摘要
目的 :了解粤东地区不同人群丙型肝炎病毒 (HCV)感染情况 ,探讨HCV感染途径。方法 :运用酶联免疫吸附试验 (ELISA)及荧光定量聚合酶链式反应 (FQ -PCR)检测不同人群血清中抗 -HCV及HCV -RNA。结果 :抗 -HCV阳性率在一般人群中为 0 89% (5 8/ 6 4 6 8) ;医护人员 2 93% (5 / 171) ;乙型肝炎病人11 5 % (47/ 4 10 ) ;普通孕妇 0 93% (17/ 1836 ) ,其中 12例HCV -RNA阳性 ,所生 12名婴儿 2名阳性 ,母婴传播率 16 7% ;血液透析病人 5 1 4 % (5 4 / 10 5 ) ,其中有输血史的 5 8% (5 1/ 88) ,无输血史的 17 7% (3/ 17) ,两者有极显著性差异 (χ2 =7.72 ,P <0 .0 1)。结论 :血途径是HCV感染的主要传播途径。母婴传播及医务人员的被感染值得重视。
Objective To investigate the HCV infection rate and the route of transmission among different population groups in Eastern Gruangdong province. Methods Anti HCV was detected with ELISA and HCV-RNA with FQ-PCR in selected population groups in Easten Guangdong (total 8990 subjects). Results The anti-HCV positive rates for general population, pregnant women, medical personnel, hepatitis B patients and patients on hemodialysis (HD) were: 0.89%(58/6468), 0.93%(17/1836), 2.93%(5/171), 11.5%(47/410) and 51.4%(54/105) respectively. Twelve of the 17 anti-HCV pasitive mothers were found to be HCV-RNA positive and two of the 12 infants were also HCV-RNA positive: a mother-to-infant transmission rate of 16.7%. In MD patients, anti HCV positive rate in those with history of tranfusion and those without transfusion was 58% and 17% respectively, the difference being significant (P<0.01). Conclusion Blood transmission was the main route for HCV infection transmission and mother-to-infant transmission as well as infections in medical personnels should be of great concern.
出处
《放射免疫学杂志》
CAS
2004年第6期471-473,共3页
Journal of Radioimmanology
