摘要
目的：通过对四川省资阳市社区药物维持治疗门诊吸毒人员 HIV、HCV 和梅毒的检测，了解资阳市社区药物维持治疗门诊吸毒人员的 HIV、HCV 和梅毒的感染现状及相关危险因素，为制定相应防控措施提供科学依据。方法：选取近十年以来，对四川省资阳市社区药物维持治疗门诊吸毒人员共计742例，采集静脉血液标本进行检测。结果：共计调查742名吸毒人员，HIV 感染率为1．08％（8／742），HCV 感染率为38．00％（282／742），梅毒感染率为3．64％（27／742）；HIV、梅毒、HCV 合并感染20人，抗－HCV ＋梅毒阳性18人，合并感染率90．00％（18／30），HIV ＋抗－HCV 阳性2人，合并感染率10．00％（2／20）；注射吸毒者与非注射吸毒者 HCV 感染率分别为49．28％（204／414）和23．78％（78／328），差异有统计学意义（P ＜0．01）。结论：资阳市社区药物维持治疗门诊吸毒人群中存在血源性疾病传播和流行的风险，应加强对吸毒人群的监测，同时开展防病知识宣传教育和行为干预，以减少 HIV、HCV 和梅毒在该人群中的传播和扩散，控制艾滋病等血源性传染病的蔓延和流行。
Abstract
Objective :Through to detection for the drug users of HIV,HCV and syphilis in community maintain the drug treatment clinic of Ziyang city,Sichuan province,to figure out the situation of HIV,HCV and syphilis infection and related risk factors,to provide scientific basis for formulating the ef ective control measures. Methods :The 742 drug users in Ziyang city,Sichuan province of community maintain the drug treatment clinic for nearly 10 years were taken and col ected blood samples for testing. Results :The total of investigation among 742 drug users,HIV infection rate was 1.08 percent (8 /742),HCV infection rate was 38.00 percent (282 /742),Syphilis infection rate was 3. 64 percent (27 /742);HIV,syphilis and HCV co -infection of 20 people,Anti -HCV +positive syphilis of 18 people,co -infection rate was 90.00 percent(18 /30),HIV +anti -HCV positive of 2 people,co -infection rate was 10.00 percent(2 /20);Injection drug users and non injection drug users infection rates were 49.28 percent (204 /414)and 23.78 percent (78 /328),there was a significant dif erences between two groups (P <0.01).Conclusion :There is a risk of transmission and epidemic of blood -borne diseases in Ziyang city,Sichuan province of community maintain the drug treatment clinic.It’s important to conduct HIV behavior surveil ance in drug users,carry out health education based behavioral intervention,,curb the AIDS epi-demic and spreading,reduce HIV,HCV and syphilis spread and dif usion in the crowd of the people.
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