皮肤性病诊疗学杂志2026，Vol.33Issue(8)：592-596,5.DOI:10.3969/j.issn.1674-8468.2026.08.005
皮肤科患者术前四项血源性感染指标阳性率及分布特征的回顾性分析
Preoperative prevalence and distribution of four bloodborne infection markers among der-matology patients:A retrospective analysis
摘要
Abstract
Objective To analyze the results and distribution characteristics of four preopera-tive bloodborne infection markers among dermatology patients.Methods A retrospective analysis was conducted on the results of the four preoperative infectious disease markers(HBsAg,anti-HCV,anti-TP,and HIV Ag/Ab)from 21 406 dermatology patients treated at the Dermatology Hospital,Southern Medical University between 2022 and 2023.Systematic screening and statisti-cal analysis were performed to compare differences in positive rates between outpatients and inpa-tients,and across sex and age groups,and to analyze pattern of multiple-marker positivity.Re-sults The overall positivity rate for the four preoperative markers among the 21 406 patients was 10.57%(2 263/21 406).The positive rates for each individual marker were as follows:HBsAg 6.46%(1 382/21 406,highest in the 31-40-year age group),anti-TP 3.06%(655/21 406,highest in the 21-30-year age group),anti-HCV 0.80%(172/21 406;highest in the 41-50-year age group),and HIV-Ag/Ab screening reactivity 0.25%(54/21 406;highest in the 31-40-year age group),pending confirmatory testing.The differences in the positivity rates of these four markers between outpatients and inpatients were all statistically significant(all P＜0.05).Except for anti-HCV,positivity rates for the other three markers differed significantly by sex(P＜0.05).The age distribution of patients testing positive for each marker showed statistically significant differences.A total of 114 cases of co-infection were identified,with HBsAg combined with anti-TP being the most common(56 cases,49.12%).Conclusions The positivity rate of preopera-tive bloodborne infection markers was relatively high among dermatology patients and exhibits spe-cific demographic characteristics.The positivity rate was higher among inpatients than among out-patients.Routine preoperative infection screening is crucial for identifying high-risk populations,implementing targeted occupational safety measures,and reducing the risk of healthcare-associated transmission and medicolegal disputes.关键词
术前四项/HBsAg/抗-HCV/抗-TP/HIV Ag/AbKey words
preoperative infection screening/HBsAg/anti-HCV/anti-TP/HIV Ag/Ab引用本文复制引用
欧江丽,傅祎希,吴茜,唐三梅..皮肤科患者术前四项血源性感染指标阳性率及分布特征的回顾性分析[J].皮肤性病诊疗学杂志,2026,33(8):592-596,5.基金项目
广东省医学科研基金(B2024117 （）
B2024182) （）
