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頁籤選單縮合
題 名 | The Significance of Syphilis Serology Tests on Long-Term Hemodialysis Patients=梅毒血清試驗在血液透析病人之意義 |
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作 者 | 李建德; 林景坤; 廖上智; 陳靖博; 許國泰; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁447-452 |
分類號 | 415.2752 |
關鍵詞 | 尿毒症; 血液透析; 梅毒; Uremia; Hemodialysis; Syphilis; |
語 文 | 英文(English) |
中文摘要 | 背景:梅毒乃一古老為人熟知的傳染性疾病,一般感染途徑以性接觸為主,其他如 周產期母子間的傳染以及血液接觸如輸血引起等,則較少見。有鑑於血液接觸傳播的可能, 在血液透析單位乃將其列入常規的檢查項目之一。本研究乃記錄並分析本院556位接受長期 血液透析病患在例行梅毒血清檢查後的結果。 方法:在1996年6月於本院例行性梅毒血清檢查裡556位血液透析患者以RPR test做為初步篩 檢試驗並以TPHA test為確認試驗。依試驗結果將受檢病患分為偽陽性組及梅毒患者。証實 為梅毒患者,追溯其病史再分為本次篩檢前已治療者及尚未接受治療者。 結果:共有31位病患初步血清反應RPR test為陽性,佔所有病患5.6%,其中偽陽性有11位 (1.8%),而確認試驗證實為梅毒者其中10位尚未治療,另有11位則是已知並已接受治療 。我們追溯其血清力價,包括RPR test及TPHA test,發現在偽陽性組其力價均偏低,而確 定為梅毒之病患其力價亦多不高。至於已治療者,其RPR test在每半年一次的追蹤中並無力 價明顯下降或轉為陰性之現象。 結論:我們的研究觀察到只有感染性梅毒患者的確存在於血液透析單位。因此做定期篩檢是 有必要的。確認為梅毒患者都屬於潛伏性梅毒,血清試驗在陽性反應組力價均偏低,我們推 測可能是感染太久未接受治療,或者是追蹤時間較短所見。是否尿毒病患血清反應異於一般 患者則仍待進一步證實。而這些梅毒患者透析器是否可重覆使用,目前以不重覆使用較被接 受。 |
英文摘要 | Background: Syphilis is a sexually transmitted disease. Blood transfusion and blood contact are also routes of infection. Patients on long-term hemodialysis are at risk during their therapy. The aim of this study is to investigate the incidence of syphilis in hemodialysis patients, possible nosocomial infection and methods of treatment. Materials and Methods: A total of 556 uremic patients on maintenance hemodialysis at our hospital on June 1996 were enrolled in the study. They all received syphilis screening tests. The rapid plasma reagin(RPR) test was used as the primary screening tests and Treponema pallidum hemagglutination assay(TPHA) test as the confirmation test. According to the test results, patients were classified into false and true-positive groups. The titer of both tests were recorded. The patients in the true-positive group were further divided into the untreated and treated group depending on whether they had already received treatment. The serial change of RPR test titer of the treated group was reviewed. Results: Thirty-one patients(5.6%) had positive PRP test results and 10 patients (1.8%) had false-positive results. The titers of both RPR and TPHA tests were rather low in the positive groups. Most of the confirmed syphilis patients were asymptomatic and diagnosed serologically. In the treated group, the RPR test titer die not show significant decline and no seroconversion was noted after treatment. Conclusion: We observed that infectious syphilis patients exist in our hemodialysis unit and survey for this disease is necessary. The titers of both positive RPR and TPHA tests are low. Most diagnosed patients had laten syphilis, and response to treatment is probably the same as in general population. |
本系統中英文摘要資訊取自各篇刊載內容。