Simbrón-Juárez Francisco, Cruz-Cruz Azarael Oscar, Galván-Bobadilla Alexis Ignacio, Benítez-Arvizu Gamaliel
Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Unidad de Atención Primaria a la Salud. Ciudad de México, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Unidad Complementaria Banco de Sangre. Ciudad de México, México.
Rev Med Inst Mex Seguro Soc. 2022 May 2;60(3):345-349.
In order to reach high-quality blood-components, it is necessary that people who wish to be a blood donor shall observe a series of conditions that guarantee the least possible risk for the recipient and themselves. According to international standards, an adequate and reliable supply of safe blood can be assured by a stable base of regular, voluntary, unpaid blood donors (altruistic), which is a goal set by the World Health Organization; unfortunately in our country it only represents around 3%, despite the efforts of different institutions. In addition, the population is unaware of risk factors that prevent donating, due to the low culture of this issue. Therefore, it is necessary to implement strategies to disseminate that blood donation is a privilege and donors must have a lifestyle that allows being in a position to be able to carry out this act of solidarity, including having an excellent state of health, adequate dietary hygiene habits, and a lifestyle free of risky behaviors, which includes the non-use of substances as well as a sexual behavior free from situations of exposure to infectious agents transmitted by transfusion. In particular, this point has been controversial, since some groups of the LGBT community have interpreted it as discrimination. The aim of this article is to highlight the difference between the risk factor, particularly for patients who require blood-components for their treatment and sexual behavior.
为了获得高质量的血液成分,希望成为献血者的人必须遵守一系列条件,以确保受血者和他们自己面临的风险尽可能低。根据国际标准,稳定的定期、自愿、无偿(利他性)献血者群体能够确保充足且可靠的安全血液供应,这是世界卫生组织设定的目标;不幸的是,尽管不同机构做出了努力,但在我国这一群体仅占约3%。此外,由于对这一问题的宣传不足,民众并不了解妨碍献血的风险因素。因此,有必要实施相关策略来宣传献血是一种特权,献血者必须拥有一种能够支持其进行这种团结行为的生活方式,包括拥有良好的健康状况、适当的饮食卫生习惯,以及没有危险行为的生活方式,其中包括不使用毒品以及没有可能导致通过输血传播感染病原体的性行为。特别是这一点一直存在争议,因为LGBT群体的一些人将其解读为歧视。本文的目的是强调风险因素之间的差异,尤其是对于那些治疗需要血液成分的患者和性行为方面的风险因素。