Dilek İmdat, Demir Cengiz, Bay Ali, Akdeniz Hayrettin, Öner Ahmet Faik
Turk J Haematol. 2007 Mar 5;24(1):4-7.
Infections caused by hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency viruses (HIV) remain the leading most important health problems worldwide. Screening tests such as HBsAg, anti-HCV, anti-HIV and VDRL are mandatory tests to look at before transfusion of blood or blood components. In this study, donors who applied to our Blood Center in a nine-year period were retrospectively evaluated with respect to HBsAg, anti-HCV, anti-HIV and syphilis seroprevalence. HBsAg, anti-HCV and anti-HIV were examined by microparticle ELISA system, and syphilis antibodies were screened by a syphilis test device. Of the total 39,002 individuals, 16,601 (42%) were females and 22,401 (58%) were males. HBsAg positivity was found in 2.55%, anti-HCV in 0.17%, anti-HIV in 0.036%, and VDRL in 0.057% of overall donors. As a result, HBsAg, anti-HCV, anti-HIV and VDRL seropositivity rates in donors living in our region were found lower than those in many regions of Turkey. Nevertheless, because there is no screening method to reduce the risk resulting from transfusion to zero, it appears that it is essential to adopt strict criteria in the selection of donors and to avoid unnecessary transfusion.
由乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)引起的感染仍然是全球最重要的主要健康问题。诸如乙肝表面抗原(HBsAg)、抗丙型肝炎病毒抗体(抗-HCV)、抗人类免疫缺陷病毒抗体(抗-HIV)和性病研究实验室玻片试验(VDRL)等筛查测试是输血或血液成分前必须进行的检查。在本研究中,对九年间向我们血液中心申请的献血者进行了回顾性评估,以了解其乙肝表面抗原、抗丙型肝炎病毒抗体、抗人类免疫缺陷病毒抗体和梅毒血清流行率。采用微粒酶联免疫吸附测定系统检测乙肝表面抗原、抗丙型肝炎病毒抗体和抗人类免疫缺陷病毒抗体,并用梅毒检测装置筛查梅毒抗体。在总共39002名个体中,女性有16601名(42%),男性有22401名(58%)。总体献血者中,乙肝表面抗原阳性率为2.55%,抗丙型肝炎病毒抗体阳性率为0.17%,抗人类免疫缺陷病毒抗体阳性率为0.036%,性病研究实验室玻片试验阳性率为0.057%。结果发现,居住在我们地区的献血者中乙肝表面抗原、抗丙型肝炎病毒抗体、抗人类免疫缺陷病毒抗体和性病研究实验室玻片试验的血清阳性率低于土耳其许多地区。然而,由于没有筛查方法能将输血风险降至零,因此在献血者选择中采用严格标准并避免不必要的输血似乎至关重要。