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成都市武侯区2016—2021年献血者传染病筛查结果分析

Analysis of Infectious Disease Screening Results Among Blood Donors in Wuhou District of Chengdu from 2016 to 2021
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摘要 目的了解成都市武侯区无偿献血者的实验室传染病检测结果以及人群特征,为制定招募无偿献血的策略、提高临床安全用血的质量提供依据。方法对成都市武侯区无偿献血点连续6年共13312人次无偿献血者按不同分布特征分类,对血液检测进行初筛和分析。结果成都市武侯区2016—2021年无偿献血者的丙肝、梅毒、HIV血液检测初筛不合格率分别为0.5%、0.4%、0.3%。其6年间丙肝和梅毒阳性率总体有下降的趋势,而HIV总体变化不明显。梅毒阳性率以18~25岁年龄组最低(0.2%)、36~55岁最高(0.6%),不同年龄间差异有统计学意义(P<0.05);丙肝与艾滋病都是以18~25岁的阳性率最高,但组间差异无统计学意义(P>0.05)。结论成都市武侯区2016—2021年无偿献血人群中丙肝、梅毒、HIV检测初筛的不合格率较高。因此,应继续加强酶免和核酸检测工作,加大无偿献血的宣传教育,严格开展血液样本传染病筛查,以保障临床用血的安全有效。 Objective To understand the laboratory test results and population characteristics of voluntary blood donors from blood donation sites in Wuhou District of Chengdu City,and to provide the basis of formulating strategies for recruiting voluntary blood donors,so as to improve the quality of clinical safe blood use.Methods A total of 13312 blood donors from blood donation sites in Wuhou District of Chengdu in 6 years were classified according to different distribution characteristics,and the unqualified rate of blood test results was statistically analyzed.Results From 2016 to 2021,the unqualified rates of blood testing for hepatitis C,syphilis,and HIV among voluntary blood donors from blood donation sites in Wuhou District were 0.5%,0.4%,and 0.3%,respectively.The positive rates of hepatitis C and syphilis showed a downward trend in the 6 years,and the overall change of HIV was not significant.The syphilis positive rate was the lowest in the age group of 18 to 25 years old(0.2%),and the highest in the age group of 36-55 years old(0.6%);the difference between different ages was statistically significant(P<0.05).The positive rate of hepatitis C and AIDS was the highest in 18-25 years old,but there was no significant difference between the groups(P>0.05).Conclusion The unqualified rates of hepatitis C,syphilis and HIV testing among voluntary blood donors from blood donation sites in Wuhou District from 2016 to 2021 were relatively high.Therefore,it is necessary to continue to strengthen enzyme immunoassay and nucleic acid testing,increase publicity and education on unpaid blood donation,and strictly conduct blood sample infectious disease screening to ensure the safety and effectiveness of clinical blood use.
作者 彭高敏 张盼 Peng Gaomin;Zhang Pan(Wuhou District Center for Disease Control and Prevention,Chengdu,610041,China;Sichuan Center for Disease Control and Prevention,Chengdu,610041,China)
出处 《健康教育与健康促进》 2023年第2期196-199,共4页 Health Education and Health Promotion
关键词 无偿献血 血液筛查 感染率 Blood donation Blood screening Infection rate
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