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目的对重庆市巴南区吸毒人群HIV、HCV和梅毒感染进行监测分析,为制定干预措施提供依据。方法采用酶联免疫吸附试验对抗-HIV、抗-HCV和梅毒进行检测。结果 207名美沙酮替代治疗吸毒人员中,HIV抗体阳性9例,HCV抗体阳性185例,梅毒感染11例。在9例HIV抗体阳性中,男性7例,女性2例;20~40岁之间的6例,40岁以上的3例;采用静脉吸毒的8例,口吸者1例;共用注射器吸毒的4例,未共用注射器吸毒的5例。在185例HCV抗体阳性中,男性153例,女性32例;20~40岁之间的149例,40岁以上的36例;采用静脉吸毒的184例,口吸者1例;共用注射器吸毒的52例,未共用注射器吸毒的133例。在11例梅毒感染中,男性9例,女性2例;20~40岁之间的6例,40岁以上的5例;采用静脉吸毒的6例,口吸者5例;共用注射器吸毒的9例,未共用注射器吸毒的2例。结论 207名美沙酮替代治疗吸毒人员,HIV、HCV抗体阳性和梅毒感染的男性多于女性;20至40岁之间的阳性率高于40岁以上的人员;采用静脉吸毒的阳性率高于口吸人员;共用注射器吸毒的阳性率高于未共用注射器吸毒的人员。
Objective To monitor the HIV, HCV and syphilis infections among drug users in Banan District of Chongqing and provide the basis for the formulation of interventions. Methods Anti-HIV, anti-HCV and syphilis were detected by enzyme-linked immunosorbent assay. Results Of 207 methadone replacement drug abusers, 9 were HIV positive, 185 were HCV positive and 11 were syphilis. Among 9 cases of HIV antibody positive, there were 7 males and 2 females, 6 cases between 20 and 40 years old, 3 cases over 40 years old, 8 cases of intravenous drug use and 1 case of mouth-sucking. 4 cases, 5 cases not sharing syringes drug use. Of the 185 HCV antibody positives, 153 were male and 32 were female; 149 were between the ages of 20 and 40; 36 were over the age of 40; 184 were intravenous drug use and 1 was oral inhaler; 52 cases, not sharing 133 cases of syringe drug abuse. Among the 11 cases of syphilis infection, 9 were males and 2 were females; 6 were between 20 and 40 years old and 5 were over 40 years old; 6 were intravenous drug use and 5 were oral inhalers; 9 Cases, not sharing syringes drug in 2 cases. CONCLUSIONS: 207 methadone substitution drug users, HIV and HCV antibody positive and syphilis infections are more common in women than in women. The positive rate is higher between the ages of 20 and 40 than those over the age of 40. The positive rate of intravenous drug use is higher than that of oral inhalation Staff; shared syringe drug abuse positive rate than those who do not share syringes drug users.