重庆医学Issue(35)：4777-4780,4783,5.DOI:10.3969/j.issn.1671-8348.2014.35.024
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
Laboratory diagnosis and clinical features analysis of HIV infection/AIDS in top three hospital
马珍 1张钦红 1王忠诚 1吴音 2孟小容3
作者信息
- 1. 重庆市急救医疗中心检验科 400014
- 2. 重庆市急救医疗中心皮肤性病科 400014
- 3. 重庆市渝中区疾病预防控制中心检验科 400013
- 折叠
摘要
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 .关键词
HIV感染/获得性免疫缺陷综合征/诊断特征/交叉感染Key words
HIV infection/acquired immunodeficiency syndrome/diagnostic features/hospital infection分类
医药卫生引用本文复制引用
马珍,张钦红,王忠诚,吴音,孟小容..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[J].重庆医学,2014,(35):4777-4780,4783,5.
