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崔为国, 胡清海, 刘佳, 李宏, 孙国清, 刘春华, 何昌宇, 尚红. 河南省某县HIV感染者机会性感染情况分析[J]. 中国公共卫生, 2010, 26(11): 1386-1387. DOI: 10.11847/zgggws2010-26-11-20
引用本文: 崔为国, 胡清海, 刘佳, 李宏, 孙国清, 刘春华, 何昌宇, 尚红. 河南省某县HIV感染者机会性感染情况分析[J]. 中国公共卫生, 2010, 26(11): 1386-1387. DOI: 10.11847/zgggws2010-26-11-20
CUI Wei-guo, HU Qing-hai, LIU Jia, . Opportunistic infection among individuals infected with HIV-1 in a county of Henan province[J]. Chinese Journal of Public Health, 2010, 26(11): 1386-1387. DOI: 10.11847/zgggws2010-26-11-20
Citation: CUI Wei-guo, HU Qing-hai, LIU Jia, . Opportunistic infection among individuals infected with HIV-1 in a county of Henan province[J]. Chinese Journal of Public Health, 2010, 26(11): 1386-1387. DOI: 10.11847/zgggws2010-26-11-20

河南省某县HIV感染者机会性感染情况分析

Opportunistic infection among individuals infected with HIV-1 in a county of Henan province

  • 摘要: 目的研究河南省某县人类免疫缺陷病毒(HIV)/艾滋病(AIDS)患者合并丙型肝炎病毒(HCV)及CD4+T淋巴细胞数、病毒载量、机会性感染情况。方法采用整群抽样方法调查383名既往艾滋病感染者/病人,获得基线数据,1年后随访,分别进行病毒载量、CD4+T淋巴细胞数、肝功能及机会性感染检查。结果 383名HIV感染者中合并HCV者273人,占71.3%;2007年基线调查机会性感染率高的依次是肺部感染(27.2%)、发热(23.4%)、带状疱疹(13.7%)、腹泻(9.6%),2008年随访调查机会性感染率高的依次是肺部感染(21.9%)、发热(16.0%)、腹泻(14.9%)和带状疱疹(9.7%);谷丙转氨酶(ALT)、γ谷氨酶转肽酶(GGT)在基线和随访调查中的均数均明显高于正常参考范围。结论既往供血HIV感染人群中合并HCV的人较多;CD4+T细胞水平越低,机会性感染发生率越高,不同HIV病毒载量水平下机会性感染发生率差异无统计学意义。

     

    Abstract: ObjectiveTo investigate the situation of CD4+T,virus load and opportunistic infection in HIV-1/HCV coinfection in Henan province.MethodsA cross-sectional study was carried out to obtain the baseline data of 383 individuals who were former blood donor and with HIV-1 infection.Virus load,CD4+T,liver function,and opportunistic infection were tested and investigated after one-year treament.ResultsTotally 273 individuals(71.3%)were coinfected with hepatitis C virus(HCV)in the patients.The rank order for the ratio of opportunistic infection in baseline data in 2007 was pulmonary infection(27.2%),fever(23.4%),herpes zoster(13.7%),and diarrhea(9.6%)and that of in follow-up data in 2008 was pulmonary infection(21.9%),fever(16.0%),diarrhea(14.9%),and herpes zoster(9.7%).The mean contents of alanine aminotransferase and gamma-glutamyl transferase were higher than the normal reference range significantly.ConclusionThere are coinfection of HCV among former blood donors with HIV-1 infection and the incidence of opportunistic infection is negatively correlated with the level of CD4+T,but not correlated with the change of virus load.

     

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