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目的为控制HBV慢性携带者进入航校提供对策,对应招飞行学员中HBsAg阴性者的HBV感染情况及对HBV的免疫状态作一探讨。方法用ELISA法检测HBsAg、抗-HBs、抗-HBc、HBeAg、抗-HBe,用聚合酶链反应(PCR)检测HBV-DNA。结果HBsAg阴性应招飞行学员中抗-HBs阳性206/962例(27.6%),抗HBc阳性229/962例(22.8%),HBeAg阳性0/450例,抗HBe阳性3/450例(0.67%),HBV-DNA阳性15/228例(6.6%)。HBV-DNA阳性主要集中在单一抗HBc阳性者中14/75例(18.7%)。获得HBV免疫者为34.0%。结论在应招飞行学员中对单一抗HBc阳性者应做HBV-DNA检测,未获HBV免疫者应接种乙肝疫苗
Objective To provide a countermeasure for controlling the chronic carriers of HBV to enter the school of navigation, corresponding to the HBV infection among HBsAg-negative students who entertained the pilots and to investigate the immune status of HBV. Methods HBsAg, anti-HBs, anti-HBc, HBeAg and anti-HBe were detected by ELISA. HBV-DNA was detected by polymerase chain reaction (PCR) Results HBsAg negative students should fly flight 206/962 (27.6%) positive anti-HBc positive 229/962 (22.8%), HBeAg positive 0/450 cases anti-HBe positive 3/450 cases (0.67%), HBV DNA positive 15/228 cases (6.6%). HBV-DNA positive was mainly concentrated in 14/75 cases (18.7%) of single anti-HBc positive. Obtained HBV immunization was 34.0%. Conclusions The HBV-DNA test should be done on the single anti-HBc positive students who should fly in the flight, and the hepatitis B vaccine