year,and infectors are distributed widely in different departments.Infectors usually are in good condition,so it is hard to realize the infection.As a result,if it is possible,we recommend doing HIV screening for all inpatients.