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个人自由与公共责任:塞尔维亚北部首例输血传播艾滋病病毒病例后的遗留问题

Personal Freedom and Public Responsibility: Remaining Questions after First Case of HIV Transmission via Blood Transfusion in North Serbia.

作者信息

Grujić Jasmina, Bujandrić Nevenka, Banović Pavle

机构信息

Blood Transfusion Institute of Vojvodina, 21000 Novi Sad, Serbia.

Department of Internal Medicine, Faculty of Medicine in Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia.

出版信息

Healthcare (Basel). 2022 Jul 27;10(8):1397. doi: 10.3390/healthcare10081397.

DOI:10.3390/healthcare10081397
PMID:35893219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9332804/
Abstract

The reduction in the risk of transfusion-transmissible infections (including HIV infection) is an essential part of transfusion patient care. Here, we report the first incident of HIV transmission via transfusion in north Serbia due to blood donor dishonesty, and the failure of the laboratory screen tests to detect the presence of HIV particles in his blood. Infected blood products were distributed to two recipients, and HIV infection was confirmed in one. This incident finally led to the implementation of Nucleic Acid Amplification Technology as mandatory testing of blood donors for HIV infection in Serbia and raised many questions related to the responsibility and ethics of all the participants in the blood transfusion supply chain. There is a need for the implementation of modern and non-discriminative laws in Serbia in order to reduce transfusion-transmissible infections. In addition, transfusion institutes in Serbia need to be obliged to pursue the constant upgrade of their diagnostic capacities in order to prevent similar incidents and to provide the best possible care for blood donation recipients.

摘要

降低输血传播感染(包括艾滋病毒感染)风险是输血患者护理的重要组成部分。在此,我们报告塞尔维亚北部因献血者不诚实以及实验室筛查未能检测出血液中存在艾滋病毒颗粒而导致的首例经输血传播艾滋病毒事件。受感染的血液制品被分发给两名受血者,其中一人被确诊感染艾滋病毒。这一事件最终促使塞尔维亚强制实施核酸扩增技术对献血者进行艾滋病毒感染检测,并引发了许多与输血供应链所有参与者的责任和伦理相关的问题。塞尔维亚需要实施现代且无歧视性的法律,以减少输血传播感染。此外,塞尔维亚的输血机构有必要不断提升其诊断能力,以防止类似事件发生,并为输血接受者提供尽可能好的护理。