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口腔医院种植患者术前血清感染性指标检测情况

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目的 通过对某口腔医院种植患者术前乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、丙型肝炎抗体(hepatitis C virus antibody,Anti-HCV)、梅毒螺旋体抗体(treponema pallidum antibody,Anti-TP)和人类免疫缺陷病毒抗体(human immunodeficiency virus antibody,Anti-HIV)4 项血清感染性指标检出状况进行回顾性分析,了解种植患者血清感染性指标的流行情况.方法 对 2017 年 1 月至 2022 年 12 月在某口腔医院施行口腔种植术,并在该院完成术前血清感染性指标检测的 5896 例患者资料进行回顾性分析,比较检测结果在性别、年龄等一般资料上的差异.结果 5896 例口腔种植患者术前 4 项血清感染性指标阳性指标数共计 197 例,总体阳性检出率为3.34%(197/5896).其中,HBsAg、Anti-HCV和Anti-TP的阳性检出率分别为 2.75%(162/5 896)、0.24%(14/5896)和0.36%(21/5896),未检出Anti-HIV阳性感染者.HBsAg、Anti-HCV与Anti-TP阳性检出率之间的差异具有统计学意义(χ2=214.747,P<0.001);不同年龄组HBsAg阳性检出率之间的差异具有统计学意义(χ2 =8.074,P=0.018).结论 口腔医院种植患者术前血清感染性指标存在一定阳性检出率.建议口腔专业医务人员在口腔诊疗过程中严格执行预检分诊,加强医院感染防控措施落实,加大对口腔门诊患者血清感染性指标的筛检力度,同时卫生健康管理部门加强对疫苗接种等传染病防控知识的宣传教育,以降低血源性病原体交叉感染风险.
Serum infectious indicators of patients before dental implant surgery in a stomatological hospital
Objective To explore the prevalence of serum infectious indicators of implant patients,including hepatitis B surface antigen(HBsAg),hepatitis C virus antibody(Anti-HCV),treponema pallidum antibody(Anti-TP)and human immunodeficiency virus antibody(Anti-HIV).Methods A retrospective analysis was conducted on the data of 5,896 patients who underwent dental implantion surgery and completed preoperative serum infectivity test in a stomato-logical hospital during Jan.2017 and Dec.2022,and the differences in general data such as gender and age were com-pared.Results Among the 4 serum infectious indicators in 5,896 patients,197 were positive,with an overall positive detection rate of 3.34%(197/5896).The positive detection rate of HBsAg,Anti-HCV and Anti-TP were 2.75%(162/5896),0.24%(14/5896)and 0.36%(21/5896),respectively(χ2=214.747,P<0.001).No Anti-HIV positive individual was identified.The differences in HBsAg positive detection rate among different age groups were statistically significant(χ2= 8.074,P=0.018).Conclusion There is a certain positive detection rate of preoperative serum infectious indicators in dental implant patients.It's recommended that dental personnel strictly implement pre-examination and triage,strengthen the implementation of hospital infection prevention and control measures,increase the screening of serum infectious indicators.Meanwhile,the health managernent department should strengthen publicity and education on the knowledge of infectious diseases such as vaccination to reduce the risk of cross infection of blood borne pathogens.

Dental implant surgerySerum indexes of infectionBloodborne pathogenHealthcare-associated infec-tionPositive detection rate

蒋莉莉、陈鹏、张晓荣、徐新阳、孟秋禹、祁冬、宋有文、王东雪

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山东大学齐鲁医学院口腔医学院·口腔医院医院感染管理部,山东 济南 250012

山东宏润空压机科技有限公司,山东淄博 255000

山东大学齐鲁医学院口腔医学院·口腔医院医务部,山东济南 250012

山东大学齐鲁医学院口腔医学院·口腔医院检验科,山东 济南 250012

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口腔种植术 血清感染性指标 血源性病原体 医院感染 阳性检出率

山东省科技型中小企业创新能力提升工程山东省卫生健康委员会医疗质量管理工作项目

2022TSGC22682020-11

2024

山东大学学报(医学版)
山东大学

山东大学学报(医学版)

CSTPCD北大核心
影响因子:0.841
ISSN:1671-7554
年,卷(期):2024.62(1)
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