Detection and analysis of first CD4+T lymphocyte test of newly reported HIV/AIDS cases in Qingyang District of Chengdu from 2012 to 2021
Objective To analyze the results of the first CD4+T lymphocyte test of newly reported HIV/AIDS cases in Qingyang District of Chengdu City from 2012 to 2021,and to explore its influencing factors.Methods From 2012 to 2021,venous blood was collected from newly reported HIV/AIDS cases in Qingyang District of Chengdu who where willing to cooperate.The first CD4+T lymphocyte was detected by single-platform flow cytometry and SPSS 23.0 software was used for univariate,multi-variate,x2 test and spearman correlation analysis.The difference P<0.05 was considered statistically significant.Results A total of 1 479 cases finished the first CD4+T lymphocyte test from 2012 to 2021,it accounted for 94.93%of all newly reported cases that could be traced(1 479/1 558),the CD4+T lymphocyte less than 200 cells/μl(37.19%)counted of 550 patient for the first time.There were 1 145 cases received the CD4+T lymphocyte test within 14 days of diagnosis(77.42%).There was no significant difference in the late detection rate among different years(x2=31.767,P=0.241).The timeliness of test showed an upward trend in last 10 years(Rs=0.270,P<0.001).The multivariate logistic regression analysis showed that the late detection rate was higher among the cases with older age,registered residence,heterosexual transmission and the cases from medical institutions(<200/μl).Conclusions From 2012 to 2021,the proportion of the first time CD4+T lymphocytes increased in newly reported HIV/AIDS cases in Qingyang District.The timelines of test increased year by year,but the test value had no obvious upward trend.The proportion of moderate and severe immunodeficiency is still high.It is necessary to continue to strenthen publicity and mobilization,expand the detection area.Early detection and early treatment to implement the strategy of"treatment is prevention".
human immunodeficiency virusnewly reported HIV/AIDS casesCD4+T lymphocytes