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.