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埃塞俄比亚奥罗米亚西部献血者中的人类免疫缺陷病毒和梅毒

Human Immunodeficiency Virus and Syphilis Among Blood Donors at Western Oromia, Ethiopia.

作者信息

Abebe Milkias, Marga Nagasa

机构信息

Department of Medical Laboratory Sciences, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia.

Department Medical Laboratory, Bako Hospital, Bako, Oromia, Ethiopia.

出版信息

J Blood Med. 2021 Jul 27;12:671-677. doi: 10.2147/JBM.S310329. eCollection 2021.

Abstract

BACKGROUND

Blood transfusion saves lives and improves health, but many patients requiring transfusion do not have timely access to safe blood. Human immunodeficiency virus and syphilis are the commonest transfused transmitted infections and threats to blood recipients. Proper donor selection and screening of the donated blood for major transfusion-transmitted infections evidently reduced challenge in blood safety. Therefore, the objective of this study was to determine the sero-prevalence HIV and syphilis infections among blood donors at East Wollega, West Ethiopia.

PATIENTS AND METHODS

A five-year (from January 2015 to December 2019) retrospective study was conducted by reviewing blood donor laboratory test results from Nekemte blood bank which is serving hospitals in Western Oromia. Blood donor data were analyzed by Statistical Package for Social Sciences version 20 software.

RESULTS

The total of 17,810 individual's blood was screened during the study period. The overall prevalence of HIV, syphilis, and their co-infection was 222 (1.25%), 142 (0.80%), and 5 (0.03%), respectively. The prevalence of HIV was associated with unmarried (AOR: 2.4; 95% CI: 1.5, 5.2), male (AOR: 2.1; 95% CI: 1.5, 2.9), and blood donors resident in a rural area (AOR: 1.5; 95% CI: 1.5, 5.9). Besides, the prevalence of syphilis was associated with education, age, marital status and residence of study participant.

CONCLUSION

In the current study, the sero-prevalence of HIV and syphilis among blood donors was low, when it was compared to other sub-Saharan Africa country. However, to ensure the health of all recipients screening blood using standard methods is highly recommended.

摘要

背景

输血能挽救生命并改善健康状况,但许多需要输血的患者无法及时获得安全血液。人类免疫缺陷病毒和梅毒是最常见的经输血传播的感染,对受血者构成威胁。对献血者进行适当筛选并检测所献血液中主要的经输血传播感染,显然能降低血液安全方面的挑战。因此,本研究的目的是确定埃塞俄比亚西部东沃莱加地区献血者中艾滋病毒和梅毒感染的血清流行率。

患者与方法

通过回顾为奥罗米亚西部医院服务的内克梅特血库的献血者实验室检测结果,进行了一项为期五年(2015年1月至2019年12月)的回顾性研究。献血者数据使用社会科学统计软件包第20版进行分析。

结果

研究期间共筛查了17810人的血液。艾滋病毒、梅毒及其合并感染的总体流行率分别为222例(1.25%)、142例(0.80%)和5例(0.03%)。艾滋病毒的流行率与未婚(调整后比值比:2.4;95%置信区间:1.5,5.2)、男性(调整后比值比:2.1;95%置信区间:1.5,2.9)以及居住在农村地区的献血者(调整后比值比:1.5;95%置信区间:1.5,5.9)有关。此外,梅毒的流行率与研究参与者的教育程度、年龄、婚姻状况和居住地有关。

结论

在本研究中,与撒哈拉以南非洲其他国家相比,献血者中艾滋病毒和梅毒的血清流行率较低。然而,为确保所有受血者的健康,强烈建议使用标准方法筛查血液。

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Human Immunodeficiency Virus and Syphilis Among Blood Donors at Western Oromia, Ethiopia.
J Blood Med. 2021 Jul 27;12:671-677. doi: 10.2147/JBM.S310329. eCollection 2021.

本文引用的文献

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BMC Infect Dis. 2019 Dec 19;19(1):1064. doi: 10.1186/s12879-019-4699-3.
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Use of Blood Donor Screening to Monitor Prevalence of HIV and Hepatitis B and C Viruses, South Africa.
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