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撒哈拉以南非洲地区献血延迟的原因:科特迪瓦的经验。

Reasons for blood donation deferral in sub-Saharan Africa: experience in Ivory Coast.

机构信息

General Hospital at Yopougon Attié, Ivory Coast.

出版信息

Transfusion. 2012 Jul;52(7 Pt 2):1602-6. doi: 10.1111/j.1537-2995.2012.03756.x.

DOI:10.1111/j.1537-2995.2012.03756.x
PMID:22780941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658824/
Abstract

INTRODUCTION

Blood donor selection is important to ensure the safety of both donors and recipients. There is a paucity of data on reasons for blood donor deferral in Ivory Coast. The aim of this study was to identify the reasons for predonation deferral at a blood collection site at General Hospital, Yopougon Attié in Abidjan.

MATERIALS AND METHODS

The investigators conducted a retrospective audit of data pertaining to donor deferral for blood donors that presented to the general hospital of Yopugon Attié from January 1, 2006 to December 31, 2008.

RESULTS

A total of 10,694 prospective blood donors, presented over the study period, and 24,363 attempts to donate were registered. The majority were repeat blood donors (77.4%). A total of 2618 (10.8%) donors were deferred. The most frequent reason for deferral was a low hemoglobin level (42.5%), with females constituting the majority of those deferred. The second most frequent reason for deferral was a reported change of or new sexual partner (34.3%); male donors were predominant in this group. Additional reasons for deferral included short interdonation interval (4.6%) and reactivity for a screened biomarker (2.3%).

CONCLUSION

Although the rates for permanent and temporary deferral rates are similar between the Ivory Coast and high-middle income countries, the causes and demographics differ. The reasons for exclusion are preventable through awareness and education of prospective blood donors.

摘要

简介

确保献血者和受血者的安全,对献血者的选择很重要。在科特迪瓦,关于献血者被推迟献血的原因的数据很少。本研究的目的是确定阿比让约蓬阿蒂埃综合医院采血点献血前被推迟的原因。

材料与方法

研究人员对 2006 年 1 月 1 日至 2008 年 12 月 31 日期间在约蓬阿蒂埃综合医院就诊的献血者的献血推迟数据进行了回顾性审核。

结果

在研究期间,共有 10694 名潜在献血者前来献血,登记了 24363 次献血尝试。大多数是重复献血者(77.4%)。共有 2618 名(10.8%)献血者被推迟。最常见的推迟原因是血红蛋白水平低(42.5%),其中女性居多。其次常见的推迟原因是报告的性伴侣变化或新性伴侣(34.3%);在这一组中,男性献血者居多。另外一些被推迟的原因包括献血间隔太短(4.6%)和筛查生物标志物呈阳性(2.3%)。

结论

尽管科特迪瓦的永久性和临时性推迟率与中高收入国家相似,但原因和人口统计学特征不同。通过对潜在献血者进行意识和教育,可以预防这些排除原因。

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