Wang Song-Xing, Sun Li-Yan, Yu Qiong, Li Tong, Li Ran, Xu Yun-Ping, Zeng Jin-Feng
Shenzhen Blood Center, Shenzhen, Guangdong, People's Republic of China.
Int J Gen Med. 2023 Feb 3;16:425-434. doi: 10.2147/IJGM.S397236. eCollection 2023.
New HIV (Human immune deficiency virus) infections are continuously increasing in China and it remains a huge challenge to blood donation. As access to health services has affected by COVID-19 (Corona virus disease 2019) pandemic, a drop in new diagnoses (especially HIV) was observed worldwide.
During 2013-2021, 735,247 specimens from unpaid blood donors collected by Shenzhen Blood Center underwent ELISA (Enzyme -linked immunosorbent assay) and NAT (Nucleic acid test). Samples with reactivity results were sent to the Shenzhen Center for Disease Control and Prevention for WB (Western blot). All data were statistically analyzed by the Chi-Square test.
From 2013 to 2021, the prevalence of HIV among male blood donors was higher than in females (P < 0.01). During the COVID-19 pandemic, the prevalence of HIV among repeat blood donors decreased significantly compared to 2019 (P < 0.05), and the characteristics of blood donors changed in 2020 compared to 2019 and 2021.
The high proportion of female blood donors would help prevent HIV from getting into the blood supply. The COVID-19 pandemic affected the demographics of blood donors as well as the prevalence of HIV among repeat blood donors. An increased number of repeat blood donors can help decrease the risk of HIV transfusion transmission during the epidemic.
中国新的艾滋病毒(人类免疫缺陷病毒)感染病例持续增加,这对献血工作仍然是一个巨大挑战。由于获得医疗服务受到2019冠状病毒病大流行的影响,全球范围内新诊断病例(尤其是艾滋病毒)有所下降。
2013年至2021年期间,深圳血液中心采集的735247份无偿献血者标本接受了酶联免疫吸附测定(ELISA)和核酸检测(NAT)。反应性结果的样本被送往深圳市疾病预防控制中心进行免疫印迹法(WB)检测。所有数据均采用卡方检验进行统计分析。
2013年至2021年,男性献血者中艾滋病毒的流行率高于女性(P<0.01)。在2019冠状病毒病大流行期间,与2019年相比,多次献血者中艾滋病毒的流行率显著下降(P<0.05),与2019年和2021年相比,2020年献血者的特征发生了变化。
女性献血者比例高有助于防止艾滋病毒进入血液供应。2019冠状病毒病大流行影响了献血者的人口统计学特征以及多次献血者中艾滋病毒的流行率。增加多次献血者的数量有助于降低疫情期间艾滋病毒输血传播的风险。