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无症状健康献血者在医疗和非医疗环境中 SARS-CoV-2 的血清流行率:对献血期间献血者和采血人员安全的影响。

Seroprevalence of SARS-Coronavirus 2 among asymptomatic healthy blood donors from healthcare and non-healthcare settings: Implications for safety of blood donors and blood collection staff during blood donation.

机构信息

Department of Transfusion Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.

Department of Transfusion Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.

出版信息

Transfus Apher Sci. 2021 Jun;60(3):103118. doi: 10.1016/j.transci.2021.103118. Epub 2021 Mar 11.

Abstract

INTRODUCTION

SARS-Coronavirus-2 pandemic has adversely affected blood supply as potential blood donors were afraid of acquiring infection in hospital settings. We aimed to compare COVID-19 seroprevalence among asymptomatic blood donors from healthcare and non-healthcare setting to analyse the difference in exposure level of each group as well as the risk of acquiring infection during the process of blood donation.

MATERIAL AND METHODS

Analysis of whole blood donors tested for SARS-CoV-2 IgG antibodies was carried out after categorizing them into healthcare workers (HCW) and non-healthcare workers (NHCW). NHCW were further categorized into residents of containment and non-containment zones and seroprevalence analyzed. Seroprevalence among different ABO blood groups was also analyzed.

RESULTS

1191 blood donors were tested for SARS-CoV-2 antibodies with 9.5 % seropositivity. Significantly lower seropositivity of 3.2 % (p < 0.001) was observed among HCW as compared to 10.9 % seropositivity in NHCW. Among NHCW no difference in seropositivity was observed based on residence in containment or non-containment zone. Significantly higher (p = 0.012) seroprevalence was observed among A blood group donors (12.5 %) as compared to O blood group donors (6.8 %).

CONCLUSION

Results suggests that a blood donor, in a hospital setting is less likely to be exposed to COVID-19 disease than when participating in activities of daily living. It is postulated that the lower seroprevalence among HCW as compared to NHCW reflects differences in knowledge and practice of preventive measures among these groups. The findings should instil confidence among blood donors and motivate them to donate blood without fear.

摘要

简介

SARS-CoV-2 大流行对血液供应产生了不利影响,因为潜在的献血者害怕在医院环境中感染。我们旨在比较来自医疗保健和非医疗保健环境的无症状献血者的 COVID-19 血清阳性率,以分析每组的暴露水平差异以及在献血过程中感染的风险。

材料和方法

对 SARS-CoV-2 IgG 抗体进行测试的全血供体进行分析,将其分为医护人员(HCW)和非医护人员(NHCW)。进一步将 NHCW 分为隔离区和非隔离区的居民,并分析血清阳性率。还分析了不同 ABO 血型的血清阳性率。

结果

对 1191 名献血者进行了 SARS-CoV-2 抗体检测,其中 9.5%呈血清阳性。与 NHCW 的 10.9%血清阳性率相比,HCW 的血清阳性率明显较低(3.2%,p<0.001)。在 NHCW 中,根据居住在隔离区或非隔离区,血清阳性率没有差异。与 O 型血供体(6.8%)相比,A 型血供体的血清阳性率(12.5%)显著更高(p=0.012)。

结论

结果表明,与参与日常活动相比,在医院环境中,献血者不太可能接触到 COVID-19 疾病。据推测,HCW 的血清阳性率低于 NHCW,这反映了这些群体在预防措施方面的知识和实践存在差异。这些发现应该使献血者充满信心,并激励他们在没有恐惧的情况下献血。

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