尼日利亚南部一家三级保健医院的献血者暂缓献血率及原因。
Blood donors deferral prevalence and causes in a tertiary health care hospital, southern Nigeria.
机构信息
Department of Medical Laboratory Science, Haematology Unit, University of Calabar, Calabar, Nigeria.
出版信息
BMC Health Serv Res. 2019 Jul 22;19(1):510. doi: 10.1186/s12913-019-4352-2.
BACKGROUND
Blood transfusion is a life-saving intervention. However, the safety of the donor and the recipient is paramount. This study was aimed at determining the blood donation deferral pattern of University of Calabar Teaching Hospital.
METHODS
A retrospective analysis of the prospective donors' data of University of Calabar Donor clinic within the period of March 2015 to February 2016 was conducted. Data were extracted from the donor register and analyzed. Prospective donors were screened and interviewed for causes of temporary and permanent deferrals.
RESULT
Out of the 1886 screened prospective donors, 164 (8.69%) were deferred. Though the minority of the donor population, female donors had the highest deferral rate (33.33%). There were 31.10 and 68.90% cases of temporary and permanent deferrals, respectively. Hepatitis B virus (HBV) was the highest (31.71%) cause of overall deferral as well as permanent deferral. Anemia was the major (21.95%) cause of temporary deferral as well as the second cause of overall deferrals. Commercial and replacement donors constituted 68.28 and 31.71% of the deferral cases, respectively.
CONCLUSION
HBV was found to be the overall leading cause of deferral in the studied area. This outcome poses a public health concern and should elicit measures to curb the infection rate.
背景
输血是一种救生干预措施。然而，供体和受者的安全至关重要。本研究旨在确定卡拉巴尔大学教学医院的献血推迟模式。
方法
对 2015 年 3 月至 2016 年 2 月期间卡拉巴尔献血者诊所的前瞻性献血者数据进行回顾性分析。从献血者登记处提取数据并进行分析。对有临时和永久推迟献血原因的潜在献血者进行筛查和访谈。
结果
在筛选出的 1886 名潜在献血者中，有 164 名（8.69%）被推迟献血。虽然女性献血者人数较少，但她们的献血推迟率最高（33.33%）。临时和永久推迟的比例分别为 31.10%和 68.90%。乙型肝炎病毒（HBV）是总推迟率和永久性推迟率最高的原因（31.71%）。贫血是临时推迟的主要原因（21.95%），也是总推迟的第二个主要原因。商业和替代献血者分别占推迟献血者的 68.28%和 31.71%。
结论
HBV 是研究地区总推迟率的主要原因。这一结果引起了公共卫生关注，应采取措施遏制感染率。
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