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目的调查骨外科手术前患者人类免疫缺陷病毒(HIV)、乙肝表面抗原(HBsAg)、丙型肝炎抗体(HCV)及梅毒抗体(抗TP)4项传染病指标的感染情况,为进一步规范医院感染防控工作,强化医务人员自我防护意识提供依据。方法通过查阅2013年1月至2014年12月接受手术的1 319例出院患者病历进行汇总分析,统一采用ELISA法对抗-HIV、HBsAg、抗-HCV、抗-TP进行检测。结果在1 319例手术前患者检测中,总阳性68例,阳性率为5.16%;其中抗-HIV阳性1例,阳性率为0.08%;HBsAg阳性48例,阳性率为3.64%;抗-HCV阳性13例,阳性率为0.99%;抗-TP阳性6例,阳性率为0.45%。结论尽管手术前患者传染病指标阳性率不高,但强化传染病指标阳性病人预防控制措施的落实,提高医护人员防护意识,从而降低医院感染发生,因此手术前传染病筛查很有必要。
Objective To investigate the infection status of four infectious disease indicators of human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) and syphilis antibody (anti-TP) Prevention and control work, to strengthen the self-protection awareness of medical personnel to provide the basis. Methods A total of 1 319 discharged patients undergoing surgery between January 2013 and December 2014 were analyzed retrospectively and anti-HIV, HBsAg, anti-HCV and anti-TP were detected by ELISA. Results Among the 1 319 preoperative patients, 68 were positive, the positive rate was 5.16%. The anti-HIV positive rate was 0.08%, the positive rate was 3.64% Positive in 13 cases, the positive rate was 0.99%; anti-TP positive in 6 cases, the positive rate was 0.45%. Conclusions Although the positive rate of infectious diseases before surgery is not high, it is necessary to strengthen the prevention and control measures for patients with positive indicators of infectious diseases and raise the awareness of protection for medical staff so as to reduce the incidence of nosocomial infections.