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目的分析医疗机构主动提供艾滋病检测咨询(PITC)的情况,了解PITC实施的可行性和医疗机构重点科室的检测率及阳性率,为制定北京市艾滋病防治策略提供依据。方法在北京市所有二级及以上医院的重点科室均开展PITC,并且每季度收集按照科室来源填报的季度报表,运用SPSS 13.0进行描述性分析、卡方检验等。结果 PITC实施以后,医务人员主动提供艾滋病病毒(HIV)检测的科室的HIV检测率由高到低依次为:住院部47.04%、男科16.28%、产科11.36%、皮肤性病科8.89%、妇科7.39%、肛肠科7.15%、其他科室6.11%、泌尿科5.98%、透析科5.62%和感染科4.09%。HIV阳性检出率由高到低依次为:皮肤性病科5.11‰、男科4.14‰、其他科室1.85‰、感染科1.31‰、肛肠科1.09‰、泌尿科0.48‰、住院部0.45‰、透析科0.10‰、妇科0.07‰、产科0.07‰。三级医院除感染科外,其余各重点科室的HIV检测率均高于二级医院,差异有统计学意义(P<0.01);三级医疗机构皮肤性病科、男科、产科、透析科、感染科和其他科室的HIV检测阳性率高于二级医院;泌尿科、肛肠科、住院部的检测阳性率低于二级医院,差异有统计学意义(P<0.001)。结论医疗机构开展PITC,有助于HIV扩大检测工作的开展,是艾滋病防治的一项有效策略。
Objective To analyze the situation of medical institutions taking the initiative to provide AIDS testing counseling (PITC), understand the feasibility of PITC implementation and the detection rate and positive rate of key departments of medical institutions, and provide the basis for the formulation of AIDS prevention and control strategies in Beijing. Methods PITC was carried out in key departments of all secondary hospitals in Beijing and above. Quarterly reports were collected quarterly according to department sources. Descriptive analysis and Chi-square test were performed using SPSS 13.0. Results After the implementation of PITC, the HIV testing rates of HIV / AIDS HIV / AIDS departments in the health service were 47.04%, 16.28% for male patients, 11.36% for obstetrics, 8.89% for dermatology, 7.39% for gynecology, 7.15% for anorectal, 6.11% for other departments, 5.98% for urology, 5.62% for dialysis and 4.09% for infection. The positive rate of HIV positive was 5.11 ‰ of dermatology, 4.14 ‰ of male, 1.85 ‰ of other departments, 1.31 ‰ of infection, 1.09 ‰ of anorectal, 0.48 ‰ of urology, 0.45 ‰ of inpatient department and 0.10 ‰, gynecological 0.07 ‰, obstetric 0.07 ‰. In addition to the infection department in the tertiary hospitals, the HIV detection rates in other key departments were higher than those in the second-grade hospitals (P <0.01); the third-grade medical institutions were dermatology, gynecology, obstetrics, dialysis, infection The positive rates of HIV testing in departments and other departments were higher than those in secondary hospitals. The positive rates of urology, anorectal examination and inpatient department were lower than those in secondary hospitals (P <0.001). Conclusion Medical institutions to carry out PITC, contribute to the expansion of HIV testing carried out, AIDS prevention and control is an effective strategy.