Test Results of HBV,HCV,HIV,Treponema pallidum Antibodies of Patients before Receiving Endoscopy,Surgery and Blood Transfusion

[Objective]To understand the prevalence of HBV,HCV,HIV,syphilis pathogens among patients before receiving endoscopy,surgery and blood transfusion in Inner Mongolia Medical College Affiliated People's Hospital during 2006—2008,and provide evidence for prevention and control of infections.[Methods]ELISA method was used to detect serum hepatitis B virus markers(HBVM),hepatitis C virus antibody(anti-HCV),HIV antibody(anti-HIV) of 5969 patients,toluidine red unheated TRUST and ELISA serum test were used to detect Treponema pallidum antibody(anti-TP).[Results]Of 5969 cases,144 patients were surface antigen(HBSAg) positive,65were anti-HCV positive patients,anti-HIV positive patient was not detected,9 were anti-TP positive patients.The positive detection rate was 2.41%,1.09%,0.015%,respectively.7 cases of pregnant women were HBsAg positive,2 were anti-HCV-positive.HCV infection rate increased annually,the difference was significant between 2006 and 2008.The positive rate of infectious markers of 254 patients before receiving endoscopy was higher than those of 5705 patients before receiving surgery and blood transfusion.Of patients with HBVM detection,HBsAg-positive were found in 6 groups,of which the HBsAg+、HBeAg+、anti-HBc and HBSAg+、anti-HBe+、anti-HBc were the main 2 modes,which accounted for 13.19% and 67.36% respectively.[Conclusion]In order to make hospital infection prevention and control work more complete,it is necessary to implement infectious markers detection before patients receiving surgery,blood transfusion and endoscopy,and to perform HBVM detection instead of single detection of HBsAg for detection of HBV infection,so as to provide more comprehensive,and reliable evidence for clinical prevention and control of infection.