输血前检测传染性指标对降低患者医院性感染的意义  

Detected Before Transfusion Transmissible Indexes Lower in Patients With Hospital Infections Significance

作　　者：吴琼[1] 曾月嫦[2] 李一鸣[3] 黄文娟[1] 

机构地区：[1]深圳市血液中心献血服务科,广东深圳518000 [2]深圳市宝安妇幼保健院儿科,广东深圳518100 [3]深圳市血液中心成分科,广东深圳518000

出　　处：《中国卫生标准管理》2016年第7期192-194,共3页China Health Standard Management

基　　金：深圳市科技计划项目(编号201203146)

摘　　要：目的探讨输血前检测传染性指标对降低患者医院性感染的意义。方法选取2008年6月~2015年6月在深圳市宝安妇幼保健院住院部或门诊接受输血的2 500例患者作为研究对象,对其进行丙型肝炎病毒抗体（抗-HCV）、乙型肝炎病毒表面抗原（HBs Ag）、梅毒螺旋体抗体（抗-TP）和艾滋病病毒抗体（抗-HIV）检测。结果抗-HCV阳性率1.04%（26/2 500）、HBs Ag阳性率10.08%（252/2 500）、抗-TP阳性率0.68%（17/2 500）、抗-HIV阳性率0.36%（9/2 500）,总阳性率12.16%（304/2 500）;9例抗-HIV阳性病例中有3例其它三项指标全部为阴性,6例其它三项指标至少有一项阳性,其中合并梅毒感染者有3例,构成比为33.33%,与艾滋病抗体阳性合并其他感染相比数值较大,差异有统计学意义（P=0.034,χ~2=1.589）;乙肝、丙肝和（或）梅毒重叠感染病原体者共28例,同时感染二种病原26例,同时感染三种病原者2例。结论对患者进行输血前传染病的检测,不但能够及时了解患者的感染情况,同时可以降低医院性感染,有效的加强了输血安全。Objective To investigate reduce nosocomial infections before transfusion to detect infectious sense indicators. Methods 2 500 patients for the study from June 2008 to June 2015 in our hospital inpatient or outpatient transfusion,its hepatitis C virus antibody（anti-HCV）,hepatitis B virus surface antigen（HBs Ag）,treponema pallidum antibody（anti-TP）and HIV antibodies（anti-HIV）detection. Results Anti-HCV positive rate of 1.04%（26/2 500）,HBs Ag positive rate of 10.08%（252/2 500）,anti-TP positive rate of 0.68%（17/2 500）,anti-HIV positive rate of 0.36%（9/2 500）,the total positive rate of 12.16%（304/2 500）,9 cases of anti-HIV positive cases in the other 3 cases of three indicators were negative,6 cases of the other three had at least one positive indicators,including syphilis infection 3 cases,the constituent ratio was 33.33%,and HIV antibody positive values associated with other infections compared to larger,there was a significant difference（P=0.034,χ2=1.589）,hepatitis B,hepatitis C and（or）syphilis coinfection pathogen were a total of 28 cases while two kinds of pathogenic infection in 26 cases,while three kinds of pathogenic infection in 2 cases. Conclusion The patient is detected before transfusion infectious diseases,not only to keep abreast of infection in patients,while reducing hospital infections,effectively strengthen the safety of blood transfusion.

关 键 词：输血 传染性指标 感染 

分 类 号：R331[医药卫生—人体生理学]