常州市天宁区公共卫生从业人员HAV和HEV的感染状况及防治策略  

HAV and HEV infection conditions and prevention countermeasures in the public health staff in Tiannin of Changzhou

作　　者：钟学庆[1] 何燕[1] 池莲娇 王育[1] 

机构地区：[1]常州市天宁区疾病预防控制中心,江苏常州213017

出　　处：《中国卫生检验杂志》2015年第11期1842-1844,1847,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的了解本辖区从业人员中甲型肝炎病毒(HAV)和戊型肝炎病毒(HEV)的感染情况,以便更有效地防止甲型肝炎病毒和戊型肝炎病毒的传播。方法 2011年-2013年对辖区内84 990名从业人员进行抗甲型肝炎病毒Ig M抗体和抗戊型肝炎病毒Ig M抗体检测,同时对Ig M抗体阳性标本进行抗甲型肝炎病毒Ig G抗体和抗戊型肝炎病毒Ig G抗体检测,并对想继续从事服务行业的阳性人员进行Ig M抗体复检,同时皆做Ig G抗体检测,直到Ig M抗体不能检出时发放健康证明。结果 2011年-2013年从业人员中HAV感染率为0.061%,HEV感染率为0.16%,两者差异有统计学意义(P>0.05);抗甲型肝炎病毒Ig M抗体阳性转阴复检次数最多为5次,抗戊型肝炎病毒Ig M抗体阳性转阴复检次数最多为6次。结论 HEV感染率明显高于HAV感染率。加强对甲型肝炎病毒和戊型肝炎病毒Ig M抗体阳性从业人员的管理,提高从业人员的卫生意识,严格控制甲型肝炎病毒和戊型肝炎病毒的传播途径。Objective To investigate the hepatitis A virus （HAV） and hepatitis E virus （HEV） infection in the public health staff of the district so as to effectively prevent the transmission of HAV and HEV. Methods A total of 84 990 staff were select- ed as subjects in the district from 2011 to 2013 for the detection of anti - HAV IgM antibodies and anti - HEV IgM antibodies, and the positive samples and subjects continuing their service work were re - detected for IgM and IgG antibodies simuhaneously until the results of IgM turned out to be negative, and health certificate was provided. Results The difference between the pos- itive rates of HAV （0.061%） and HEV infections （0.16%） in subjects was not statistically significant（P 〉0.05）. The re - detected times of HAV was up to 5, while the re - detected times of HEV was up to 6. Conclusion The positive rate of HEV was higher than HAV among these staffs. We should strengthen the management detection of antibodies（ IgM antibodies and IgG antibodies） of the staff with anti - HEV IgM positive and anti - HEV IgM positive, especially the staffs with anti - HEV IgM positive, and raise the health awareness the staff, and strictly control the route of transmission of HAV and HEV.

关 键 词：甲型肝炎病毒 戊型肝炎病毒 抗体 从业人员 

分 类 号：R512.6[医药卫生—内科学]