徐州地区医院医务人员幽门螺杆菌感染的流行病学调查

The Investigation of the Epidemioiogy of HP Infection Among Medical Affairs Person in XuZhou area

为了解临床医护人员的血清HP抗体阳性率;了解人群中HP感染率,探讨幽门螺杆菌感染的传播途径。对200名临床医护人员,145例非临床医务人员及201例消化科病人共546例应用酶联法测定血清HP抗体。结果发现临床医护人更血清HP抗体阳性率高于非临床医务人员血清HP抗体阳性率,几乎接近于消化科住院病人血清HP抗体阳性卑,有消化不良症状者的血清HP抗体阳性率高于无消化不良症状者血清HP抗体阳性率,有消化性溃疡家族密切接触史者成员的血清HP抗体阳性率高于无消化性溃疡家族史者的血清HP抗体阳性率。(1)临床医护人员与病人密切接触是易受HP感染的高危人群,提示HP通过口—口或粪——口途径传播。(2)HP感染与症状有关。(3)HP可能在家庭中或配偶间交叉感染或两者来自同一感染。

To explore the way of Helicobacter Pylori (HP) infection, by investigating the positive rate of HP of clinical persons who were contancted nearly with patients. 200clinical persons, 145 normal no——clinical persons and 201 patients with digest desease were taken as studing subject whose blood serum was taken HP antibody test by ELISA method. Result Showed The positive rate of HP in clinical persons was higher than that of no——clinical persons and nearly equal to that of patients with digest disease. The positive rate of HP in patients with digest disease and persons who nearly contanted with persons having ulcer disease family history was higher than that of no digest disease family history. (1)Clinical persons who nearly contanted with patients mere high risk population. The way of HP infection was mouth to stool or mouth to mouth. (2)The infection of HP was related to digest symptom. (3) The infection of HP may be in family or spouse or cross infection, and may be the same infection origin.