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目的探讨美沙酮门诊患者艾滋病病毒(HIV)、丙型病毒性肝炎(HCV)、结核病(TB)感染状况和流行病学特征。方法对2008年1月3日至2009年4月20日来自浙江省玉环第一人民医院美沙酮门诊的302例登记患者资料及HIV、HCV、TB检测结果进行分析。结果 302例美沙酮门诊患者中,以无业男性青年为主,近半年注射吸毒占56.70%,HIV检测162例,阳性率为0.62%(1/162);TB检测98例,阳性率为1.02%(1/98);HCV检测165例,阳性率为34.55%(57/165),静脉注射吸毒可能是感染HCV危险因素。结论玉环县美沙酮门诊就诊人员中HIV感染率处于一个相对较低水平,HCV感染率高于全国普通人群HCV感染率,TB感染率较低。
Objective To investigate the prevalence and epidemiological characteristics of HIV, hepatitis C (HCV) and tuberculosis (TB) in methadone clinics. Methods The data of 302 registered patients and the detection results of HIV, HCV and TB from methadone clinics of Yuhuan First People ’s Hospital of Zhejiang Province from January 3, 2008 to April 20, 2009 were analyzed. Results Of the 302 methadone outpatients, most of them were unemployed men and women, accounting for 56.70% of the cases in the past six months. Of the 162 cases tested positive for HIV, the positive rate was 0.62% (1/162); 98 cases were detected by TB, the positive rate was 1.02% 1/98); HCV test in 165 cases, the positive rate was 34.55% (57/165), intravenous drug use may be a risk factor for HCV infection. Conclusion The prevalence of HIV infection among methadone outpatients in Yuhuan County is at a relatively low level, and the HCV infection rate is higher than that of the general population in China. The TB infection rate is low.