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临床输血与检验

临床输血与检验 ›› 2018, Vol. 20 ›› Issue (4): 351-353.DOI: 10.3969/j.issn.1671-2587.2018.04.005

• 临床输血 • 上一篇    下一篇

亳州地区2010～2017年无偿献血者感染HIV情况分析

贾夫峰,张峰,罗港   

  1. 236800 安徽省亳州市中心血站
  • 收稿日期:2018-01-10 出版日期:2018-08-20 发布日期:2018-08-14
  • 作者简介:贾夫峰（1980–）,男,安徽亳州人,主管技师,学士,主要从事血液检测及采供血管理工作,（E-mail）327812829@qq.com。

Analysis of HIV Infection among Unpaid Blood Donors in Bozhou from 2010 to 2017

JIA Fu-feng,ZHANG Feng,LUO Gang.   

  1. Bozhou Blood Center,AnHui 236800
  • Received:2018-01-10 Online:2018-08-20 Published:2018-08-14

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摘要： 目的 分析亳州地区无偿献血者人类免疫缺陷病毒（HIV）感染情况，为在低危人群中招募献血者提供依据，保证输血安全。方法 选取亳州地区2010～2017年无偿献血者共计200 463例，根据亳州市疾病预防控制中心确证实验结果，将HIV确证实验结果阳性的献血者分别按年度、性别、学历、年龄、献血种类和献血频次进行分组比较分析。结果 通过HIV确证实验，200 463例无偿献血者中共发现35例感染者，感染率为17.46/10万；男性献血者感染率为28.16/10万（占82.86%），女性献血者感染率为6.15/10万（占17.14%）；大专及以上学历献血者感染率为9.22/10万（占8.57%），高中及以下学历献血者感染率为19.06/10万（占91.43%）；18～35岁献血者感染率为21.56/10万（占60%），36～45岁献血者感染率为15.53/10万（占31.43%），46～60岁献血者感染率为9.32/10万（占8.57%）；全血献血者感染率为17.92/10万（占100.00%）；初次献血者感染率为36.98/10万（占60.00%），重复献血者感染率为14.20/10万（占34.29%），固定献血者感染率为3.38/10万（占5.71%）。结论 亳州地区无偿献血者感染HIV具有一定的性别、学历和年龄分布特征，应加强无偿献血知识的宣传和普及工作，坚持从低危人群中招募献血者的原则，选择更加灵敏的试剂及更加灵敏的病毒核酸扩增检测（NAT）方法，进一步保障输血安全。

关键词: 无偿献血, 感染, 人类免疫缺陷病毒

Abstract: Objective To provide evidence for recruiting blood donors in low-risk population and ensure the safety of blood transfusion，we analyzed the status of human immunodeficiency virus （ HIV ） infection among unpaid blood donors in Bozhou area. Methods A total of 200 463 blood donors were selected from 2010 to 2017 in Bozhou area. According to the results of the confirmatory test conducted by Bozhou center for disease control and prevention，the blood donors with positive results of HIV confirmatory test were divided into groups according to the year，sex，educational background，age，blood donation types and blood donation frequency. Results 35 cases of HIV infection were found in 200 463 blood donors，the infection rate was 17.46/100 000. The infection rate of male blood donors was 28.16/100 000 （82.86%），and that of female blood donors was 6.15/100 000（17.14%）. The infection rate of blood donors with associate degree or above was 9.22/100 000（8.57%），and that of blood donors with high school degree or below was 19.06/100 000 （91.43%）.The infection rate of blood donors aged 18 - 35 years was 21.56/100 000 （60%），that of blood donors aged 36-45 years was 15.53 / 100 000（31.43%），and that of blood donors aged 46-60 years was 9.32/100 000（8.57%）. The infection rate of whole blood donors was 17.92/100 000（100%）. The infection rate of primary blood donors was 36.98/100，000 （60%），that of repeated blood donors was 14.20/100 000，and that of fixed blood donors was 3.38/100 000. Conclusion Voluntary blood donors infected with HIV in Bozhou area have certain characteristics of gender，educational background and age distribution. It is necessary to strengthen the publicity and popularization of voluntary blood donation knowledge，adhere to the principle of recruiting blood donors from low-risk population，select more sensitive reagents and choose more sensitive virus nucleic acid amplification detection （NAT） method，to further ensure the safety of blood transfusion.

Key words: Blood donation , Infection, HIV

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