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公共卫生服务机构间关于筛查献血者、血浆捐献者、器官捐献者、组织捐献者和精液捐献者是否感染乙肝和丙肝的指南。

Public Health Service inter-agency guidelines for screening donors of blood, plasma, organs, tissues, and semen for evidence of hepatitis B and hepatitis C.

出版信息

MMWR Recomm Rep. 1991 Apr 19;40(RR-4):1-17.

PMID:1850496
Abstract

Several infectious agents transmit through infected blood and blood products. To decrease the potential for disease transmission, donors are screened for risk factors by medical history and for evidence of infection by specific testing. The Food and Drug Administration (FDA) currently requires that all donations of whole blood and transfusable components as well as plasma for fractionation into injectable derivatives be subjected to a serologic test for syphilis, hepatitis B surface antigen (HBsAg), and antibody to the human immunodeficiency virus (anti-HIV). The FDA also currently recommends testing donations of whole blood and components for transfusion for antibody to human T lymphotropic virus type I (anti-HTLV-I) and antibody to hepatitis C virus (anti-HCV), and is considering recommending testing for antibody to hepatitis B core antigen (anti-HBc). Blood banks in the United States voluntarily began testing donations for anti-HBc and alanine aminotransferase (ALT) in 1986 and 1987 and for anti-HCV in 1990.

摘要

几种感染源可通过受感染的血液及血液制品传播。为降低疾病传播的可能性,通过病史对献血者进行风险因素筛查,并通过特定检测查找感染证据。美国食品药品监督管理局(FDA)目前要求,所有全血、可用于输血的成分以及用于分馏成注射用衍生物的血浆捐赠,都要接受梅毒、乙型肝炎表面抗原(HBsAg)以及人类免疫缺陷病毒抗体(抗HIV)的血清学检测。FDA目前还建议对用于输血的全血及成分进行人类嗜T淋巴细胞病毒I型抗体(抗HTLV-I)和丙型肝炎病毒抗体(抗HCV)检测,并正在考虑建议对乙型肝炎核心抗原抗体(抗HBc)进行检测。美国的血库于1986年和1987年自愿开始对捐赠血液进行抗HBc和丙氨酸转氨酶(ALT)检测,并于1990年开始进行抗HCV检测。

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