从业人员乙型肝炎病毒血清学检测分析  

Analysis of hepatitis B virus serological testing in employees

作　　者：苏华瑜 杨华年 梁光[1] 黄锡青[3] 

机构地区：[1]广东省湛江市疾病预防控制中心微生物检验科,524037 [2]广东省湛江市疾病预防控制中心门诊部,524037 [3]广东省湛江市疾病预防控制中心流行病防制科,524037

出　　处：《国际流行病学传染病学杂志》2009年第2期89-91,共3页International Journal of Epidemiology and Infectious Disease

摘　　要：目的通过分析2007年湛江市区各类从业人员HBV血清学检测结果，进一步了解我市从业人员HBV感染情况，为今后制订预防控制措施提供科学依据。方法对首次进行健康体检的从业人员用ELISA法检测HBsAg，HBsAg阳性者及时通知复检HBV的其他血清标志物（二对半）。结果2007年共体检各类从业人员46443人，检出HBsAg阳性3335人，感染率为7．18％，其中男性感染率为10．75％（1363／12684），女性感染率为5．84％（1972／33759）；年龄组以16．30岁组感染率最高，达7．65％（2675／34983）；行业感染率以美容、桑拿、按摩、旅业等最高，达8．66％（352／4066）；1440例复检HBV血清标志物HBsAg阳性人员，检出6种感染模式。结论湛江市区从业人员HBV感染率较高，为有效减少传染源，切断传播途径，HBsAg及HBeAg阳性者应禁止上岗，相关部门应严格掌握健康证的发放标准；同时根据需要动员体检HBsAg阴性者及时接种乙型肝炎疫苗，大力提高从业人员免疫水平。Objective To analyze the serological testing results of HBV for employees in Zhanjiang city in 2007, provide basis for the future prevention and control measures. Methods ELISA was used to detect HBsAg for the employees who came for the first physical examination, if HBsAg＇was positive, other HBV serum markers were detected. Results A total of 46 443 employees joined in all types of medical examinations in 2007, in which 3335 were HBsAg positive, the infection rate was 7.18%. The male infection rate was 10.75% （1363/12 684） and female was 5.84%（1972/33 759）. 16-30 age persons had high infection rate, up to 7.65%（2675/34 983）. Sauna mssage salons of the tourist industry had high rate, up to 8.66% （352/4066）; there were 6 types of infection patterns of serum HBV markers for 1440 cases of HBsAg positive staff. Conclusions HBV infection is high in employees in Zhanjiang. Restriction of HBsAg and HBeAg-positive people from their posts and issuing pennits can effectively reduce the infection and cut off the route of transmission. At the same time, hepatitis B vaccination for HBsAg negative people is recowanended when necessary.

关 键 词：肝炎病毒 乙型 血清学检测 从业人员 

分 类 号：R512.62[医药卫生—内科学] R446.6[医药卫生—临床医学]