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汪群英, 李建生. 腔镜检查前HIV感染筛查结果分析[J]. 中国公共卫生, 2008, 24(10): 1264-1265. DOI: 10.11847/zgggws2008-24-10-61
引用本文: 汪群英, 李建生. 腔镜检查前HIV感染筛查结果分析[J]. 中国公共卫生, 2008, 24(10): 1264-1265. DOI: 10.11847/zgggws2008-24-10-61
WANG Qun-ying, LI Jian-sheng. Analysis of HIV infection screening before ednoscope examination[J]. Chinese Journal of Public Health, 2008, 24(10): 1264-1265. DOI: 10.11847/zgggws2008-24-10-61
Citation: WANG Qun-ying, LI Jian-sheng. Analysis of HIV infection screening before ednoscope examination[J]. Chinese Journal of Public Health, 2008, 24(10): 1264-1265. DOI: 10.11847/zgggws2008-24-10-61

腔镜检查前HIV感染筛查结果分析

Analysis of HIV infection screening before ednoscope examination

  • 摘要: 目的 了解腔镜检查前患者人类免疫缺陷病毒抗体1型与2型(抗-HIV1/2)阳性率及其流行病学特征.方法 在23 182例腔镜检查前患者中,筛选人类免疫缺陷病毒(HIV)感染与艾滋病(AIDS)患者.用抗-HIV1/2快速胶体硒初筛,可疑者再用抗-HIV1/2酶联免疫法证实;两者均阳性者,按初筛阳性报送确认实验室进行HIV感染确认试验;对抗-HIV1/2阳性患者的年龄、性别、传播途径、就诊科室和首发病症等进行分析.结果 23 182例腔镜检查前患者,检出抗-HIV1/2阳性35例,阳性率为0.15%,其中男、女性比例为3:2;年龄以20~49岁为主.其中HIV/HBsAg双阳者5例,占14.3%;HIV/HCV双阳者6例,占17.1%;HIV/HBsAg/HCV均阳性者1例,占2.9%.35例HIV感染者中,经血液传播占74.3%;职业为农民者占57.2%.就诊时症状缺乏特异性,多以消化道及肺部真菌感染等接受胃镜、肠镜和气管镜等检查,其中肠镜和气管镜检查各占总例数的34.2%和31.4%.结论 腔镜检查前进行抗-HIV检测,有助于及时发现HIV感染者,避免腔镜检查传播HIV而引起医源性交叉感染.

     

    Abstract: Objective T o understand the positive r ate and epidemiolog ic character of human immunodeficiency virus antibody type-1 and type-2(anti-HIV 1/2)in patients before endoscope check.Methods To screen the human immunodeficiency vir us(HIV)infection and acquired immune deficiency syndro me(A IDS)patients in 23.82 ex aminees before endoscope check.The anti-HIV1/2 collo idal selenium quick test was adopted first and then the ant i-HI V1/2 enzyme immunoassays was used in the suspects.The doubtful positive results were sent to affirming laboratory for HIV infection ascertainment.The ag e,sex,infection route,diagnosis section and initial diso rder of anti-H IV1/2 positive patients were analysed.Results There were 35 cases of anti-HIV1/2 positive patients with the positive rate of 0.15% in the subjects.The male/female ratio was 3:2 for the positive at ages of 20~40.A mong the HIV/HBsA g double positive subjects,the rate of HIV/HCV double positive,HIV/HBsAg/HCV positive was 14.3% (5 cases),1711% (6 cases)and 219% (1case),respectively.74.3% of the 35 HIV infections was via blood transmission and 57.2% was farmers.The most of the subjects accepted the gastroscop,eintestine scope(34.2%)and bronchoscope(31.4%)examination because of digestive tract or lung epiphyte infectio n.Conclusion The anti-HIV ex amination is helpful to find HIV infections in time.A nd it could avoid to spread the HIV in endoscope check.

     

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