三甲医院尸体解剖中艾滋病毒感染率的横断面研究

Rohan Thorat, G. S. Chavan, S. M. Jawle, P. S. Dode
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摘要

背景:有各种关于艾滋病毒呈阳性者自杀的报道,但目前还没有进行尸检血清学研究来记录他们的状况。此外,在尸体解剖前对尸体进行检测也至关重要,以避免法医专家和相关人员在尸体解剖和相关工作中受到感染:这项研究的目的是估计尸检室中未报告的尸检病例中艾滋病毒感染的流行率:这项前瞻性研究是在孟买政府三甲医院法医部与微生物学部的合作下进行的。在一年的时间里,共检查了 216 个病例。根据纳入和排除标准挑选出的病例在征得监护人同意后进行了艾滋病毒检测:最常见的年龄段为 31-40 岁。男性占 72.22%,女性占 27.78%。总共有 6 人的 HIV 检测呈阳性。在 6 个艾滋病毒感染病例中,4 个(80%)为男性,2 个(20%)为女性。6 例病例中有 5 例(83.3%)年龄在 50 岁以下,82.3%在死亡后 24 小时内检测出阳性。3人(50%)死于肺结核,2人(33.3%)死于脑膜炎,1人(16.7%)死于大叶性肺炎。结论:尸体解剖中发现艾滋病毒的情况并不少见。
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Prevalence Of HIV In Dead Bodies Posted For Autopsy: A Cross Sectional Study At A Tertiary Care Hospital
Background: There are various reports regarding the suicide commission by HIV positive persons, but as such postmortem serological studies are yet not done to document the status in autopsy. Also it’s vital to test a body before autopsy to avoid infection to the forensic experts and concerned persons in autopsy and allied work. Objectives: The objective of the study was to estimate the prevalence of HIV infection, in unreported post-mortem cases in the autopsy room. Material and Methods: The prospective study was done at the Department of Forensic Medicine in collaboration with the Department of Microbiology located in the Tertiary Care Government Hospital, Mumbai. Total of 216 cases were examined during a span of one year. Cases selected as per inclusion and exclusion criteria, tested for HIV after taking consent from guardians. Results: Most common age group was found to be 31-40 years. Males were 72.22% while females were 27.78% of study. Out of total 6 were tested positive for HIV. Out of total 6 HIV cases 4 (80%) were males and 2 (20%) were females. Out of 6 cases 5 (83.3%)  were below 50 yrs. 82.3% tested positive in first 24 hours of death. 3 (50%) died due to pulmonary tuberculosis, 2 (33.3%) due to meningitis and 1 (16.7%) due to lobar pneumonia. Conclusions: HIV among dead bodies presenting to autopsy is not uncommon.  
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