N'tita I, Mulanga K, Dulat C, Lusamba D, Rehle T, Korte R, Jäger H
Projet 'Appui à la Lutte Contre le SIDA', Kinshasa, Zaire.
AIDS. 1991 Apr;5(4):437-9. doi: 10.1097/00002030-199104000-00013.
Between 5 March and 12 April 1990, we assessed transfusion practices and the risk of transfusion-associated HIV transmission in all the hospitals and medical centres in Kinshasa, Zaire. Of the 733 hospitals and medical centres surveyed, 62 (8.5%) transfuse blood. Of 3741 units of blood transfused in February 1990, 1045 (27.9%) were not screened for HIV infection. Eighteen out of 62 centres (29%) received HIV test kits on a regular basis. Twenty of the centres (32.3%) recorded HIV test results. Major blood group cross-matching was done by 9.7% (six out of 62) of the centres. Bacteriological results indicated contamination in 17% (four out of 23) of stocked blood units, 6.4% (four out of 62) of solutions for disinfections, and 22% (13 out of 59) of sterilized instruments (possessed by 59 centres only). Transfusion practices in Kinshasa are associated with considerable health risks. The establishment and appropriate supervision of HIV screening facilities should be integrated into primary health-care programmes in order to increase safe transfusions in Kinshasa.
1990年3月5日至4月12日期间，我们评估了扎伊尔金沙萨所有医院和医疗中心的输血操作情况以及输血相关的HIV传播风险。在接受调查的733家医院和医疗中心中，有62家（8.5%）进行输血操作。在1990年2月输注的3741单位血液中，有1045单位（27.9%）未进行HIV感染筛查。62个中心中有18个（29%）定期收到HIV检测试剂盒。20个中心（32.3%）记录了HIV检测结果。9.7%（62个中心中的6个）的中心进行了主要血型交叉配血。细菌学检测结果显示，库存血液单位中有17%（23个中的4个）受到污染，消毒溶液中有6.4%（62个中的4个）受到污染，灭菌器械（仅59个中心拥有）中有22%（59个中的13个）受到污染。金沙萨的输血操作存在相当大的健康风险。应将建立和适当监督HIV筛查设施纳入初级卫生保健计划，以增加金沙萨安全输血的比例。
