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中国十堰市献血者中输血传播感染的患病率及危险因素评估。

Prevalence and risk factors evaluation for transfusion-transmissible infections among blood donors from Shiyan, China.

作者信息

Zhao Yanqing, Yang Shuguo, Wei Shengnan, Wu Peng, Li Yuting, Zhu Daiqian, Li Wenhao, Zhang Yao, Wang Wei, Jiao Danmei, Li Jian

机构信息

Department of Human Parasitology, School of Basic Medical Science, Hubei University of Medicine, Shiyan, China.

Shiyan Blood Transfusion Center, Laboratory Medical Center, Shiyan, China.

出版信息

Diagn Microbiol Infect Dis. 2025 Mar;111(3):116691. doi: 10.1016/j.diagmicrobio.2025.116691. Epub 2025 Jan 17.

DOI:10.1016/j.diagmicrobio.2025.116691
PMID:39862553
Abstract

OBJECTIVE

Transfusion-transmissible infections (TTIs) are severe threats to blood safety and public health. A retrospective study of blood donor records from 2015 to 2019 in Shiyan, China, was conducted.

METHODS

TTI prevalence was analyzed using ELISA, RT-PCR, and demographic data. Chi-square test and logistic regression were used to analyze incidence trends and associations for HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), and Treponema pallidum (T. pallidum).

RESULTS

Of 230,225 donors, 2,453 (1.07 %) were TTI-positive. HIV, HBV, HCV, syphilis rates were 0.08 %, 0.40 %, 0.19 %, 0.40 %. Significant decreases in HBV, HCV, T. pallidum from 2015 to 2019; HIV decreased from 2018 to 2019. The prevalence is higher among women aged 35-60, farmers with T. pallidum and young female students with HIV infection.

CONCLUSIONS

Despite the relatively low prevalence of TTIs at present, awareness of TTIs and ongoing blood screening are still needed to ensure blood safety.

摘要

目的

输血传播感染(TTIs)对血液安全和公众健康构成严重威胁。对中国十堰市2015年至2019年的献血者记录进行了回顾性研究。

方法

使用酶联免疫吸附测定(ELISA)、逆转录聚合酶链反应(RT-PCR)和人口统计学数据分析TTIs患病率。采用卡方检验和逻辑回归分析HIV、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和梅毒螺旋体(T. pallidum)的发病趋势及相关性。

结果

在230,225名献血者中,2,453名(1.07%)TTIs检测呈阳性。HIV、HBV、HCV、梅毒感染率分别为0.08%、0.40%、0.19%、0.40%。2015年至2019年,HBV, HCV, 梅毒螺旋体感染率显著下降;HIV感染率在2018年至2019年有所下降。35-60岁女性、感染梅毒螺旋体的农民和感染HIV的年轻女学生的患病率较高。

结论

尽管目前TTIs的患病率相对较低,但仍需要提高对TTIs的认识并持续进行血液筛查以确保血液安全。

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