援苏丹医疗队驻地某医院术前传染病检验结果及应对方式

Preoperative infectious disease test results and coping methods of a resident hospital in Sudan medical team

目的调查援苏丹医疗队某驻地医院术前传染病检验结果及应对方式。方法选取2018年11月至2019年2月某驻地医院门诊1389例需行手术治疗患者作为研究对象,术前常规对患者实施HBsAg,anti-HCV和anti-HIV检测。分析检查阳性的患者性别、病史、年龄构成,同时对门诊18~60岁需行手术治疗患者发放调查问卷300份,了解当地患者对传染病的认知状况。结果术前HBV、HCV和HIV感染率分别为7.85%、2.30%和0.50%;有手术、输血、生产史的患者占33.78%,其中HBsAg(+)患者占19.27%,anti-HCV(+)患者占71.88%,anti-HIV(+)患者占85.71%;术前HBV、HCV和HIV检查阳性患者主要集中于21~50岁年龄段;当地患者对三种传染病的认知程度均较低,对三种传染病一无所知的患者也占一定比例。结论在援外医疗的过程中加强对当地医务工作者的培训、严格贯彻传染病防控方案可以有效应对当地传染病疫情,切实保障援外医疗工作的开展。

Objective To investigate the preoperative infectious disease test results and coping methods of a resident hospital in Sudan medical team. Methods A total of 1 389 outpatients underwent surgery treatment from November 2018 to February 2019 in a resident hospital were selected as the research objects, before operation, HBsAg, anti-HCV and anti- HIV were routinely tested. The gender, medical history and age ratio of positive patients were analyzed, At the same time, three hundreds questionnaires were distributed to the outpatients aged 18-60 who needed surgical treatment to understand the cognitive status of infectious diseases among local patients. Results The preoperative infection rates of HBV, HCV and HIV were 7.85%, 2.30% and 0.50% respectively;the patients with history of operation, blood transfusion and production accounted for 33.78%, of which 19.27% were HBsAg (+), 71.88% were anti-HCV (+), and 85.71% were anti-HIV (+);preoperative HBV, HCV and HIV positive patients mainly concentrated in the 21-50 age group;the local patients have a low awareness of the three infectious diseases, and a certain proportion of them have no knowledge of the three infectious diseases. Conclusion In the process of foreign medical assistance, strengthening the training of local medical workers and strictly implementing the prevention and control program of infectious diseases can effectively deal with the epidemic situation of local infectious diseases and effectively guarantee the development of foreign medical assistance.