患者输血前感染性指标的临床检测价值分析

发布时间：2018-01-09 23:18

本文关键词：患者输血前感染性指标的临床检测价值分析　出处：《中华医院感染学杂志》2016年16期 　论文类型：期刊论文

【摘要】：目的探讨输血前4项感染性指标临床检测价值,为降低临床输血感染率提供依据。方法分析2014年2月-2015年2月医院3 568例需输血手术治疗患者的临床资料,患者于输血前采集静脉血检测乙型肝炎表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、人类免疫缺陷病毒抗体(抗-HIV1/2)、苍白密螺旋体抗体(TP-Ab)4项指标,对检测结果进行总结,并对其临床价值进行分析。结果 3 568例患者中检出HBsAg阳性302例,阳性率8.46%,抗-HCV阳性38例,阳性率1.07%,TP-Ab阳性31例,阳性率0.87%,抗-HIV1/2阳性11例,二次确认检测阳性9例,阳性率0.25%;传染科、肿瘤科患者HBsAg阳性率、抗HCV阳性率显著高于总阳性率(P0.05),内科、外科、传染科TP-Ab阳性率显著高于总阳性率(P0.05),传染科抗-HIV1/2阳性率显著高于总阳性率(P0.05)。结论临床患者输血前进行4项感染性指标检测可有效减少患者和医护人员医院感染发生,避免不必要的医疗纠纷。
[Abstract]:Objective to explore the clinical value of four infectious indexes before blood transfusion. Methods the clinical data of 3 568 patients undergoing blood transfusion from February 2014 to February 2015 were analyzed. Venous blood samples were collected before blood transfusion for detection of HBsAg, anti-HCV antibody and anti-HIV1 / 2 antibody (anti-HIV1 / 2). The detection results were summarized and its clinical value was analyzed. Results 302 of 3 568 patients were positive for HBsAg. The positive rate was 8.46%, the positive rate of anti-HCV was 38 cases, the positive rate was 1.07% TP-Ab in 31 cases, the positive rate was 0.87%, the positive rate was 0.87%, and the positive rate of anti-HIV1 / 2 was 11 cases. The positive rate was 0.25% in 9 cases. The positive rate of HBsAg and anti HCV in infectious department and oncology department were significantly higher than that in total positive rate (P 0.05). The positive rate of TP-Ab in infectious department was significantly higher than that of total positive rate (P0.05). The positive rate of anti-HIV1 / 2 in infectious department was significantly higher than that of total positive rate (P0.050.Conclusion the detection of 4 infectious indexes before blood transfusion in clinical patients can effectively reduce the nosocomial infection of patients and medical staff. Avoid unnecessary medical disputes.
【作者单位】：重庆市黔江中心医院输血科;
【基金】：重庆市卫计委面上基金资助项目(20142151)
【分类号】：R457.1
【正文快照】： 输血是治疗临床患者重度缺血、血小板缺乏等疾病的重要手段,同时也是医源性感染传播的主要方式之一[1-2]。近年来,临床不少临床输血患者因发生感染引发医患纠纷,为保证输血安全并减少医疗纠纷事件的发生,可在患者输血前进行一定的检查有助于了解患者感染状况[3]。包括乙型肝炎

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