血源性感染监测指标选择探讨

Test of Standard Battery with Posttransfusion Infection in Nosocomial Infection

目的 探讨血源性感染监测指标选择及预防医院感染的途径。方法 回顾性研究自1992～2001年间,对成品血液随机抽测艾滋病抗体（HIV）、丙肝病毒抗体（HCV）、乙肝表面抗原（HBsAg）及国家未规定的乙肝表面抗体（HBsAb）、乙肝e抗原（HBeAg）、乙肝e抗体（HBeAb）、乙肝c抗体（HBcAb）测定,共13 696份,按国家3种不同规定检测标准的各个时期进行分别统计。结果 开展检测前阳性率:HIV0.008％;HCV4.87％;开展检测后至双检前阳性率:HIV0％、HCV0.99％、HBsAg0.70％;开展双检后阳性率:HIV0％、HCV0.37％、HBsAg0.42％、HBsAb、HBeAg、HBeAb、HBcAb总阳性率为35.29％。结论 加强 HIV、HCV及 HBsAg及 HBcAb血源性感染指标的监测,能更好的控制医院感染的发生。

OBJECTIVE To investigate and to establish the donated blood test items with posttransfusion infection in nosocomial infection. METHODS From 1992 to 2001, according the difference tests of standard battery, the donated blood was re-tested for HIV antibody, HCV antibody and HBsAg and at the same time, the other not stipulated items such as HBsAb, HBeAg, HBeAb, HBcAb were also tested. RESULTS The percent of posi-tivithy before test: HIV was 0. 008% ; HCV 4. 87% ; during test and retest: HIV was 0% ; HCV 0. 99% ; HBsAg 0. 70%, after retest: HIV was 0% ; HCV0. 37%; HBsAg0. 42 and HBsAb, HBeAg, HBeAb, HBcAb totally was 35. 29%. CONCLUSIONS To establish the standard battery of tests was important for posttransfusion infection in nosocomial infection.