输血前受血者相关传染病参数检测及其临床意义。

中华实验和临床病毒学杂志 Pub Date : 2013-02-01
Ming-lei Li, Xiao-xiang Liu, Ai-hua Sun
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引用次数: 0

摘要

目的:探讨输血前相关感染指标检测对预防医院感染的意义。方法:采用回顾性分析方法,对44 968例输血前患者进行血清乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(anti-HCV)、梅毒螺旋体抗体(anti-TP)和人类免疫缺陷病毒抗体(anti-HIV)检测。结果:总阳性率为22.41%。HBsAg、抗- hcv、抗- tp阳性率分别为20。分别为67%(9294/44 968)、0.33%(148/ 44968)和1.65% (9741/44968);39例患者抗hiv阳性,23例患者同时感染其他三项指标至少一项阳性,39例抗hiv阳性血液受者中,其中以苍白衣原体居多;HBV、HCV和/或TP合并感染117例,以HBV与HCV、HCV与TP合并感染为主;乙型肝炎病毒感染以消化内科为主(ch2 >or=83.0, P)。结论:部分受血人群入院前曾感染过传染病。在输血前检测受血者的相关传染参数,不仅对医院和患者都有帮助,而且对确保输血安全、减少医务人员的不满和预防医院感染具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Detected of associated contagious parameters of blood recipients before transfusion and their clinical significance].

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% (9741/44968), 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(Chi2>or=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.

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