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目的了解江苏省新报告艾滋病病毒感染者(HIV)及艾滋病患者(AIDS)的新发感染状况,计算新发感染比例。方法对江苏省新报告的HIV/AIDS 2 145例,应用BED HIV-1 IgG捕获酶免疫(BED-CEIA)法检出其中的新发感染者,按不同的感染途径和样本来源计算各感染途径和样本来源的HIV/AIDS中新发感染的比例。结果新报告HIV/AIDS中同性传播的新发感染比例为26.97%(260/964),异性传播为16.77%(162/966),注射毒品为19.85%(27/136);新报告HIV/AIDS中来源于自愿咨询检测、专题调查及无偿献血人员检测的新发感染比例分别为30.98%(149/481)、28.57%(60/210)及36.63%(37/101),来源于术前检测、性病门诊、其他就诊者检测及其他羁押人员体检的新发感染比例分别为16.06%(44/274)、19.42%(27/139)、15.12%(75/496)及17.42%(23/132)。结论江苏省新报告HIV/AIDS中男男同性传播的新发感染比例最高,状况不容乐观;应加强主动发现的手段以尽早发现HIV/AIDS,减少二代传播。
Objective To understand the newly reported infection status of newly reported HIV and AIDS patients in Jiangsu Province and calculate the proportion of new infections. Methods Two hundred and seventy-five new HIV / AIDS cases were reported in Jiangsu Province. BED-CEIA was used to detect the newly infected patients. The infection routes were calculated according to different routes of infection and sample source And the proportion of new infections in HIV / AIDS from sample sources. Results The rates of new infections of the same sex in the newly reported HIV / AIDS were 26.97% (260/964), 16.77% (162/966) in the heterosexual transmission and 19.85% (27/136) in the injecting drug. The newly reported HIV / AIDS The proportions of new infections from voluntary counseling and testing, special investigation and blood donation were 30.98% (149/481), 28.57% (60/210) and 36.63% (37/101) respectively, which were derived from preoperative testing , STD clinics, other medical examinations and other new detainees accounted for 16.06% (44/274), 19.42% (27/139), 15.12% (75/496) and 17.42% (23/132 ). Conclusions Jiangsu Province has the highest proportion of new HIV / AIDS infections among men who reported same sexually transmitted infections (MSM) in HIV / AIDS. The situation should not be optimistic. HIV / AIDS should be detected as soon as possible and the spread of the second generation should be reduced.