深圳市医务人员艾滋病检测咨询效果分析

目的对医疗机构医务人员主动提供艾滋病检测咨询（PITC）项目工作情况进行评价,以期为PITC服务的广范推广提供依据。方法按照PITC工作指南,在项目科室对就诊者主动提供艾滋病检测和咨询（PITC）服务,并对咨询和检测相关数据进行统计分析和评价。结果共对74 076名就诊者提供了艾滋病检测和咨询（PITC）服务,提供信息率为11.2%,其中47.0%（34784/74 076）就诊者接受了HIV检测,HIV检测率为5.2%,检出阳性者11例,阳性率检出率为0.32‰;与基线相比较,提供HIV检测信息率、HIV检测率均显著提高（χ2=1456.96,P〈0.001;χ2=6.33,P〈0.05）。不同类型医疗机构之间以及不同科室之间医务人员主动提供HIV检测信息率、HIV检测率的差异具有统计学意义（χ2=3161.24,P〈0.001;χ2=1809.46,P〈0.001）。结论 PITC取得一定成效,但人群接受度有待进一步提高,在性病门诊等重点科室进行开展此项目效果更为明显。

Results of provider-initiated HIV testing and counselling in health facility in Nanshan District of Shenzhen

Objective To evaluate the results of provider-initiated HIV testing and counselling（PITC） by medical workers in Nanshan District of Shenzhen.Methods Based on the technical guideline of provider-initiated HIV testing and counselling（PITC）,health providers offered PITC services to all patients.The information of counselling and testing obtained from the clinics were statistically analyzed and evaluated.Results A total of 74 076（11.2%）patients were provided with PITC services,and 47.0%（34784/74076）of them accepted HIV testing,the HIV testing rate was 5.2%.Of those tested,11 were identified as HIV positives,with a positive rate of 0.32‰.Compared with the baseline,the rate of patients offered information about HIV testing and HIV testing rate were significantly higher（P〈0.05）.And they were significant different within the different types of health facility and the different types of clinical departments（P〈0.001）,Conclusion The provider-initiated HIV testing and counselling carried out in Nanshan District is,to a certain extent,fruitful and the practice be further promoted in sexual outpatient departments.