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全球血液服务机构应对新冠疫情的研究计划。

Research initiatives of blood services worldwide in response to the covid-19 pandemic.

机构信息

Epidemiology & Surveillance, Canadian Blood Services, Ottawa, ON, Canada.

Department of Medical Affairs, Sanquin Blood Supply Foundation, Amsterdam, The Netherlands.

出版信息

Vox Sang. 2021 Mar;116(3):296-304. doi: 10.1111/vox.12995. Epub 2020 Nov 9.

Abstract

BACKGROUND AND OBJECTIVES

While coronavirus (COVID-19) is not transfusion-transmitted, the impact of the global pandemic on blood services worldwide is complex. Convalescent plasma may offer treatment, but efficacy and safety are not established. Measuring seroprevalence in donors would inform public health policy. Here, we survey blood services around the world to assess the different research programmes related to COVID-19 planned or in progress.

MATERIALS AND METHODS

Blood collection services were surveyed in June 2020 to determine whether they were participating in serosurveys or convalescent plasma collection and clinical trials.

RESULTS

A total of 48 countries (77% of those contacted) responded. Seroprevalence studies are planned or in progress in 73% of countries surveyed and in all continents, including low- and middle-income countries. Most aimed to inform public health policy. Convalescent plasma programmes have been initiated around the globe (79% of surveyed), about three quarters as clinical trials in high-, middle- and low-income countries.

CONCLUSION

Blood services around the world have drawn upon their operational capacity to provide much-needed seroprevalence data to inform public health. They have rapidly implemented preparation of potential treatment when few treatments are available and mostly as clinical trials. At the same time, they must continue to provide blood products for recipients despite challenges of working in a state of emergency. It is important to track and coordinate research efforts across jurisdictions to gain a composite evidence-based view that will influence future practice and preparative strategies.

摘要

背景和目的

虽然冠状病毒(COVID-19)不会通过输血传播,但全球大流行对世界范围内的血液服务的影响是复杂的。恢复期血浆可能提供治疗,但疗效和安全性尚未确定。测量供体中的血清流行率将为公共卫生政策提供信息。在这里,我们调查了世界各地的血液服务机构,以评估与 COVID-19 相关的不同研究计划或正在进行的研究。

材料和方法

2020 年 6 月对采供血服务进行了调查,以确定它们是否参与了血清学调查或恢复期血浆采集和临床试验。

结果

共有 48 个国家(接触到的国家的 77%)做出了回应。73%的调查国家计划或正在进行血清流行率研究,并且所有大陆都包括了低收入和中等收入国家。大多数旨在为公共卫生政策提供信息。全球范围内已经启动了恢复期血浆计划(调查的 79%),大约有四分之三在高、中、低收入国家作为临床试验进行。

结论

世界各地的血液服务机构利用其运营能力提供了急需的血清流行率数据,以告知公共卫生。他们迅速准备潜在的治疗方法,因为可用的治疗方法很少,而且主要是作为临床试验。与此同时,尽管在紧急状态下工作存在挑战,他们仍必须继续为接受者提供血液制品。重要的是要跟踪和协调各司法管辖区的研究工作,以获得综合的循证观点,这将影响未来的实践和准备策略。

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