28 165例输血前及手术前患者四项感染指标检测结果分析
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程金凤

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R446.6

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Detection of four infection indicators in 28 165 patients before transfusion and surgery
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    摘要:

    目的了解输血前及手术前患者乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(抗HCV)、梅毒螺旋体抗体(抗TP)和人免疫缺陷病毒抗体(抗HIV)四项感染指标的感染情况。方法采用酶联免疫法,对2011年6月—2012年5月28 165例拟输血或手术前患者上述四项感染指标进行检测,并对结果进行统计分析。结果28 165例受检者总阳性3 422例,阳性率12.15%,HBsAg、抗HCV、抗TP和抗HIV的阳性率分别为8.69%(2 447例)、1.31%(368例)、2.07%(583例)和0.09%(24例)。其中男性HBsAg、抗HCV和抗HIV阳性率均高于女性(χ2值分别为36.64、28.95和4.82,均P<0.05)。四项感染指标均以<20岁组阳性率最低,HBsAg、抗HCV和抗HIV以20~39岁和40~59岁组阳性率最高,而抗TP以≥60岁组阳性率最高。结论检测输血前和手术前患者经血传播疾病标志物,有助于了解其输血前及手术前主要经血传播疾病的感染状态。

    Abstract:

    ObjectiveTo investigate the detection results of HBsAg, antiHCV, antiTreponema pallidum antibody (antiTP)and antiHIV in patients before transfusion and surgery.MethodsFour infection indicators of 28 165 patients were detected by enzymelinked immunosorbent assay from June 2011 to May 2012,results were analyzed statistically.ResultsOf 28 165 patients, total positive rate was 12.15% (n=3 422),the positive rate of HBsAg, antiHCV, antiTP and antiHIV was 8.69%(n=2 447),1.31%(n=368),2.07%(n=583),and 0.09%(n=24) respectively. The positive rate of HBsAg, antiHCV and antiHIV in male was higher than female (χ2 was 36.64, 28.95,and 4.82,respectively,all P<0.05).In different age groups,positive rate of all indicators in <20 age group was lowest,while positive rates of HBsAg, antiHCV, and antiHIV were highest in 20-39 and 40-59 age groups,antiTP was highest in ≥60 age group.ConclusionDetection of bloodborne pathogens before transfusion and surgery is helpful for realizing infection status of patients before transfusion and surgery.

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程金凤,蔡细英.28 165例输血前及手术前患者四项感染指标检测结果分析[J]. 中国感染控制杂志,2014,13(4):222-225. DOI:10.3969/j. issn.1671-9638.2014.04.008.
CHENG Jinfeng, CAI Xiying. Detection of four infection indicators in 28 165 patients before transfusion and surgery[J]. Chin J Infect Control, 2014,13(4):222-225. DOI:10.3969/j. issn.1671-9638.2014.04.008.

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  • 收稿日期:2013-11-01
  • 最后修改日期:2014-01-12
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  • 在线发布日期: 2014-04-30
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