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维持性血液透析患者HCV抗体阳转随访研究 被引量:1

A follow-up study on seroconversion to anti-HCV positive in maintenance hemodialysis patients
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摘要 目的了解某院维持性血液透析患者丙型肝炎病毒(HCV)抗体阳转情况。方法 2010年3月—2011年5月,对该院门诊和(或)病房进行持续性血液透析治疗,时间≥1个月的75例患者进行随访研究,随访时间为14个月。分为初始抗HCV阴性组(组1):2010年3月进入观察的32例患者;新入抗HCV阴性组(组2):之后陆续进入观察的43例患者。比较两组血液透析患者HCV感染情况。结果 75例维持性血液透析患者HCV阳性率为6.67%(5/75),组1新发阳性率为9.38%(3/32),组2新发阳性率为4.65%(2/43),两组比较,差异无统计学意义(χ2=0.645,P=0.361)。两组血液透析患者总抗HCV年阳转率为8.25%。结论该院维持性血液透析患者抗HCV年阳转率较高,需加强管理和防控。 Objective To observe the sequential prevalence rate of anti-HCV and the rate of seroconversion to an- ti-HCV positive for a year in maintenance hemodialysis (HD)patients, and evaluate the effect of prevention and con- trol measures. Methods From March 2010 to May 2011, 75 patients who received HD in a hospital for at least one month were followed up for 14 months. Patients were divided into 2 groups, group 1:32 patients were under observation from March 2010; group 2:43 patients were under observation subsequently. HCV infection in two groups were compared. Results The positive rate of HCV in 75 patients was 6. 67%(5/75). The positive in group 1 and group 2 was 9. 38 % (3/32) and 4. 65% (2/43) respectively, there was no significant difference between two groups (X2 = 0. 645, P〉0. 361). The yearly seroconversion rate to anti-HCV positive of two groups was 8. 25%. Conclusion HCV seroconversion rate in HD patients in this hospital is high, strict control and prevention measures for HCV- infected patients are of great importance for the prevention of HCV transmission among hemodialysis patients.
作者 王虹
机构地区 株洲市一医院
出处 《中国感染控制杂志》 CAS 2012年第6期441-443,共3页 Chinese Journal of Infection Control
关键词 血液透析 丙型肝炎 医院感染 感染控制 hemodialysis hepatitis C virus healthcare-associated infection infection control
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