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目的了解上海市杨浦区非沪籍艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)的发现和临床就诊行为的特征。方法收集和整理杨浦区历年(2001-2012年)报告的非沪籍HIV/AIDS病人的相关资料,采用回顾队列研究的方法,分析其人口学特征、病例发现方式、临床就诊行为特征。结果非沪籍HIV/AIDS病人中,以男性、青壮年、已婚为主要特征,江苏、安徽、新疆籍病人较多。58.9%(162/275)的非沪籍HIV/AIDS病人在医疗机构就诊时被确诊感染HIV,大多因肺部疾病就诊;71.2%(47/66)的死亡非沪籍HIV/AIDS病人,其发现方式为“其他临床就诊者”。结论应加大对内科门诊(呼吸内科、急诊科、结核科等)就诊病人的HIV抗体筛查力度,同时深入开展艾滋病免费自愿咨询检测(VCT)工作,对于早发现、早治疗HIV/AIDS病人具有积极作用。
Objective To understand the characteristics of the detection and clinical treatment of non-Shanghai HIV / AIDS patients (referred to as HIV / AIDS patients) in Yangpu District, Shanghai. Methods The data of non-Shanghai HIV / AIDS patients reported in Yangpu District from 2001 to 2012 were collected and sorted out, and the demographic characteristics, case finding patterns and clinical characteristics were analyzed by retrospective cohort study. Results Among the non-Shanghai HIV / AIDS patients, males, young adults and married persons were the main characteristics. There were more patients in Jiangsu, Anhui and Xinjiang. 58.9% (162/275) of non-Hushai HIV / AIDS patients were diagnosed with HIV infection at medical institutions, most of them were diagnosed with pulmonary diseases. Among 71.2% (47/66) of the death non-Hus HIV / AIDS patients, The way to find out is “other clinicians”. Conclusions HIV antibody screening should be strengthened for patients in medical outpatient department (respiratory medicine, emergency department, tuberculosis department, etc.), and HIV / AIDS free voluntary counseling and testing (VCT) should be carried out in depth. For early detection and early treatment of HIV / AIDS patients Has a positive effect.