2003-2005年莱阳市食品、公共场所从业人员乙肝病毒感染分析

Analysis of HBV Infection in Food Practitioners and Workers from Public Places in Laiyang City from 2003 to 2005

[目的]了解食品、公共场所从业人员后乙肝病毒感染情况。[方法]分析2003～2005年食品、公共场所从业人员的体检资料，HBsAg检测为RPHA法初筛后，采用酶联免疫吸附试验（ELISA法）确认，HBsAg阳性者进行检测HBeAg（EIA法）。[结果]HBsAg阳性率，2003年为5．41％（1276／23596），2004年为5．13％（1597／31136），2005年为3．97％（1344／33860）；男性为5．10％（1597／31303），女性为4．57％（2618／57284）；17～19岁年龄组阳性率最高为6．09％（1581／26058）；不同职业人群之间HBsAg阳性率以食品加工业的HBsAg阳性率最高，为5．28％（3405／64532）；HBsAg阳性者HBeAg检出率为45．58％，并随着HBsAg滴度的升高而升高。[结论]HBsAg及HBeAg阳性者即双阳者对人群的危害极大，具有较强的传染性，应及时调离。

[Objective]To understand the status of HBV infection in food practitioners and workers from public places. [Methods]Data of physical examination for food practitioners and workers from public places were analyzed. After screening of HBsAg with RPHA,then conformed by enzyme linked immunosorbent assay （ELISA）. HBeAg was tested for HBsAg positive person （EIA）. [Results]The positive rate of HBsAg was 5.41% （1 276/23 596） ,5.13% （1 597/31 136） and 3.97% （1 344/33 860） in 2003,2004 and 2005 respectively,5.10% in male（1 597/31 303） and 4.57% in female （2 618/ 57 284）. The highest positive rate was 6.09% （1 581/26 058） in the age group from 17 to 19 years old. Compared with other practitioners,the highest HBsAg positive rate was 5.28% （3 405/64 532） in food practitioners. The positive rate of HBeAg for HBsAg positive persons was 45.58%. It went up along with the raising of titer. [Conclusion]The people can be infected by the persons with both HBsAg and HBeAg positive so their work must be readjusted.