张勇, 辛辛, 王涛, 吴平安, 陈婧, 陆一涵. 人类免疫缺陷病毒感染者致癌性病毒感染情况分析[J]. 上海预防医学, 2022, 34(3): 193-196. DOI: 10.19428/j.cnki.sjpm.2022.21313
引用本文: 张勇, 辛辛, 王涛, 吴平安, 陈婧, 陆一涵. 人类免疫缺陷病毒感染者致癌性病毒感染情况分析[J]. 上海预防医学, 2022, 34(3): 193-196. DOI: 10.19428/j.cnki.sjpm.2022.21313
ZHANG Yong, XIN Xin, WANG Tao, WU Ping’an, CHEN Jing, LU Yihan. Analysis of carcinogenic virus infection in HIV-infected patients[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 193-196. DOI: 10.19428/j.cnki.sjpm.2022.21313
Citation: ZHANG Yong, XIN Xin, WANG Tao, WU Ping’an, CHEN Jing, LU Yihan. Analysis of carcinogenic virus infection in HIV-infected patients[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 193-196. DOI: 10.19428/j.cnki.sjpm.2022.21313

人类免疫缺陷病毒感染者致癌性病毒感染情况分析

Analysis of carcinogenic virus infection in HIV-infected patients

  • 摘要:
    目的 调查人类免疫缺陷病毒(HIV)感染者与自愿咨询检测(VCT)门诊中HIV检测阴性人群的致癌性病毒感染现状,分析流行病学特征,为建立更有针对性的疾病防治策略提供科学依据。
    方法 选取2014—2017年确诊HIV感染者224例和同期VCT门诊HIV检测结果为阴性的求询者480例,应用酶联免疫吸附测定(ELISA)方法检测2类人群血清中EB病毒(EBV)、人类疱疹病毒8型(HHV⁃8)和人嗜T淋巴细胞病毒Ⅰ型(HTLV-Ⅰ)的抗体,比较2组感染率与合并感染情况,系统分析病毒共同感染之间的关联性以及与高危性行为的关系。
    结果 224例HIV感染者中,EBV抗体阳性79例,感染率为35.27%;HHV⁃8抗体阳性151例,感染率为67.41%;HTLV⁃Ⅰ阳性95例,感染率为42.41%。VCT门诊HIV阴性人群,总共检测480例,EBV抗体阳性7例,感染率1.46%;HHV⁃8抗体阳性26例,感染率为5.42%;HTLV⁃Ⅰ抗体阳性9例,感染率为1.88%。HIV感染者3种致癌性病毒的感染率均比VCT门诊HIV阴性人群高,差异有统计学意义(P<0.05)。
    结论 HIV感染者3种高致癌性病毒感染率高,同时合并感染情况较严重,须提高对HIV感染者和感染高风险人群安全性行为的宣教,从而控制艾滋病和其他传染性疾病流行。

     

    Abstract:
    Objective To investigate the status of carcinogenic infection in people infected with HIV and those with negative HIV test results in VCT clinics. To analyze the epidemiological characteristics and provide scientific basis for more targeted disease prevention and control strategies.
    Methods The serum levels of Epstein-Barr virus (EBV), human herpesvirus type 8 (HHV-8) and human T-lymphotropic virus type Ⅰ (HTLV-Ⅰ) antibodies were detected by ELISA method in 224 HIV-infected patients and 480 HIV-negative visitors treated in VCT clinics during the same period from 2014 to 2017, to compare the differences in the infection rates of this virus between HIV-infected and HIV-negative individuals and to systematically analyze the correlation between viral infections and high-risk sexual behavior.
    Results Among the 224 HIV-infected patients, 79 were positive for EBV antibody, with the infection rate of 35.27%; 151 were positive for HHV-8 antibody, with the infection rate of 67.41%; and 95 were positive for HTLV-Ⅰ, with the infection rate of 42.41%. A total of 480 HIV negative visitors were tested. 7 patients were positive for EBV antibody, with the infection rate of 1.46%. 26 patients were infected with positive HHV-8 antibody, with the infection rate of 5.41%. 9 patients had positive HTIV-Ⅰ antibody, with the infection rate of 1.86%. The infection rates of the three carcinogenic viruses in HIV-infected patients were all higher than those in HIV-negative groups, and the differences were statistically significant (P<0.05).
    Conclusion There is a high prevalence of three highly carcinogenic viruses in HIV-infected patients and serious co-infection. It is necessary to improve the education of safe sex among HIV-infected patients and people with high risk of infection in order to curb the epidemic of HIV and other infectious diseases.

     

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