Schaer V, Frey-Wettstein M
Schweiz Med Wochenschr. 1979 Feb 17;109(7):222-7.
Owing to the introduction of postpartum Rhesus prophylaxis with anti-D hyperimmunoglobulin, a very small number of Rh-negative women become sensitized against the Rhesus factor at birth. Accordingly, the number of naturally immunized women suitable for the collection of anti-D plasma is decreasing. Currently, the demand for anti-D plasma in Switzerland is covered by plasma donations of spontaneously immunized women. The relation between production of and demand for anti-D hyperimmunoglobulin is expected to improve in the coming years due to better registration of anti-D-carrying women. Large areas of Switzerland are poorly exploited with regard to female anti-D donors and represent substantial reserves with regard to anti-D hyperimmunoglobulin production. It is expected that anti-D production from plasma collected from naturally sensitized women will cover demands up to the year 2000 without difficulty. Active immunization of Rh-negative volunteer donors will not be needed before the end of the century.
由于采用抗 D 高免疫球蛋白进行产后恒河猴预防,出生时仅有极少数 Rh 阴性女性会对恒河猴因子致敏。因此,适合采集抗 D 血浆的自然免疫女性数量正在减少。目前,瑞士抗 D 血浆的需求由自然免疫女性的血浆捐献满足。由于对抗 D 携带女性的登记情况有所改善,预计未来几年抗 D 高免疫球蛋白的供需关系将得到改善。瑞士大片地区在女性抗 D 献血者方面开发不足,在抗 D 高免疫球蛋白生产方面具有巨大潜力。预计从自然致敏女性采集的血浆中提取的抗 D 产量在 2000 年之前将轻松满足需求。在本世纪末之前无需对 Rh 阴性志愿献血者进行主动免疫。