中华实验和临床病毒学杂志
中華實驗和臨床病毒學雜誌
중화실험화림상병독학잡지
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL VIROLOGY
2013年
1期
54-56
,共3页
输血%疾病传播,水平%交叉感染
輸血%疾病傳播,水平%交扠感染
수혈%질병전파,수평%교차감염
Blood trasfusion%Disease transmission,horizontal%Gross infection
目的 探讨患者输血前传染性疾病相关指标检测在医院感染控制中的意义.方法 采用回顾性研究,对44968例输血前的患者进行乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、人免疫缺陷病毒抗体(抗-HIV)以及梅毒螺旋体血清抗体(抗-TP)检测.结果 总阳性率为22.41％,HBsAg阳性率20.67％ (9294/44 968),抗-HCV阳性率为0.33％(148/44 968),抗-TP阳性率1.65％(9741/44 968),抗-HIV阳性39例；39例抗-HIV阳性患者23例其他三项指标至少有一项阳性,其中合并感染梅毒最多有14例；乙肝、丙肝和(或)梅毒重叠感染者共117例,同时感染乙肝加丙肝或同时感染乙肝加梅毒较常见；消化科为乙肝的高发科室(x2≥83.0,P＜0.01).结论 部分受血者在入院前就已感染了传染性疾病,输血前检测传染性指标可事先知悉患者的感染情况,对医院感染控制、日后减少医患纠纷具有重要的意义.
目的 探討患者輸血前傳染性疾病相關指標檢測在醫院感染控製中的意義.方法 採用迴顧性研究,對44968例輸血前的患者進行乙型肝炎病毒錶麵抗原(HBsAg)、丙型肝炎病毒抗體(抗-HCV)、人免疫缺陷病毒抗體(抗-HIV)以及梅毒螺鏇體血清抗體(抗-TP)檢測.結果 總暘性率為22.41％,HBsAg暘性率20.67％ (9294/44 968),抗-HCV暘性率為0.33％(148/44 968),抗-TP暘性率1.65％(9741/44 968),抗-HIV暘性39例；39例抗-HIV暘性患者23例其他三項指標至少有一項暘性,其中閤併感染梅毒最多有14例；乙肝、丙肝和(或)梅毒重疊感染者共117例,同時感染乙肝加丙肝或同時感染乙肝加梅毒較常見；消化科為乙肝的高髮科室(x2≥83.0,P＜0.01).結論 部分受血者在入院前就已感染瞭傳染性疾病,輸血前檢測傳染性指標可事先知悉患者的感染情況,對醫院感染控製、日後減少醫患糾紛具有重要的意義.
목적 탐토환자수혈전전염성질병상관지표검측재의원감염공제중적의의.방법 채용회고성연구,대44968례수혈전적환자진행을형간염병독표면항원(HBsAg)、병형간염병독항체(항-HCV)、인면역결함병독항체(항-HIV)이급매독라선체혈청항체(항-TP)검측.결과 총양성솔위22.41％,HBsAg양성솔20.67％ (9294/44 968),항-HCV양성솔위0.33％(148/44 968),항-TP양성솔1.65％(9741/44 968),항-HIV양성39례；39례항-HIV양성환자23례기타삼항지표지소유일항양성,기중합병감염매독최다유14례；을간、병간화(혹)매독중첩감염자공117례,동시감염을간가병간혹동시감염을간가매독교상견；소화과위을간적고발과실(x2≥83.0,P＜0.01).결론 부분수혈자재입원전취이감염료전염성질병,수혈전검측전염성지표가사선지실환자적감염정황,대의원감염공제、일후감소의환규분구유중요적의의.
Objective To investigate the significance in prevention of nosocomial infection of the testing of the associated contagious parameters of blood recipients before transfusion.Methods A retrospective analysis was adopted,44 968 pre-transfusion patients were tested the serum hepatitis B virus surface antigen (HBsAg),antibody against hepatitis C virus (anti-HCV),antibody against T.pallidum (anti-TP) and antibody against human immunodeficiency virus(anti-HIV).Results The total positive rate was 22.41％.Positive rate of HBsAg,anti-HCV and anti-TP were 20.67％ (9294/44 968),0.33％ (148/44 968) and 1.65％ (974l/44 968),respectively; anti-HIV was positive in 39 patients,23 cases coinfection of the other three indicators at least one positive in 39 cases of anti-HIV-positive blood recipients,of which was mostly observed T.pallidum; co-infection of HBV,HCV and/or TP were 117 cases,and were mostly observed between HBV and HCV,HCV and TP; for HBV infection the department of digestive medicine was prevalent(x2 ≥83.0,P ＜ 0.01).Conclusion Part of blood recipients before admission had been infected with a contagious disease.The testing of the associated contagious parameters of blood recipients before transfusion is not only useful for both of the hospital and the patients,but also more important to ensure safe blood transfusion,decrease medial dissatisfaction and to prevent nosocomial infection.
