中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2015年
4期
323-326
,共4页
艾滋病%医疗机构%知情不拒绝
艾滋病%醫療機構%知情不拒絕
애자병%의료궤구%지정불거절
Acquired immunodeficiency syndrome%Medical institutions%Opt-out
目的 分析2008-2013年我国医疗机构检测发现艾滋病病例的情况.方法 医疗机构医务人员按照“知情不拒绝”的原则,对术前检测、受血(制品)前检测、性病门诊检测、其他就诊者检测和孕产期检查的5类就诊者动员进行HIV抗体检测.结果 2008-2013年我国医疗机构开展HIV抗体检测人次数从2494万增加到7 654万,增加了206.8％;检测发现病例数从18 241例增加到45 560例,增加了149.8％;粗检出率略有下降,从2008年的7.3/万下降至2013年的6.0/万,其中,性病门诊和其他就诊者检测发现阳性率在2009年出现上升后逐渐稳定于一个较高水平状态,术前检测、受血(制品)前检测和孕产期检查发现阳性率稳定在较低水平.医疗机构检测发现病例的比例逐年上升,分别为32.4％、36.0％、40.2％、45.3％、47.9％和50.6％.其他就诊者检测发现病例的比例维持在50％以上,术前检测维持在20％以上.结论 医疗机构扩大检测后,性病门诊和其他就诊者检测发现了较多艾滋病病例.应进一步推动医疗机构重点科室的常规艾滋病检测.
目的 分析2008-2013年我國醫療機構檢測髮現艾滋病病例的情況.方法 醫療機構醫務人員按照“知情不拒絕”的原則,對術前檢測、受血(製品)前檢測、性病門診檢測、其他就診者檢測和孕產期檢查的5類就診者動員進行HIV抗體檢測.結果 2008-2013年我國醫療機構開展HIV抗體檢測人次數從2494萬增加到7 654萬,增加瞭206.8％;檢測髮現病例數從18 241例增加到45 560例,增加瞭149.8％;粗檢齣率略有下降,從2008年的7.3/萬下降至2013年的6.0/萬,其中,性病門診和其他就診者檢測髮現暘性率在2009年齣現上升後逐漸穩定于一箇較高水平狀態,術前檢測、受血(製品)前檢測和孕產期檢查髮現暘性率穩定在較低水平.醫療機構檢測髮現病例的比例逐年上升,分彆為32.4％、36.0％、40.2％、45.3％、47.9％和50.6％.其他就診者檢測髮現病例的比例維持在50％以上,術前檢測維持在20％以上.結論 醫療機構擴大檢測後,性病門診和其他就診者檢測髮現瞭較多艾滋病病例.應進一步推動醫療機構重點科室的常規艾滋病檢測.
목적 분석2008-2013년아국의료궤구검측발현애자병병례적정황.방법 의료궤구의무인원안조“지정불거절”적원칙,대술전검측、수혈(제품)전검측、성병문진검측、기타취진자검측화잉산기검사적5류취진자동원진행HIV항체검측.결과 2008-2013년아국의료궤구개전HIV항체검측인차수종2494만증가도7 654만,증가료206.8％;검측발현병례수종18 241례증가도45 560례,증가료149.8％;조검출솔략유하강,종2008년적7.3/만하강지2013년적6.0/만,기중,성병문진화기타취진자검측발현양성솔재2009년출현상승후축점은정우일개교고수평상태,술전검측、수혈(제품)전검측화잉산기검사발현양성솔은정재교저수평.의료궤구검측발현병례적비례축년상승,분별위32.4％、36.0％、40.2％、45.3％、47.9％화50.6％.기타취진자검측발현병례적비례유지재50％이상,술전검측유지재20％이상.결론 의료궤구확대검측후,성병문진화기타취진자검측발현료교다애자병병례.응진일보추동의료궤구중점과실적상규애자병검측.
Objective To assess the detection of HIV/AIDS cases in medical institutions in China from 2008 to 2013.Methods 'Provider-initiated Opt-out HIV testing and counseling' method was offered to patients who met the needs for preoperation,perinatal examination,at the sexually transmitted disease (STD) clinic or other types of testing services.Results From 2008 to 2013,the number of HIV screening tests offered in medical institutions increased by 206.8％,from 24.94 million to 76.54 million.The number of diagnosed HIV cases increased by 149.8％,from 18 241 to 45 560.HIV positive coarse rate showed a slight decrease,from 7.3 per ten thousand in 2008 dropped to 6.0 per ten thousand in 2013.The HIV positive rate detected at the STD clinics or from other attendants showed a gradual decrease in 2009 and remained relatively stable.HIV positive rotes showed at the programs as preoperative testing,regular screening programs on blood products,on pretreatmentregular-blood-testing or through perinatal examination,maintained at low levels.Proportions of case detection at medical institutions increased annually from 2008 to 2013 (32.4％,36.0％,40.2％,45.3％,47.9％ and 50.6％ respectively) in China.Among them,the proportion of case detection via other types of testing services appeared over 50％.Over 20％ of the HIV cases were identified via preoperative testing.Conclusion Significant effects were seen through programs as offering Provider-initiated HIV testing and counseling to patients that receiving testing at the STD clinics or through other types of testing services.Opt-out HIV testing and counseling should be routinized in all the HIV related divisions in medical institutions.
