Kocak N, Hepgul S, Ozbayburtlu S, Altunay H, Ozsoy M F, Kosan E, Aksu Y, Yilmaz G, Pahsa A
Haydarpasa Training Hospital Blood Centre, Gulhane Military Medical Academy, Istanbul, Turkey.
J Int Med Res. 2004 Nov-Dec;32(6):671-5. doi: 10.1177/147323000403200613.
Infection with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) and syphilis are serious complications of blood transfusion. These infections are routinely screened by blood banks; such tests are obligatory for transfusion safety in Turkey. The results of screening 1 737 943 blood donations from blood centres in Istanbul between 1 January 1987 and 31 December 2003 for HBV, HCV, HIV and syphilis were analysed retrospectively. Hepatitis B surface antigen rates fell from 5.98% in 1987 to 2.07% in 2003. Anti-HCV seropositivity was found to be approximately 0.5%, whereas anti-HIV seropositivity was approximately 0.001%. Rapid plasma reagin rates (test for syphilis) were 0.04% in 1987, and increased to 0.2% in 2002. The decreasing trends observed in data from the 17-year period studied indicate the value of safety measures taken, in particular the implementation of donor screening procedures in 1997.
感染乙肝病毒（HBV）、丙肝病毒（HCV）、人类免疫缺陷病毒（HIV）和梅毒是输血的严重并发症。血库会对这些感染进行常规筛查；在土耳其，此类检测是输血安全的强制性要求。对1987年1月1日至2003年12月31日期间伊斯坦布尔血液中心的1737943份献血进行的HBV、HCV、HIV和梅毒筛查结果进行了回顾性分析。乙肝表面抗原率从1987年的5.98%降至2003年的2.07%。抗HCV血清阳性率约为0.5%，而抗HIV血清阳性率约为0.001%。快速血浆反应素率（梅毒检测）在1987年为0.04%，到2002年升至0.2%。在所研究的17年期间的数据中观察到的下降趋势表明了所采取安全措施的价值，特别是1997年实施的献血者筛查程序。
