腔镜检查前对艾滋病感染患者的筛查结果分析  

Analysis of screening results before endoscopy for HIV-infected patients

作　　者：陈万宁[1] 罗燕玲[1] 万德胜[1] 

机构地区：[1]东莞市人民医院检验科,广东东莞523059

出　　处：《中华医院感染学杂志》2013年第13期3198-3199,3202,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析腔镜检查前对艾滋病感染患者的筛查结果,以进一步了解其临床应用价值。方法以近年在医院行腔镜检查的患者作为研究对象,在患者行腔镜检查前采取抗-HIVl/2快速胶体硒和抗-HIVl/22酶联免疫法进行艾滋病病毒筛查;在初筛和免疫证实均为HIV阳性的患者,再行实验室试验进行确诊,对筛查结果进行分析。结果初筛和免疫证实均为HIV阳性的患者共44例,占0.20%;最终确诊HIV阳性者40例,筛查准确率达到90.91%;全部40例HIV阳性患者经过合并感染筛查,HBsAg阳性者有7例,占17.5%;HCV阳性者2例,占5.0%;40例HIV阳性感染者中,男性与女性比例为5∶3;21～40岁的人群感染最多,占52.5%,其中农民感染最多,占55.5%;感染途径中大多是由于血液传播,占73.0%。结论在腔镜检查前对艾滋病感染患者进行筛查有重要意义,有助于在进行有创检查前进行HIV感染检出,有利于及早发现HIV阳性者,防止感染者使用腔镜造成污染而引起交叉感染,以降低HIV的医源性感染风险。OBJECTIVE To analyze the screening results before endoscopy for HIV-infected patients so as to further understand its clinical application value.METHODS The patients with endoscopy screening in recent years were chosen as the research objects.The anti-HIV1/2rapid colloidal selenium and anti-HIVl/22 enzyme-linked immunosorbent assay were taken for HIV screening for the patients before endoscopy.The patients with HIVpositive confirmation in the screening and immunization were taken for the confirmation with further laboratory tests,then the screening results were taken for analysis.RESULTS There were 44cases with HIV-positive patients confirmed in screening and immunization,accounting for 0.20% of the total number.40cases were ultimately diagnosed with HIV-positive,and the screening accuracy rate was 90.91%.After the screening of coinfection for all the 40cases of HIV-positive patients,the HBsAg positive was in 7cases,accounting for 17.5%,the HCV positive was in 2cases,accounting for 5.0%.Of 40cases of patents with HIV positive,the ratio between the male and the female was 5：3,the patients aged between 21and 40years old are the predominant population,accounting for 52.5%,among which the farmers dominated,accounting for 55.5%.The blood transmission was the major infection spread route,accounting for 73.0%.CONCLUSIONIt is of great significance to carry out the screening for the HIV-infected patients before endoscopy,which is conducive to the detection of HIV before the invasive examination and to the screening of HIV-positive patients in a timely manner so as to prevent cross infections caused by the contamination of endoscopes and reduce the risk of iatrogenic HIV infection.

关 键 词：艾滋病病毒 腔镜检查 筛查 结果分析 

分 类 号：R512.91[医药卫生—内科学]