医院就诊者HIV筛查结果分析  

Analysis on the HIV results of clients in general hospital

作　　者：黄炜[1] 石晓天[2] 贾鸣[1] 蒋天伦[1] 

机构地区：[1]第三军医大学西南医院输血科,重庆400038 [2]第三军医大学西南医院检验科,重庆400038

出　　处：《国际检验医学杂志》2015年第8期1055-1056,1058,共3页International Journal of Laboratory Medicine

摘　　要：目的调查分析医院就诊患者HIV感染情况,为医院预防获得性免疫缺陷综合征提供依据。方法采用酶联免疫吸附试验（ELISA）检测2011年1月至2013年12月240 781份标本的HIV抗体和抗原,分别用北京万泰、北京科卫、法国伯乐3种ELISA试剂进行筛查,筛查阳性标本送重庆市沙坪坝区疾病预防控制中心用免疫印迹法（WB法）进行确认。结果 2011-2013年送检的240 781份标本中,初筛阳性593份（0.246%）,抗体确证阳性558份（0.231%）,抗体不确定29份（0.012%）,抗体阴性6份（0.002%）;男女比例为3.39∶1.00。结论医院就诊患者筛查成为发现HIV感染的一个重要途径,应加强对HIV检测的推广与宣传,并结合HIV检测新技术加强对HIV的检查力度,提高医务人员在对HIV患者处理中的自我防护意识。Objective To investigate the infection situation of HIV in patents in hospital ,and to provide basis for the prevention of AIDS in the hospital .Methods Three kinds of enzyme‐linked immunosorbent assay（ELISA）kits（Beijing wantai ,Beijing kewei , French BIO‐RAD）were used for screening HIV antibody and antigen in 240 781 samples from Jan .2011 to Dec .2013 .All HIV re‐peated positive screening samples were confirmed by western blotting in Chongqing shapingba Center for Disease Control and Pre‐vention .Results Among 240 781 samples from 2011 to 2013 ,593 samples（0 .246% ） were HIV positive at the first screening ,558 samples（0 .231% ） were HIV positive in at the repeated screening ,29 samples（0 .012% ） were HIV indeterminate ,6 samples（0 . 002% ） were HIV negative.Male and female ratio was 3 .39：1 .Conclusion Screening in hospital patients could be an important way to discover cases with HIV infection .It is nesscessary to strengthen the promotion and propaganda of HIV detection ,and new technology of HIV detection could be used to strengthen the inspection of HIV .Moreover ,the consciousness of self protection should be promoted in the treatment of HIV patients .

关 键 词：人类免疫缺陷病毒抗体 人类免疫缺陷病毒检测 医院 酶联免疫吸附试验 

分 类 号：R446.6[医药卫生—诊断学]