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[献血者是否需要进行梅毒检测?]

[Is syphilis test necessary in blood donors?].

作者信息

Rivera-López María Rebeca F, Arenas-Esqueda Alfonso, Ambriz-Fernández Raúl

机构信息

Banco Central de Sangre, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México, Mexico.

出版信息

Rev Med Inst Mex Seguro Soc. 2009 Jan-Feb;47(1):65-8.

Abstract

BACKGROUND

A syphilis test is performed in blood donors because the national transfusion law makes it mandatory, nevertheless the blood has not been found as an important vehicle of transmission for Treponema pallidum infection. Our objective was to know the prevalence of syphilis in blood donors.

METHODS

we reviewed tests from blood donors of the "Banco Central de Sangre del Centro Médico Nacional Siglo XXI" in two periods, the first from July 2001 to April 2003, and the second from March 2005 to June 2006. Both groups went through screening tests, such as VDRL or USR. and a second test for confirmation, FTA-ABS for the first group and TPHA for the second group.

RESULTS

in the first group 111 030 blood donors were included. In this group the positive results from VDRL or USR tests were 471 (0.42 %). One hundred and ninety six were confirmed (0.17 %) with FTA-ABS. In the second group results from 80 578 blood donors were included; the positive results from VDRL or USR tests were 279 (0.34 %). In this group, only 0.08 % were confirmed for a syphilis infection.

摘要

背景

由于国家输血法规定必须对献血者进行梅毒检测,尽管尚未发现血液是梅毒螺旋体感染的重要传播载体。我们的目的是了解献血者中梅毒的患病率。

方法

我们回顾了“国立二十一世纪医学中心中央血库”两个时间段献血者的检测情况,第一个时间段是2001年7月至2003年4月,第二个时间段是2005年3月至2006年6月。两组均接受了筛查检测,如性病研究实验室试验(VDRL)或不加热血清反应素试验(USR),以及用于确认的二次检测,第一组为荧光密螺旋体抗体吸收试验(FTA - ABS),第二组为梅毒螺旋体血凝试验(TPHA)。

结果

第一组纳入了111030名献血者。在该组中,VDRL或USR检测的阳性结果为471例(0.42%)。196例经FTA - ABS确认(0.17%)。第二组纳入了80578名献血者的检测结果;VDRL或USR检测的阳性结果为279例(0.34%)。在该组中,仅有0.08%的人被确认感染梅毒。

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