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[合法尸检中的HIV感染]

[HIV infection in legal autopsies].

作者信息

Penning R, Tutsch-Bauer E, Beer G, Gürtler L, Spann W

出版信息

Beitr Gerichtl Med. 1989;47:23-9.

PMID:2818484
Abstract

Since May 1987 all postmortem cases at the Munich Institute of Forensic Medicine were screened for HIV-antibodies. If possible, testing was carried out before the postmortem examination in order to allow specific protective measures. 19 of 2631 consecutively tested corpses (= 0.7%) were HIV-infected. Since 1986, the onset of occasional testing, we found 29 HIV-infections. 24 of these were men, 5 were women. At least 15 were i.v.-drug abusers und 8 were homosexuals. In post mortem testing of body fluids false-positive results can be recognized easily even by ELISA-testing alone. Additional testing of several body fluids other than blood and especially of brain tissue proved to be valuable and yielded reliable results. Body fluids and tissues of HIV-infected corpses are potentially infectious as long as one week after death.

摘要

自1987年5月起,慕尼黑法医学研究所对所有尸检病例进行了HIV抗体筛查。如有可能,在尸检前进行检测,以便采取特定的防护措施。在连续检测的2631具尸体中,有19具(=0.7%)感染了HIV。自1986年开始偶尔检测以来,我们共发现29例HIV感染病例。其中24例为男性,5例为女性。至少15例为静脉注射毒品者,8例为同性恋者。在尸检时对体液进行检测,即使仅通过酶联免疫吸附测定(ELISA)检测也能很容易地识别出假阳性结果。对血液以外的几种体液,尤其是脑组织进行额外检测被证明是有价值的,并产生了可靠的结果。HIV感染尸体的体液和组织在死后长达一周的时间内都具有潜在传染性。

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引用本文的文献

1
[HIV-1 prevalence in deaths caused by drug overdose in various large cities of West Germany and West Berlin between 1985 and 1988].
Z Rechtsmed. 1990;103(6):407-14. doi: 10.1007/BF01263149.
2
Postmortem viability of the human immunodeficiency virus.
Int J Legal Med. 1991 Mar;104(2):109-10. doi: 10.1007/BF01626041.