产前、术前及输血前患者5种传染性指标的检测及意义  

The significance of detection of five serum contagious parameters in patients at prepartal period,pre-operation and pre-blood transfusion

作　　者：黄幼芳[1] 王厚照[1] 谢则金[1] 陈云[1] 黄璐[1] 

机构地区：[1]解放军第一七四医院检验科,福建厦门361003

出　　处：《临床和实验医学杂志》2012年第13期1042-1043,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的了解产前、术前及输血前患者5种传染性指标的感染情况,预防与避免医院感染及医疗纠纷。方法采用化学发光微粒子免疫分析(CMIA)技术对2011年8月至2012年1月产前、手术及输血前4 553例患者行乙肝表面抗原(HBsAg)、丙肝病毒抗体(抗-HCV)、人类免疫缺陷病毒抗体(抗-HIV)、梅毒螺旋体抗体(抗-TP)及人类T淋巴细胞白血病病毒抗体(抗-HTLV)检测,并对其结果进行分析。结果 5种指标的阳性率分别为HBsAg 11.55%、抗-HCV 0.46%、抗-HIV 0.04%、抗-TP 2.28%和抗-HTLV 0.11%。结论对产前、术前及输血前患者进行相关传染性指标的检测具有重要的意义。一方面可以全面了解患者的感染情况以减少医疗纠纷的可能性,另一方面可降低医务人员发生院内感染的机会。Objective To study the situation of five contagious diseases in patients before childbirth,operation and blood transfusion in order to prevent and avoid nosocomial infections and medical disputes.Methods The CMIA method was applied to detect five parameters including hepatitis B virus surface antigen（HBsAg）,anti-hepatitis C virus antibody（anti-HCV）,anti-HIV antibody,anti-Treponema pallidum（anti-TP） antibody and anti-human T-cell lymphotropic virus（anti-HTLV） antibody in 4553 patients.Results The positive rates of five contagious parameters（HBsAg,anti-HCV,anti-HIV,anti-TP and anti-HTLV） were 11.55%,0.46%,0.04%,2.28% and 0.11%,respectively.Conclusion It is important to test contagious parameters in patients before childbirth,operation and blood transfusion in order to decrease the medical dispute and nosocomial infections.

关 键 词：传染性指标 人类T淋巴细胞白血病病毒抗体 医院感染 医疗纠纷 

分 类 号：R446.6[医药卫生—诊断学]