摘要
目的提高出入境人员中梅毒患者的检出率,并且给予患者指导和教育,提高人们健康观念和自我防护意识。方法采用ELISA法检测1581名出入境人员标本中的梅毒指标、阳性结果,同时采用TRUST法复检和TPPA法确认,对患者进行流行病学调查,了解其感染情况。结果目前口岸梅毒监测工作主要存在三方面问题:按现行检验规程若单一采用非特异性梅毒螺旋体抗原试验作为初筛方法,容易造成梅毒患者漏检;由于漏检使患者忽视疾病的潜在危害,延误治疗;患者对性病知识认识不深,自我防范意识差,增大传染病传播的风险。结论口岸梅毒监测的血清学试验应以ELISA法作筛查,阳性结果以TPPA法确认和TRUST法判断传染性,对于患者应给予治疗建议,加强性病知识宣传教育,以提高检验检疫部门的传染病监测工作质量。
Objective To improve the finding rate of positive cases among the entry-exit people, and boost people＇s attention to self-protection by our guidance and education to them. Methods 1 581 entry-exit people were tested by ELISA, the positive samples were diagnosed by TPPA and TRUST, then, finished an epidemiologic analysis on the resuhs. Results There are 3 negative possibilities in syphilis surveillance arrangements： unitary non-specific rip antigen test can make a part of positive cases undetectable; so, the false negative infectors ignore the disease, postpone the treatment; also ignorance on the disease and non self-protection increase the possibility of spreading to others. Conclusion ELISA should be the syphilis screening test, positive samples should be checked by TPPA and TRUST. By the way, treatment and necessary instruction should be suggested to positive infectors.
出处
《口岸卫生控制》
2007年第4期52-54,共3页
Port Health Control
关键词
梅毒
诊断
调查
教育
出入境人员
Syphilis
Diagnosis
Investigation
Education
Entry-exit people
