【摘要】 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。更多还原

【Abstract】 Objective To evaluate the feasibility of the provider-initiated HIV testing and counseling and grasp testing rate and positive rate in pivot department through analyzing data of provider-initiated testing and counseling(PITC),and so as to provide evidence for making PITC strategies and policies.Methods PITC were implemented in key departments in all grade 2and above hospitals and quarterly tables were collected and analyzed.Results After PITC implementation,detection rates indepartment providing PITC were 47.04% in in-patient department,16.28%in andrology department,11.36%in obstetric department,8.89%in dermatology,7.39%in gynecology,7.15%in anorectal department,6.11%in other crucial department,5.98%in urology and 4.09%in infection department.Positive rates ranking from high to low were 5.11‰in dermatology,4.14‰in andrology,1.85‰in other crucial department,1.31‰in infection department,1.09‰in anorectal department,0.45‰in in-patient department and 0.07‰in gynecology and obstetric department.Rates of HIV testing of important departments except infection department in the third-grade hospitals were higher than those in the second grade hospital(P<0.01).HIV positive rates in dermatology,andrology,gynecology and obstetric department,dialysis dept,infection department and other crucial department in the third grade hospitals were higher than those in the second grade hospitals(P< 0.001).Conclusions It is feasible to implement PITC in Beijing,which help expand HIV testing.It is an effective method for prevention and control of HIV.更多还原