van der Ende M E, Gyssens I C, de Marie S
Afd. Inwendige Geneeskunde II, Academisch Ziekenhuis Rotterdam-Dijkzigt, Rotterdam.
Ned Tijdschr Geneeskd. 1995 Jan 28;139(4):188-92.
To evaluate the characteristics of HIV infected patients in the Rijnmond region during 1985-1993.
Descriptive.
University Hospital Rotterdam-Dijkzigt (AZR).
Data of medical records of all HIV infected patients in AZR were prospectively collected from 1988 on and retrospectively for 1985-1987.
During the period 1985-1993 510 HIV positive patients consulted an internist at AZR (eight were infected with HIV-2). During the study 255 patients developed AIDS. Since 1991 fewer than 50% of the new HIV infected individuals belonged to the risk group of homosexual and bisexual men. The majority was infected by intravenous drug abuse or by heterosexual intercourse. Half the population infected by heterosexual transmission came from HIV endemic areas. The increasing number of HIV infection among heterosexuals was associated with an increasing number of HIV infected women.
The Rijnmond region showed a noticeable shift of risk groups with HIV infection: heterosexual transmission and intravenous drug abuse were the cause of HIV infection in more than half of the HIV infections at AZR in 1992 and 1993. Counselling, health care and treatment should take account of the diversity of cultural backgrounds of the patient groups.
评估1985 - 1993年期间莱茵蒙德地区艾滋病毒感染患者的特征。
描述性研究。
鹿特丹-迪克齐希特大学医院（AZR）。
前瞻性收集自1988年起AZR所有艾滋病毒感染患者的病历数据，并回顾性收集1985 - 1987年的数据。
在1985 - 1993年期间，510名艾滋病毒阳性患者在AZR咨询了内科医生（8人感染了HIV-2）。在研究期间，255名患者发展为艾滋病。自1991年以来，新感染艾滋病毒的个体中，属于同性恋和双性恋男性风险群体的不到50%。大多数是通过静脉注射吸毒或异性性行为感染的。通过异性传播感染的人群中有一半来自艾滋病毒流行地区。异性恋者中艾滋病毒感染人数的增加与感染艾滋病毒的女性人数增加有关。
莱茵蒙德地区艾滋病毒感染的风险群体出现了明显变化：1992年和1993年，异性传播和静脉注射吸毒是AZR超过一半艾滋病毒感染病例的感染原因。咨询、医疗保健和治疗应考虑患者群体文化背景的多样性。
