住院流浪精神病患者乙肝、丙肝、梅毒、艾滋病感染分析

Analysis the infection of HBV,HCV,syphilis and HIV in hospitalized vagrant mental patients

目的了解流浪精神病患者乙肝、丙肝、梅毒、艾滋病的感染情况,对疾病的预防和治疗提供参考依据。方法采用ELISA法对HBsAg、HCV抗体、HIV抗体、梅毒抗体进行检查。对HIV抗体初筛试验阳性对象进行复检,并送长沙市疾控中心进行确认;对梅毒抗体阳性者,加做快速血浆反应素环状卡片试验(RPR),并进行滴度检测。结果流浪精神病患者乙肝、丙肝、梅毒、艾滋病感染率分别为:12.47%、1.67%、3.11%、0.71%。结论流浪精神病患者乙肝、丙肝、梅毒、艾滋病都有感染,以感染乙肝和梅毒为主,是感染梅毒和乙肝的高发人群,应在该人群中加强健康宣教并积极进行传染病的检测,及时救治,保障患者生命安全。

Objective To analysis the infection of HBV,HCV,syphilis and HIV in vagrant mental patients,and to provide reference for disease prevention and treatment.Methods HBsAg,HCV antibody,HIV antibody and syphilis antibody(TP)were detected by ELISA;HIV antibody screening test was conducted,and the positive subjects were rechecked,and sent to Changsha CDC for confirmation;syphilis antibody(TP)positive subjects were detected by RPR,and syphilis RPR was detected by titer.Results The infection of HBV,HCV,syphilis and HIV were 12.47%,1.67%,3.11%and 0.71%respectively.Conclusion Vagrant mental patients infected HBV,HCV,syphilis and HIV,mainly infected with HBV and syphilis.Vagrant mental patients is a high incidence population infected with syphilis and hepatitis B.In this population,we should strengthen health education and actively carry out the detection of infectious diseases,timely treat and protect the life safety of patients.