海南省13616例住院精神病患者HBV、HCV、TP和HIV感染分析
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摘要
目的了解海南省住院精神病人乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒(TP)及艾滋病病毒(HIV)感染情况,为该人群传染病的管理医治提供依据。方法对2013—2017年在海南省安宁医院首次入院的精神病患者采集血样,进行HIV、HBV、HCV和TP血清学检测。结果 2013—2017年共检测首次入院患者13 616人,HBsAg阳性2 634例,阳性率为19.35%;丙肝抗体阳性355例,阳性率为2.61%;梅毒抗体阳性251例,阳性率为1.84%;HIV抗体阳性3例,HIV阳性率为0.002%,在男性组与女性组比较中,HBsAg和HCV抗体阳性率差异均有统计学意义(P<0.05),其他各项差异均无统计学意义(P>0.05)。结论这4种传染病在精神病人群内均有发生,感染以HBV感染为主,其次是HCV和TP,HIV占很少数;对于精神病人入院时需做好相关传染病的筛查,做到早发现、早诊断、早治疗,避免传染病的传播。
Objective To understand the infection status of hepatitis B virus(HBV), hepatitis C virus(HCV), syphilis(TP) and AIDS virus(HIV) in hospitalized psychiatric patients in Hainan Province, and to provide a basis for the management and treatment of infectious diseases in this population. Methods Blood samples were collected from psychiatric patients who were first admitted to Anning hospital of Hainan Province from 2013 to 2017 and tested for HIV, HBV, HCV and TP serology.Results From 2013 to 2017, a total of 13 616 patients who were first admitted were tested, with 2 634 HBsAg positive cases and a positive rate of 19.35%.There were 355 cases with positive HCV antibody, and the positive rate was 2.61%.There were251 cases with positive syphilis antibody, and the positive rate was 1.84%.The positive rate of HIV antibody was 0.002% in 3 cases, and the difference of HBsAg and HCV antibody positive rate was statistically significant(P<0.05) in the comparison between the male group and the female group, while the other differences were not statistically significant(P>0.05).Conclusion All these four infectious diseases occurred in the psychiatric population, mainly HBV infection, followed by HCV and TP, HIV are rare.When mentally ill patients are admitted to hospital, they should be screened for relevant infectious diseases. Early detection, early diagnosis and early treatment are ensured to avoid the spread of infectious diseases.
Objective To understand the infection status of hepatitis B virus(HBV), hepatitis C virus(HCV), syphilis(TP) and AIDS virus(HIV) in hospitalized psychiatric patients in Hainan Province, and to provide a basis for the management and treatment of infectious diseases in this population. Methods Blood samples were collected from psychiatric patients who were first admitted to Anning hospital of Hainan Province from 2013 to 2017 and tested for HIV, HBV, HCV and TP serology.Results From 2013 to 2017, a total of 13 616 patients who were first admitted were tested, with 2 634 HBsAg positive cases and a positive rate of 19.35%.There were 355 cases with positive HCV antibody, and the positive rate was 2.61%.There were251 cases with positive syphilis antibody, and the positive rate was 1.84%.The positive rate of HIV antibody was 0.002% in 3 cases, and the difference of HBsAg and HCV antibody positive rate was statistically significant(P<0.05) in the comparison between the male group and the female group, while the other differences were not statistically significant(P>0.05).Conclusion All these four infectious diseases occurred in the psychiatric population, mainly HBV infection, followed by HCV and TP, HIV are rare.When mentally ill patients are admitted to hospital, they should be screened for relevant infectious diseases. Early detection, early diagnosis and early treatment are ensured to avoid the spread of infectious diseases.
引文
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[7]时丽,姚尚武.5031例精神病患者乙型肝炎血清学标志物检测结果分析[J].标记免疫分析与临床,2010,17(3):152-154.
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[10]潘鹏克,蒙仁玖,韦礼华,等.神经梅毒的诊治研究进展[J].中国医学工程,2012,20(5):186-187.
[11]姚素华,罗红丽,武有聪.以中枢神经系统症状为首发表现的30例艾滋病病例[J].中国热带医学,2018,18(10):1058-1060.
[12]张红,熊勇,高世成等.艾滋病合并中枢神经系统病变的临床分析[J].中华实验和临床感染病杂志(电子版),2015,9(2)46-50.
[13]潘锡龙,吴瑞萍,何淑玲.中山市住院精神病患者HIV、HBV、HCV和梅毒螺旋体感染血清学调查[J].现代预防医学,2014,41(13):2443-2456.
[14]费静霞,曹珍珍.老年精神病患者医院泌尿道感染目标性监测及危险因素分析[J].中华医院感染学杂志,2011,21(16):3375-3376.
[2]李东兰,刘敏东.精神专科医院法定报告传染病疫情分析[J].社区医学杂志,2011,9(22):21-23.
[3]熊日先.对精神病住院患者进行艾滋病检测的必要性及其对策[J].中国民康医学,2011,23(22):2807-2808.
[4]陈慧文,孙乐成,刘军安.海南省精神卫生服务现状与对策研究[J].海南医学,2015,26(5):761-764.
[5]王淑芹,季云燕,黄慧.2010年某区法定报告传染病疫情分析[J].中国医药指南,2011,9(35):340-342.
[6]余忠清,胡丽华,刘峰,等.输血前同时检出抗-HIV、抗-HCV及HBV[J].中国输血杂志,2004,17(3):192.
[7]时丽,姚尚武.5031例精神病患者乙型肝炎血清学标志物检测结果分析[J].标记免疫分析与临床,2010,17(3):152-154.
[8]何杏梅.住院精神病人乙肝病毒感染情况调查[J].中国民康医学,2005,17(9):516.
[9]柯吴坚,杨斌(译).2015美国疾病控制中心性传播疾病(梅毒)治疗指南[J].皮肤性病诊疗学杂志,2015,22(4):343-344.
[10]潘鹏克,蒙仁玖,韦礼华,等.神经梅毒的诊治研究进展[J].中国医学工程,2012,20(5):186-187.
[11]姚素华,罗红丽,武有聪.以中枢神经系统症状为首发表现的30例艾滋病病例[J].中国热带医学,2018,18(10):1058-1060.
[12]张红,熊勇,高世成等.艾滋病合并中枢神经系统病变的临床分析[J].中华实验和临床感染病杂志(电子版),2015,9(2)46-50.
[13]潘锡龙,吴瑞萍,何淑玲.中山市住院精神病患者HIV、HBV、HCV和梅毒螺旋体感染血清学调查[J].现代预防医学,2014,41(13):2443-2456.
[14]费静霞,曹珍珍.老年精神病患者医院泌尿道感染目标性监测及危险因素分析[J].中华医院感染学杂志,2011,21(16):3375-3376.