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目的了解综合医院住院患者血源性传播感染因子的检出情况,为临床医护人员和医院管理者预防医务人员职业暴露和创建安全环境和条件提供参考。方法回顾性统计了2014年5月-2015年2月某院临床科室阳性检出HBs Ag、抗HCV、抗TP、抗HIV血源性感染因子上报传染病信息系统并经专职传染病管理员审核合格的资料。结果共检测出阳性病例559例,其中HBs Ag阳性病例430例(占76.92%),抗HCV阳性病例86例(占15.38%),抗TP阳性病例38例(占6.80%),抗HIV阳性病例5例(占0.89%);除抗TP阳性感染者女性多于男性外,其他阳性感染者均男性多于女性;感染人群除抗HIV阳性以20~40岁居多,其他感染人群主要集中在40~60岁的人群;37.92%的阳性感染病例分布在内科,20.93%分布在外科,15.74%分布在妇产科,15.21%分布在肿瘤科。结论血源性传播疾病在综合医院住院患者中占有一定的比例,医院管理者和医务人员都应高度重视医务人员职业安全,严格相关知识和技能的培训与考核,适时评估患者血源性疾病情况,畅通信息沟通渠道,共建医务人员职业安全屏障。
Objective To understand the detection of blood-borne STIs in inpatients in general hospitals, and to provide reference for clinicians and hospital managers in preventing occupational exposure and creating a safe environment and conditions for medical personnel. Methods The clinical data of HBsAg, anti-HCV, anti-TP, anti-HIV blood-borne infectious agents were detected retrospectively from May 2014 to February 2015 in a hospital, and were reported to the Infectious Disease Information System Qualified information. Results A total of 559 positive cases were detected, of which 430 (76.92%) were HBsAg-positive, 86 (15.38%) were anti-HCV positive, 38 were anti-TP positive 5 cases (accounting for 0.89%). In addition to anti-TP positive infection more women than men, other than positive men were more than women; infected people except HIV-positive 20 to 40-year-old majority of other infections were mainly concentrated in 40 ~ 60 years of age; 37.92% of the cases of positive infection in the medical, 20.93% in surgical, 15.74% in obstetrics and gynecology, 15.21% in oncology. Conclusions Blood-borne STDs occupy a certain proportion of hospitalized patients in general hospitals. Hospital administrators and medical staffs should attach great importance to the training and assessment of occupational safety and strict knowledge and skills of medical personnel, and timely evaluate the blood-borne diseases of patients , Smooth communication channels, build a total medical staff occupational safety barrier.