[急性精神科住院患者中人类免疫缺陷病毒、乙型肝炎病毒和丙型肝炎病毒感染的血清学检测及患病率]
[Serological testing and prevalence of human immunodeficiency, hepatitis B and C viruses infections amongst acute psychiatric inpatients].
作者信息
Fernández-Egea Emilio, Gómez Gil Esther, Corbella Santomà Bàrbara, Salamero Baró Manuel, Blanch Andreu Jordi, Valdés Miyar Manuel
机构信息
Institut Clínic de Psiquiatria i Psicologia. Hospital Clínic. Barcelona. España.
出版信息
Med Clin (Barc). 2002 Nov 23;119(18):690-2. doi: 10.1016/s0025-7753(02)73543-4.
BACKGROUND AND OBJECTIVE
The request for serological tests for HIV, HBV and HCV is usual amongst acute psychiatric inpatients. Nevertheless, the seroprevalence and the repercussion of a positive result have been scarcely studied.
PATIENTS AND METHOD
Serological requests for these viruses were retrospectively analyzed in a sample of 332 psychiatric inpatients.
RESULTS
Serological tests were requested by 65.3% patients. The prevalence of any seropositivity was 7.3%: 1.4% were infected by HIV-I, 3.2% had been in contact with HBV but none had an active infection, and 5.1% were infected by HCV. The presence of a positive result did not change the psychiatric therapeutic approach in any case.
CONCLUSIONS
The low prevalence of seropositivity suggests that such tests should be performed selectively in patients who present risk factors or atypical psychiatric symptoms.
背景与目的
在急性精神科住院患者中，对艾滋病毒、乙肝病毒和丙肝病毒进行血清学检测的需求很常见。然而，血清阳性率以及阳性结果的影响却鲜有研究。
患者与方法
对332例精神科住院患者样本进行回顾性分析，统计这些病毒的血清学检测需求。
结果
65.3%的患者接受了血清学检测。总体血清阳性率为7.3%：1.4%感染了HIV-1，3.2%曾接触过乙肝病毒但均无活动性感染，5.1%感染了丙肝病毒。无论在哪种情况下，阳性结果均未改变精神科治疗方案。
结论
血清阳性率较低表明，此类检测应在有危险因素或非典型精神症状的患者中选择性进行。
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