摘要
目的为了解该地区精神科住院患者HBsAg、HCV、TP、HIV等4种传染病标志物检测结果变化趋势及分布特点,为相关医疗机构对4种传染病的防治及院感防控提供依据。方法回顾性统计2013年1月—2017年12月间该院8433例精神科住院患者4种传染病标志物检测结果变化情况及阳性患者(HIV抗体阳性者已经过本县疾控中心确认)的分布特点;HIV、TP、HCV以术前患者作为对照组,HBsAg以体检者作为对照组,比较其结果变化趋势及阳性病例分布特点。结果2013—2017年,HBsAg、抗-HCV、抗-HIV和抗-TP阳性率分别为6.55%、0.77%、0.78%和3.87%。TP、HCV、HBsAg感染呈逐年下降趋势,HIV感染率在0.71%~0.99%之间,2013—2017年HBsAg阳性率、抗-TP阳性率精神科住院患者均比对照组高,且率差异有统计学意义(χ^2=3.842、3.886,P=0.049、0.048<0.05)。女性感染率较男性低,TP、HCV、HBsAg男女阳性感染率呈逐年下降趋势,精神科男性患者HIV感染率在1.03%,精神科女性患者HIV感染率在0.56%。结论加强精神科住院患者传染病的筛查力度,加大精神科封闭病房传染病防治的相关基础建设和患者安全管理,对阳性患者采取有效的隔离和治疗措施,加强院感督查,保证患者安全有重要意义。
Objective This study is to understand the trends and distribution characteristics of detection results of four infectious disease markers such as HBsAg, HCV, TP and HIV in psychiatric inpatients in this area, and to prevent and treat four infectious diseases and related hospitals in relevant medical institutions control and to provide the basis. Methods Retrospectively reviewed the changes in the detection results of 4 infectious disease markers in 8 433 psychiatric inpatients from January 2013 to December 2017 and the distribution characteristics of positive patients (HIV positive patients have passed the county CDC confirmation): HIV, TP, HCV were preoperatively used as the control group, and HBsAg was used as the control group. The trend of the results and the distribution characteristics of the positive cases were compared. Results In 2013 to 2017, the positive rates of HBsAg, anti-HCV, anti-HIV and anti-TP were 6.55%, 0.77%, 0.78% and 3.87%, respectively. The infections of TP, HCV and HBsAg showed a downward trend year by year. The HIV infection rate was between 0.71% and 0.99%. The positive rate of HBsAg positive rate and anti-TP positive rate in the psychiatric hospital in 2013 to 2017 were higher than those in the control group, and the difference was statistically significant, with academic significance (χ^2=3.842, 3.886, P=0.049, 0.048 < 0.05). The female infection rate was lower than that of males. The positive infection rate of male and female TP, HCV and HBsAg decreased year by year. The HIV infection rate of psychiatric male patients was 1.03%, and the HIV infection rate of psychiatric female patients was 0.56%. Conclusion To strengthen the screening of infectious diseases in psychiatric hospitalized patients, increase the related infrastructure and patient safety management of infectious diseases in psychiatric closed wards, take effective isolation and treatment measures for positive patients, strengthen the supervision of hospitals, and ensure patients safety is important.
作者
李艳萍
张云桥
张保生
LI Yan-ping;ZHANG Yun-qiao;ZHANG Bao-sheng(Department of Psychiatry and Mental Health,Kunming Medical University,Kunming,Yunnan Province,650500 China;Department of Clinical Laboratory,Second People's Hospital of Honghe Prefecture,Honghe,Yunnan Province,654300 China)
出处
《中外医疗》
2019年第11期40-42,共3页
China & Foreign Medical Treatment
关键词
精神科
住院患者
传染病
感染
Psychiatry
Inpatients
Infectious diseases
Infection
