创伤性检查前感染性标志物检测的临床意义

Clinical significance of testing infectious markers before traumatic examination

目的探讨创伤性检查前患者乙型肝炎病毒(HBV)、甲型肝炎病毒(HAV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)、艾滋病病毒(HIV)的感染状况。方法采用酶联免疫吸附试验检测HBsAg、HAV-IgM、抗-HCV、抗-TP、抗-HIV。结果 7403例患者中HBsAg阳性18.30%、抗-HAV阳性0.27%、抗-HCV阳性1.28%、抗-TP阳性2.48%、抗-HIV阳性0.22%。结论将HBsAg、HAV-IgM、抗-HCV、抗-TP、抗-HIV作为创伤性检查前必查项目,有利于避免医源性传染及医疗纠纷的发生,防止医务人员的职业感染,保证医疗安全。

Objective To investigate the infection status of hepatitis B virus（HBV）,hepatitis A virus（HAV）,hepatitis C virus（HCV）,Treponema pallidum（TP）and AIDS virus（HIV）in the patients before the traumatic examination.Methods The enzyme-linked immunosorbent assay was used to detect HBsAg,HAV-IgM,HCV-Ab,TP-Ab and HIV-Ab.Results Among 7 403 patients,the positive rate of HBsAg accounted for 18.30%,HAV-IgM 0.27%,HCV-Ab 1.28%,TP-Ab2.48%,anti-HIV antibodies 0.22%.Conclusion HBsAg,HAV-IgM,HCV-Ab,TP-Ab and HIV-Ab as the project must be examined before the the traumatic examination will help to avoid iatrogenic infection and occurrence of medical disputes,and prevent occupational infection of medical staff to ensure the medical safety.