北京市疾病预防控制中心VCT门诊点MSM的HIV检测和导医情况

发布时间：2018-07-02 07:32

本文选题：男男性行为人群 + 自愿咨询检测门诊　；参考：《中国艾滋病性病》2015年04期

【摘要】：目的评估2012年北京市疾病预防控制中心(CDC)艾滋病病毒(HIV)自愿咨询检测(VCT)门诊点,男男性行为人群(MSM)的HIV检测水平和HIV感染确诊后的导医情况。方法采用回顾性研究。收集2012年1月1日至12月31日北京市CDC VCT门诊点MSM的HIV检测和HIV感染确诊后导医情况等相关数据,并按月份整理。删除重复检测者和既往阳性者后,收集新确诊阳性者的CD+4T淋巴细胞(简称CD4细胞)检测和抗病毒治疗情况。利用Cox比例风险模型评估HIV感染确诊后CD4细胞水平和开始抗病毒治疗(ART)的相关性。结果2012年,北京市CDC VCT门诊总共检测HIV和梅毒1639人次,其中52.9%(867/1639)是MSM,142例为新发现的HIV感染者/AIDS病人。新发现的HIV感染者中,4.9%(7/142)是现患梅毒,12.7%(18/142)是既往梅毒患者。90.1%(128/142)的新发现HIV感染者已进行了阳性告知,85.2%(121/142)检测了CD4细胞计数,48.8%(59/121)的CD4细胞计数350个/μL。在121名接受了CD4细胞检测的MSM中,15名CD4细胞计数200个/μL的MSM开始了治疗;在40名CD4细胞计数为200~350个/μL的MSM中,有30人(75.0%)开始了治疗。结论 2012年,北京市MSM中新发现HIV感染的人数依然在增加,HIV阳性MSM开始抗病毒治疗的比例依然有待提高。
[Abstract]:Objective to evaluate the HIV detection level of MSM in the outpatient clinic of HIV voluntary counseling and testing (VCT) in the Beijing Center for Disease Control and Prevention (CDC) in 2012 and to evaluate the medical guidance of MSM after the diagnosis of HIV infection. Methods retrospective study was used. From January 1 to December 31, 2012, the data of MSM in Beijing CDC VCT outpatient points were collected and analyzed by month. After the repeated tests and previous positive cases were deleted, the CD 4 T lymphocytes (CD4 cells) and antiviral therapy of the newly diagnosed positive patients were collected. Cox proportional hazard model was used to evaluate the correlation between CD4 cell level and the onset of antiviral therapy (art) after HIV infection. Results in 2012, a total of 1639 HIV and syphilis cases were detected in Beijing CDC VCT outpatient clinics, of which 52.9% (867 / 1639) were newly found HIV infected / AIDS patients. Among the newly found HIV infected persons, 4.9% (7 / 142) were syphilis, 12.7% (18 / 142) were syphilis patients. 90.1% (128 / 142) of the newly found HIV-infected persons had been informed of the positive results, 85.2% (121 / 142) had detected CD4 cell counts, 48.8% (59 / 121) of CD4 cells per 渭 L. In 121 MSM patients with CD4 cell count, 15 patients (75.0%) were treated with 200 / 渭 L CD4 cell counts and 30 (75.0%) of 40 MSM patients with CD4 cell counts ranging from 200 to 350 (渭 L). Conclusion in 2012, the number of new HIV infections in MSM in Beijing is still increasing, and the proportion of HIV positive MSM starting anti-viral therapy still needs to be increased.
【作者单位】：北京市疾病预防控制中心性病艾滋病防治所;
【基金】："十二五"重大专项,我国艾滋病流行趋势、疫情评估和预测数学模型研究(2012ZX10001001)~~
【分类号】：R512.91

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