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临床输血与检验

临床输血与检验 ›› 2017, Vol. 19 ›› Issue (3): 288-291.DOI: 10.3969/j.issn.1671-2587.2017.03.022

• 血液检测 • 上一篇    下一篇

中山地区2006~2015年无偿献血人群人类免疫缺陷病毒感染情况分析

何锐洪, 詹宗伟, 林惠燕, 廖艳婷, 袁文声, 孙爱农   

  1. 528400 广东省中山市中心血站
  • 收稿日期:2016-12-27 出版日期:2017-06-20 发布日期:2017-06-23
  • 作者简介:何锐洪（1976-）,男,广州人,副主任技师,学士,主要从事经输血传播病毒方面的研究,（E-mail）1575772198@qq.com。

Analysis on the Situation of HIVInfection in Blood Donors in Zhongshan Area

HE Rui-hong, ZHAN Zong-wei, LIN Hui-yan, et al   

  1. Zhongshan Blood Center,Guangzhou 528400
  • Received:2016-12-27 Online:2017-06-20 Published:2017-06-23

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摘要： 目的 分析中山地区无偿献血人群感染人类免疫缺陷病毒（HIV）的情况,以制定适应新常态下的献血者招募和检测策略,保证输血安全。方法 选取中山地区2006~2015年无偿献血者共计434 700例,依据中山市疾病预防控制中心确证实验结果,将HIV阳性的献血者分别按性别、年龄、献血频次、献血种类和献血模式进行分组比较分析。结果 434 700例无偿献血者中共发现并确证52例感染HIV,感染率为11.96/10万;男性HIV感染率为15.19/10万（占82.69%）,女性感染率为5.93/10万;青年HIV感染率为9.05/10万（占53.85%）,中年感染率为19.36/10万,老年感染率为3.93/10万;首次献血者HIV感染率为18.34/10万（占80.77%）,重复献血者感染率为12.22/10万,固定献血者感染率为23.29/10万,占感染的11.54%;在献血种类组,献全血感染率为12.56/10万,占感染的100.00%;在献血模式组,团体献血的感染率为10.57/10万,占感染的55.77%,街头献血的感染率为14.37/10万。结论 中山地区无偿献血人群HIV感染的流行趋势呈现出新态势,应坚持从低危人群中招募献血者的原则,加大团体组织献血所占比重,采用高灵敏度的检测试剂和先进的检测方法进行血液筛查,进一步保障血液安全。

关键词: 人类免疫缺陷病毒, 无偿献血, 感染

Abstract: Ojective To prepare recruitment and detection strategies for blood donationsand to ensure the safety of blood transfusion.Methods A total of 434700 blood donors were selectedin Zhongshan area from 2006 to 2015.HIV positive blood donors were grouped according to gender,age,frequency and blood components of donations in comply with the confirmatory tests of the CDC of Zhongshan city.Results Fifty two HIV cases were found in 434700 blood donors,with an incidence of 11.96/104.Among them males were 15.19/104（82.69%）and females were 5.93/104.Young adults,the middle aged and elderly accounted for 9.05/104（53.85%）,19.36/104,and 3.93/104,respectively.Prevalence of HIV infection was found to be 18.34/104（80.77%）,12.22/104,and 23.29/104（11.54%） in the first time,repeated and fixed donors,respectively.All HIV cases （12.56/104） were found in whole blood donations;55.77% of them （10.57/104） came from group blood donations; and 14.37/104 were found to be street blood donators.Conclusions HIV infection in blood donators is a critical issue in Zhongshan area.High technology with sensitivity,reliability and viral sterilization must be used for blood donor screening to ensure the safety of transfusion.

Key words: HIV, Blood donors, Influence

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