Laboratory diagnosis and clinical features analysis of HIV infection/AIDS in top three hospital
10.3969/j.issn.1671-8348.2014.35.024
- VernacularTitle:某三级甲等医院HIV感染者／艾滋病患者实验室诊断及临床特征分析
- Author:
Zhen MA
;
Qinhong ZHANG
;
Zhongcheng WANG
;
Yin WU
;
Xiaorong MENG
- Publication Type:Journal Article
- Keywords:
HIV infection;
acquired immunodeficiency syndrome;
diagnostic features;
hospital infection
- From:
Chongqing Medicine
2014;(35):4777-4780,4783
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand laboratory diagnosis and clinical characteristics of human immunodeficiency virus (HIV ) infection and AIDS patients in three comprehensive hospitals .Methods Laboratory diagnosis and clinical characteristics dates of people living with HIV/AIDS patients consulted in Chongqing Emergency Medical Center between 2007 to 2013 were retrospective‐ly analyzed .Results Totally 47 355 cases were carried HIV antibody screening during 7 years ,179 cases of HIV antibody were positive in preliminary screening ,171 cases were confirmed as positive .Among 5 cases of HIV antibodies result unconfirmed ,2 ca‐ses were followed up ,1 case was ruled out HIV infection ,1 case was converted to HIV antibody positive .People living with HIV al‐ways merging double or multiple infection with hepatitis b virus (HBV) ,hepatitis c virus (HCV) and treponema pallidum (TP) and so on .People living with HIV aged from 18 to 86 years old ,9 .36% was over 60 years old .Most patient has two or more clinical manifestations when consulted a doctor .Conclusion There were false‐positive of HIV antibody preliminary screening ,HIV anti‐body positive results must be confirmed by Western blot confirmatory test .Uncertainty of HIV antibody results should be judged by regularly follow‐up or combining with other detection methods ,epidemiological data .Routine HIV antibody screening should be adopt for HBV ,HCV and TP infection .Elder patients should not be ignored .Clinical specificity of HIV/AIDS is not strong ,it is need to be valued and identified from other cause similar symptoms of diseases caused by phase identification ,in order to reduce missed diagnosis and misdiagnosis .
