2007-2008年贵州省医疗和采供血机构HIV感染者检测确证结果分析

Analyses of confirm detection on HIV infected people at hospital and blood collecting and supplying agencies in 2007 and 2008

目的了解医院一般就诊人群和献血(浆)员HIV感染率,为医院和采供血机构艾滋病预防提供理论依据。方法对328份省内各医疗和采供血机构HIV初筛实验室2007-2008年间所送确证标本进行免疫印迹确证试验(WB),并对结果进行分析。结果328份初筛阳性标本经WB确认,242份为确证阳性,占73.78%,其中在青壮年中占绝大多数,并在各类就诊人群和献血(浆)员中均有分布,同时有210份(占86.78%)出现8条以上的WB阳性带型结果,P24抗原和外膜抗原成分阳性率最高,分别达100%和99.45%。结论当前医院和采供血机构应加强工作人员的防艾意识,防止从业人员职业暴露,并采取积极有效的检测和防控措施,以遏制艾滋病的医源性蔓延,确保血液制品和输血的安全。

Objective To find out HIV infection rate in normal examination people and donation blood people at hospital, provide theory foundation for prevention HIV of hospital and blood collecting and supplying agencies. Methods To carry out immunoblot confirmatory test（WB） in three hundred twenty eight samples of medical treatment and blood collecting and supplying agencies in GuiZHou province from 2007 to 2008, analyze the results. Results Two hundred forty two samples which hold 73. 78% are positive in three hundred twenty eight samples which are carried out WB confirmatory test. And young adults who occupy most of positive samples are distributed in every donation blood and examination group. Two hundred ten samples（occupying 86. 78%） have more than eignt strips in WB postive results, The postive rate of P24 antigen and envelope antigen is the highest, one is 100% and the other is 99. 45%. Conclusion At present hospitals and blood collection agencies should enhance staff awareness of AIDS, to prevent occupational exposure, to take active and effective detection and prevention and control measures, to curb the spread of AIDS, to ensure the safety of blood products and blood transfusion.