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目的 了解桂林、河池两市2014-2015年新发现HIV/AIDS病例,特别是HIV/AIDS合并感染HBV和HCV流行病学特征,为广西HIV/AIDS患者合并HBV、HCV感染的防治提供科学依据.方法 收集广西桂林、河池市2014-2015年新发现HIV/AIDS病例资料,采用描述流行病学方法,分析其流行病学特征.结果 广西桂林、河池两市2014-2015年新发现HIV/AIDS病例共2 980例,合并HBV、HCV和HIV+HBV+HCV感染率分别为13.02％、2.17％和0.26％,合并HBV或HCV双重感染均为男性高于女性,差异无统计学意义(P＞0.05),汉族、初中文化程度者双重感染率较高.HIV+HBV双重感染率40～49岁年龄组、公共场所服务员合并感染率较高;合并HCV感染率则以20～29岁组较高.HIV传播途径是静脉吸毒者合并HCV感染率较高.HIV合并HBV或HCV双重感染、HIV+HBV+HCV三重感染者ALT水平均显著高于HIV单纯感染者,差异有统计学意义(P=0.000).结论 桂林、河池新发现HIV/AIDS病例合并HBV、HCV感染较常见,提示应加强对新发现HIV/AIDS病例的HBV、HCV筛查检测工作,及时给予干预、治疗,防止合并感染,延缓HIV感染后疾病进程.“,”Objective To investigate the epidemiological characteristics of emerging HIV/AIDS patients co-infected with HBV and HCV in Guilin and Hechi cities in Guangxi from 2014 to 2015 with a purpose to provide an evidence for effective prevention and treatment of HIV,HBV and HCV.Methods The data of emerging HIV/AIDS patients in Guilin and Hechi cities from 2014 to 2015 were collected and analyzed by using the descriptive epidemiological method.Results The total number of emerging HIV/AIDS patients was 2 980 cases in Guilin and Hechi cities from 2014 to 2015.The prevalence rates of co-infection with HBV and HCV were 13.02％ and 2.17％ respectively.The prevalence of triple infections (HIV,HBV and HCV) was 0.26％.The prevalence of co-infection with HBV or HCV was higher in the male than that in the female although this difference did not reach to statistical significance(P ＞ 0.05).The prevalence of co-infection was high in Han ethnic and the people with second school education.The prevalence of co-infection with HBV was high in the people aged 40-49 years and attendants in public places.The prevalence of co-infection with HCV was high in the people aged 20-29 years.The prevalence of co-infection with HCV was high in the people with transmission route of intravenous drug abuse.The alanine aminotransferase (ALT) concentration was significantly higher in the people with co-infection of HBV or HCV or triple infections than that in the people with mono-infection (P=0.0001).Conclusions The co-infection of HIV/AIDS and HBV or HCV are very common in Guilin and Hechi cities,suggesting that screening for HBV and HCV is necessary among the emerging HIV/AIDS patients so as to provide interventions to delay the disease progress.