口腔洁治患者治疗前血源性病原体检测及意义  

Significance of detection of bloodborne pathogens before dental scaling

作　　者：程茜[1] 范晓婷[1] 林梅[1] 张良琼[1] 高伟民[1] 

机构地区：[1]首都医科大学附属北京朝阳医院,北京100020

出　　处：《中国感染控制杂志》2014年第2期102-104,共3页Chinese Journal of Infection Control

摘　　要：目的 探讨口腔洁治患者治疗前血源性病原体检测的必要性.方法 选择2012年4-9月在某院口腔门诊就诊的口腔洁治患者1 929例,治疗前进行乙型肝炎表面抗原（HBsAg）、丙型肝炎病毒（HCV）抗体、人免疫缺陷病毒（HIV）抗体和梅毒血清学（TRUST）检测.结果 口腔洁治前,10～20岁组患者HBsAg的阳性率为2.50％;21～40岁组HBsAg、抗HCV、抗HIV、TRUST阳性率分别为7.14％、0.79％、0.26％、0.53％;≥41岁组HBsAg、抗HCV、抗HIV、TRUST阳性率分别为4.06％、1.41％、0.09％、0.26％.结论 在口腔洁治患者治疗前进行血源性病原体检测,以获得患者洁治前或口腔诊疗前的血源性疾病感染情况,有利于医院感染的防控.Objective To evaluate the necessity for testing patients＇ serum indicators of infection before dental scaling.Methods 1 929 outpatients in a stomatological clinic at a hospital between April and September 2012 were performed serological testing of HBsAg,anti-HCV,anti-HIV and syphilis （toluidine red unheated serum test,TRUST） before receiving dental scaling.Results Before dental scaling,HBsAg positive rate was 2.50％ in patients of 10-20 years age; positive rate of HBsAg,anti-HCV,anti-HIV,and TRUST was 7.14％,0.79％,0.26％,and 0.53％ respectively in patients of 21-40 years age,and was 4.06％,1.41％,0.09％,and 0.26％ respectively in patients ≥41 years old.Conclusion Testing of serum indicators of infection before scaling is helpful for realizing status of bloodborne pathogen infection in patients,and promote control of healthcare-associated infection.

关 键 词：口腔 洁牙 职业暴露 职业防护 医务人员 医院感染 感染控制 

分 类 号：R181.32[医药卫生—流行病学]