2015年肯尼亚基苏木县基苏木地区输血中心流动献血者中的输血传播感染
Transfusion Transmissible Infections Among Walk-In Blood Donors at Kisumu Regional Blood Transfusion Centre, Kisumu County, Kenya, 2015.
作者信息
Wamamba Dominic, Onyango Dickens, Oyugi Elvis, Kanyina Evalyne, Obonyo Mark, Githuku Jane, Ransom James
机构信息
Kisumu County Health Department, Kisumu, Kenya.
Field Epidemiology and Laboratory Training Program, Ministry of Health, Nairobi, Kenya.
出版信息
Lab Med. 2017 Nov 8;48(4):362-366. doi: 10.1093/labmed/lmx059.
BACKGROUND
Transfusion transmissible infections (TTIs) are threats to blood safety. This study investigated TTIs among volunteer blood donors at the Kisumu Regional Blood Transfusion Centre (KRBTC) in Kenya.
METHODS
We performed a retrospective record review of blood donor registers at KRBTC, 2015. Walk-in donors accepted for donation were analyzed to determine prevalence of human immunodeficiency virus (HIV), hepatitis B (HBV), hepatitis C (HCV), and syphilis. Descriptive and associative statistics were calculated using Microsoft Excel and Open-Epi software.
RESULTS
The records of a total of 3690 walk-in donors were reviewed, and 2046 were included in the analysis. Mean age was 30 ± 9.6 years, 76% male, 51% married, and 80% were Kisumu residents. Seroprevalence of HIV, HBV, HCV, and syphilis was 2.4%, 3.1%, 2.3%, and 1%, respectively.
CONCLUSIONS
HBV was the most common TTI among the volunteers. KRBTC should be proactive and address issues of donor self-exclusion, strict adherence to donor selection criteria, and vaccination.
背景
输血传播感染（TTIs）对血液安全构成威胁。本研究调查了肯尼亚基苏木地区输血中心（KRBTC）志愿献血者中的输血传播感染情况。
方法
我们对KRBTC 2015年的献血者登记册进行了回顾性记录审查。对接受献血的临时献血者进行分析，以确定人类免疫缺陷病毒（HIV）、乙型肝炎（HBV）、丙型肝炎（HCV）和梅毒的流行率。使用Microsoft Excel和Open-Epi软件进行描述性和关联性统计。
结果
共审查了3690名临时献血者的记录，其中2046名纳入分析。平均年龄为30±9.6岁，76%为男性，51%已婚，80%是基苏木居民。HIV、HBV、HCV和梅毒的血清阳性率分别为2.4%、3.1%、2.3%和1%。
结论
HBV是志愿者中最常见的输血传播感染。KRBTC应积极主动，解决献血者自我排除、严格遵守献血者选择标准和疫苗接种等问题。
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