首页|广元市某医院2016-2020年受血者病原体感染调查及防控建议

广元市某医院2016-2020年受血者病原体感染调查及防控建议

Investigation of pathogen infection in blood recipients in a hospital of Guangyuan from 2016 to 2020 and suggestions for its prevention and control

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目的 了解广元市某医院2016-2020年8 238例受血者病原体感染情况,并进一步探讨后期防控计划.方法 按年份及性别调查受血者输血前的乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、苍白密螺旋体抗体(Treponema pallidum antibody,TP-Ab)、人类免疫缺陷病毒抗体(Human immunodeficiency virus antibody,HIV-Ab)、丙型肝炎病毒抗体(Hepatitis C virus antibody,HCV-Ab)检测结果.结果 2016-2020年该院8 238例受血者,检测指标总阳性率 13.66%,HBsAg、TP-Ab、HIV-Ab、HCV-Ab 的阳性率分别为 10.50%、1.24%、0.04%、1.88%.不同性别人群4项传染指标的阳性率差异无统计学意义(x2=0.314、5.054、3.000、0.830,P>0.05).2016-2020年HBsAg的年阳性率分别为 11.93%、11.74%、10.69%、9.36%、8.92%,TP-Ab 的年阳性率分别为 1.40%、1.12%、1.02%、1.35%、1.30%,HIV-Ab 的年阳性率分别为 0%、0.06%、0.06%、0%、0.06%,HCV-Ab 的年阳性率分别为 1.91%、1.82%、2.04%、1.79%、1.86%,不同年份的HBsAg阳性率差异有统计学意义(x2=13.236,P=0.010),不同年份的TP-Ab、HIV-Ab、HCV-Ab 阳性率差异均无统计学意义(x2=1.410、1.910、0.333,均 P=0.842、0.752、0.988).结论 广元市某医院2016-2020年受血者的病原体感染率较低,在防控HBV感染时,需进一步完善硬件保障,可建立专项传染病院,规范传染科病房,确保传染病的及时治疗.
Objective To understand the pathogen infections in 8 238 blood recipients in a hospital in Guangyuan from 2016 to 2020,and to further explore plans for prevention and control programs at a later stage.Methods The hepatitis B surface antigen(HBsAg),Treponema pallidum antibody(TP-Ab),human immunodeficiency virus antibody(HIV-Ab),and hepatitis C virus antibody(HCV-Ab)of the recipients were investigated before transfusion according to year and gender.Results From 2016 to 2020,the total positive rate of testing indicators of the 8 238 blood recipients in the hospital was 13.66%,and the positive rates of HBsAg,TP-Ab,HIV-Ab,and HCV-Ab were 10.50%,1.24%,0.04%,and 1.88%,respectively.There was no statistically significant difference in the positivity rates of the four infectious indicators among the different gender groups(x2=0.314,5.054,3.000,0.830,P>0.05).From 2016 to 2020,the annual positivity rates for HBsAg were 11.93%,11.74%,10.69%,9.36%and 8.92%,for TP-Ab were 1.40%,1.12%,1.02%,1.35%and 1.30%,and for HIV-Ab were 0%,0.06%,0.06%,0%,0.06%,and the annual positivity rates of HCV-Ab were 1.91%,1.82%,2.04%,1.79%,1.86%,respectively.There was a statistically significant difference in HBsAg positivity rates among different years(x2=13.236,P=0.010),and there were no statistically significant differences in TP-Ab,HIV-Ab,and HCV-Ab positivity rates among different years(x2=1.410,1.910,0.333;all P=0.842,0.752,0.988).Conclusion The pathogen infection rate of blood recipients in a hospital in Guangyuan from 2016 to 2020 is low,and it is necessary to further improve the hardware guarantee when preventing and controlling HBV infection,and a special infectious disease hospital can be established to standardize the infectious ward to ensure the timely treatment of infectious diseases.

Blood recipientsPathogenic infectionsPrevention and control suggestionsSurvey

王大方、石平、郑小黎、钟冬胜、梁培

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广元市中心医院,四川广元 628017

海南医学院

受血者 病原体感染 防控建议 调查

国家自然科学基金

81560332

2024

医学动物防制
中国民主促进会河北省委员会

医学动物防制

CSTPCD
影响因子:0.553
ISSN:1003-6245
年,卷(期):2024.40(3)
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