27785例住院病人血清传染病标志物检测结果分析与临床意义.docVIP

精品论文 参考文献 27785例住院病人血清传染病标志物检测结果分析与临床意义 顾安琪 　　（江苏省江阴市中医院检验科 江苏 江阴 214400） 　　【摘要】 目的：通过对27785例住院患者输血前传染病病原体感染的情况的调查分析，探讨输血前患者传染病标志物检测的意义。方法：采用酶联免疫吸附试验法对27855例病患进抗-HIV、抗-HCV、抗-TP三项指标进行检测，对HBsAg指标采用化学发光法进行检测。结果：检测阳性患者一共2940例总阳性率为10.55%，其中抗-HIV初筛实验阳性32例（0.12%），抗-HCV阳性139例（0.5%），抗-TP阳性496例（1.79%），HBsAg阳性2273例(8.18%)。结论：通过对住院病人血样进行相关病原学标志物的检测，了解患者身体状况，可以预防医务人员的职业暴露，降低患者间的交叉感染减少输血后纠纷。 　　【关键词】传染病指标；经血传播疾病；医疗纠纷；院内感染；职业暴露 　　【中图分类号】R446 【文献标识码】A 【文章编号】2095-1752（2015）28-0072-02 　　Patient serum markers of infectious disease test results analysis and clinical significance of 27,785 cases 　　Gu Anqi 　　Jiangyin City, Jiangsu Jiangyin, Jiangsu Provincial Hospital Laboratory 214400.China 　　【Abstract】 objective Through the case of hospitalized patients before transfusion infectious pathogens of 27,785 cases of investigation and analysis, to explore the meaning of patients before transfusion of infectious disease markers. Methods By enzyme-linked immunosorbent assay for 27,855 cases of patients into anti -HIV, anti -HCV, anti -TP three indicators to detect indicators of HBsAg were detected by chemiluminescence.Results A total of 2940 cases of patients tested positive for total positive rate 10.55%, wherein the anti -HIV screening test positive 32 cases (0.12%), anti -HCV positive 139 cases (0.5%), anti -TP positive 496 cases (1.79%), HBsAg positive 2273 cases (8.18%).Conclusion. Patient blood samples for testing by the relevant etiologic markers understand the physical condition of the patient, medical personnel can prevent occupational exposure, reducing cross-infection between patients to reduce post-transfusion disputes. 　　【Key words】Infectious disease targets; Blood-borne diseases; Medical disputes; Nosocomial infection; Occupational exposure 　　艾滋病病毒、梅毒螺旋体、丙型肝炎病毒、乙肝病毒这四种病原体主要通过血液、体液等途径传播，如果住院病人携带或者感染这几种病毒，可能会导致一些医源性传播感染。而对于一些预输血的病人，掌握他们输血前病原体感染的情况，可以避免一些相关的纠纷。现对本院2013年1月-2014年12月间27785例住院患者传染病指标检测结果进行统计分析，分