An analysis on newly reported HIV/AIDS cases in medical institutions in Tianjin, 2005-2017
10.3760/cma.j.cn112338-20191205-00860
- VernacularTitle:天津市2005-2017年医疗机构新报告HIV/AIDS特征分析
- Author:
Maohe YU
1
;
Yan GUO
;
Ning ZHOU
;
Jianyun BAI
;
Fangning ZHAO
;
Hui GONG
;
Jinyu HOU
;
Guohong JIANG
Author Information
1. 天津市疾病预防控制中心性病艾滋病预防控制室 300011
- Keywords:
HIV/AIDS;
Medical institution;
New report
- From:
Chinese Journal of Epidemiology
2020;41(11):1871-1875
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the characteristics of newly reported HIV/AIDS cases in medical institutions in Tianjin from 2005 to 2017 and provide evidence for the improvement of AIDS prevention and treatment in medical institutions.Methods:The data of the newly reported cases of HIV/AIDS in medical institutions in Tianjin from 2005 to 2017 were analyzed. Meanwhile a retrospective survey was conducted on the source department of medical institutions and the main disease for treatment of HIV/AIDS cases.Results:A total of 3 035 HIV/AIDS cases were reported in medical institutions in Tianjin from 2005 to 2017 with an annual increase of 24.8 %, among these cases, 49.2 % (1 343/2 728) were reported from inpatients and 50.8 % (1 385/2 728) were reported from outpatients. There was an increasing trend in the HIV positive detection rate in STD outpatients from 2011 to 2017 ( χ2=18.469, P=0.005). The counts of the first CD 4+ T cell counts (CD 4) ( χ2=17.189, P=0.000) among the cases from inpatients and outpatients and the proportions of deaths in the year when the cases were found differed ( χ2=61.198, P=0.000), the differences were significant. And the statistically significant differences in the counts of the first CD 4 ( χ2=16.751, P=0.000) and the proportions of deaths in the year when the cases were found ( χ2=18.926, P=0.000) existed among the cases in grade Ⅲ hospitals and in grade Ⅱ hospitals; meanwhile the differences in the counts of the first CD 4 ( χ2=37.620, P=0.000) and the proportions of deaths in the year when the cases was found ( χ2=95.489, P=0.000) among the cases from different departments were significant. Conclusion:The timeliness of HIV/AIDS case reporting by outpatient departments was better in medical institutions in Tianjin, and the case reporting in grade Ⅱ hospitals were more timely than in grade Ⅲ hospitals; so it is suggested to provide active HIV test in key departments of medical institutions for the better HIV/AIDS prevention and control in Tianjin.