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健康献血者中输血传播感染的血清学流行率:一家三级医疗医院的5年经验

Seroprevalence of transfusion transmitted infections in healthy blood donors: A 5-year Tertiary Care Hospital experience.

作者信息

Chandekar Sushama A, Amonkar Gaythri P, Desai Heena M, Valvi Nitin, Puranik Gururaj V

机构信息

Department of Pathology, Topiwala National Medical College and B Y L Nair Charitable Hospital, Mumbai, Maharashtra, India.

出版信息

J Lab Physicians. 2017 Oct-Dec;9(4):283-287. doi: 10.4103/0974-2727.214246.

Abstract

INTRODUCTION

Transfusion transmitted infections (TTIs) can cause threat to bloody safety as blood transfusion is an important mode of transmission of TTI to the recipient, hence, to prevent transmission of these diseases, screening tests on blood bags is an important step for blood safety.

AIM

This study was undertaken with the aim of determining the seroprevalence of TTI in healthy blood donors in a tertiary care blood bank.

MATERIALS AND METHODS

A retrospective study was carried out over a period of 5 years from January 2007 to December 2011. Serum samples were screened for hepatitis B surface antigen (HBsAg), antibodies to human immunodeficiency virus (HIV) Type 1 and 2, hepatitis c virus (HCV) and syphilis using enzyme-linked immunosorbent assays with the third generation kits and venereal disease research laboratory test, respectively.

RESULTS

A total of 76,653 healthy donors were included out of which majority of donors were male (91.79%). The overall seroprevalence of HIV, HBsAg, HCV, and syphilis were 0.26%, 1.30%, 0.25%, and 0.28%, respectively.

CONCLUSION

Methods to ensure a safety blood supply should be encouraged. For that, screening with a better selection of donors and use of sensitive screening tests including nucleic acid testing technology should be implemented.

摘要

引言

输血传播感染(TTIs)会对血液安全构成威胁,因为输血是TTIs传播给受血者的一种重要途径,因此,为防止这些疾病的传播,对血袋进行筛查检测是保障血液安全的重要一步。

目的

本研究旨在确定一家三级医疗血库中健康献血者的TTIs血清流行率。

材料与方法

进行了一项回顾性研究,时间跨度为2007年1月至2011年12月的5年期间。分别使用第三代试剂盒通过酶联免疫吸附试验和性病研究实验室试验对血清样本进行乙型肝炎表面抗原(HBsAg)、1型和2型人类免疫缺陷病毒(HIV)抗体、丙型肝炎病毒(HCV)和梅毒的筛查。

结果

共纳入76653名健康献血者,其中大多数献血者为男性(91.79%)。HIV、HBsAg、HCV和梅毒的总体血清流行率分别为0.26%、1.30%、0.25%和0.28%。

结论

应鼓励采取确保安全血液供应的方法。为此,应通过更好地挑选献血者以及采用包括核酸检测技术在内的敏感筛查检测来进行筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c96/5607759/5a0ecd5f4ec7/JLP-9-283-g002.jpg

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