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目的了解新罗区食品和公共场所人员甲肝、戊肝的感染状况,为防治提供依据。方法对新罗区2011—2013年食品和公共场所从业人员健康体检,用ELISA方法检测HAV-IgM、HEV-IgM,分析检测结果。结果2011—2013年共检测业人员41 258人次,HEV-IgM阳性率(0.17%)高于HAV-IgM(0.11%)。HAV-IgM阳性率女性高于男性,HEV-IgM阳性率男女差异无统计学意义。感染主要在≥20岁年龄组,HAV-IgM阳性率随年龄增长而增高,HEV-IgM阳性率各年龄组无明显差异。结论新罗区2011—2013年从业人员甲肝、戊肝感染率均高于全国及福建省平均水平,且均为隐性感染,建议从业人员体检时应同时检测ALT、HAV-IgM、HEV-IgM以避免漏检;必要时应接种疫苗;应加强监督,防止甲肝、戊肝暴发流行。
Objective To understand the status of hepatitis A and hepatitis E infection in food and public places in Xinluo District and provide the basis for prevention and treatment. Methods The HAV-IgM and HEV-IgM were detected by enzyme-linked immunosorbent assay (ELISA) in the health workers of food and public places in Xinluo District from 2011 to 2013, and the results were analyzed. Results A total of 41,258 persons were examined in 2011-2013. The positive rate of HEV-IgM (0.17%) was higher than that of HAV-IgM (0.11%). HAV-IgM positive rate in women than in men, HEV-IgM positive rate was no significant difference between men and women. The infection was mainly in the age group of 20 years old, the positive rate of HAV-IgM increased with age, the positive rate of HEV-IgM no significant difference in all age groups. Conclusion The infection rates of hepatitis A and hepatitis E among practitioners in Xinluo District from 2011 to 2013 were all higher than those of the whole country and Fujian Province, and all of them were latent infection. It is suggested that ALT, HAV-IgM and HEV-IgM In order to avoid missed inspection; if necessary, should be vaccinated; supervision should be strengthened to prevent hepatitis A, hepatitis E outbreak.