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目的了解本辖区从业人员中甲型肝炎病毒(HAV)和戊型肝炎病毒(HEV)的感染情况,以便更有效地防止甲型肝炎病毒和戊型肝炎病毒的传播。方法 2011年-2013年对辖区内84 990名从业人员进行抗甲型肝炎病毒Ig M抗体和抗戊型肝炎病毒Ig M抗体检测,同时对Ig M抗体阳性标本进行抗甲型肝炎病毒Ig G抗体和抗戊型肝炎病毒Ig G抗体检测,并对想继续从事服务行业的阳性人员进行Ig M抗体复检,同时皆做Ig G抗体检测,直到Ig M抗体不能检出时发放健康证明。结果 2011年-2013年从业人员中HAV感染率为0.061%,HEV感染率为0.16%,两者差异有统计学意义(P>0.05);抗甲型肝炎病毒Ig M抗体阳性转阴复检次数最多为5次,抗戊型肝炎病毒Ig M抗体阳性转阴复检次数最多为6次。结论 HEV感染率明显高于HAV感染率。加强对甲型肝炎病毒和戊型肝炎病毒Ig M抗体阳性从业人员的管理,提高从业人员的卫生意识,严格控制甲型肝炎病毒和戊型肝炎病毒的传播途径。
Objectives To understand the prevalence of Hepatitis A virus (HAV) and Hepatitis E virus (HEV) among practitioners in this area in order to prevent the spread of Hepatitis A and Hepatitis E viruses more effectively. Methods From 2011 to 2013, 84 990 practitioners in the area were tested for anti-hepatitis A virus Ig M and anti-hepatitis E virus Ig M antibodies. At the same time, anti-hepatitis B virus Ig G antibody And anti-hepatitis E virus Ig G antibody testing, and IgM antibody re-examination of those who want to continue to serve the service industry, and IgG antibody testing until Ig M antibodies can not be detected when issued health certificates. Results In 2011-2013, the infection rate of HAV was 0.061% and the infection rate of HEV was 0.16%, the difference was statistically significant (P> 0.05). The positive rate of anti-hepatitis A virus IgM antibody negative retest Up to 5 times, anti-hepatitis E virus Ig M positive negative retest number up to 6 times. Conclusion The infection rate of HEV is obviously higher than that of HAV infection. Strengthen the management of hepatitis A virus and hepatitis E virus Ig M antibody-positive practitioners to improve the health awareness of practitioners, and strictly control the transmission of hepatitis A and hepatitis E virus.