Analysis of the CD4+T cell count test of the 2175 newly untreated reported HIV infected person

Acta Universitatis Medicinalis Anhui 2022 05 v.57 827-831     font:big middle small

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Authors:Zhang Zhi; Qiu Tao; Sun Chengqing; Shi Ling′en; Zhou Ying; Lu Jing; Hu Haiyang; Fu Gengfeng; Xu Xiaoqin

Keywords:CD4 T lymphocytes ;human immunodeficiency virus;late presentation

DOI:10.19405/j.cnki.issn1000-1492.2022.05.029

〔Abstract〕 Objective To analyze the CD4+T cell count level of newly diagnosed HIV infected patients in Jiangsu province, and to understand their immune status and disease progression so as to provide scientific basis for HIV prevention and control strategy in the whole province. Methods Flow cytometry was used to detect the absolute count of CD4+T lymphocytes in newly diagnosed patients who had not initiated ART in 2020. Multivariate Logistic regression was used to analyze the associated factors of CD4+T cell count. Results In 2020, there were 2 175 new diagnosed cases with HIV infection in Jiangsu Province. Patients under 30 years old, infected by homosexual transmission, unmarried, with college degree or above, students, diagnosed in counseling and testing and floating population had a higher absolute count level of CD4+T cell count(P<0.05). Multivariate Logistic regression analysis showed that people aged ≥30 and diagnosed in medical institutions were more likely to be presented lately(P<0.05). Conclusion In recent years, the intervention strategy for men who had sex with men(MSM) in Jiangsu province had achieved remarkable results.In the future, much more attention should be paid for the population over or equal to 30 years old, married or divorced, infected by heterosexual transmission, with high school education or below, farmers or migrant workers, retirees and diagnosed in medical institutions so that the PITC service should be promoted, and the publicity and intervention should be strengthened to present cases as soon as possible.