Neal K R, Jones D A, James V
Department of Public Health Medicine and Epidemiology, University of Nottingham, U.K.
Transfus Med. 1994 Sep;4(3):227-9. doi: 10.1111/j.1365-3148.1994.tb00276.x.
We have evaluated the effectiveness of the alteration in the literature aimed at the self-exclusion of blood donors with a history of high-risk behaviour. Since the introduction of anti-HCV screening on 1 September 1991 all HCV-positive donors in the Trent Region have been invited for interview by Blood Transfusion medical staff to ascertain risk factors for HCV infection. We have compared the 5-month periods before (1 September, 1992 to 31 January, 1993) and after (1 February, 1993 to 30 June, 1993) the introduction of the amended literature on 1 February, 1993. No differences between the two time periods were noted for the prevalence rate of HCV infection amongst new or repeat donors, or history of risk factors or specific exclusion criteria. The new literature is failing to exclude people with a history of high-risk behaviour from donating blood and further study of this problem is urgently required.
我们评估了文献中针对有高危行为史的献血者进行自我排除的相关改变的有效性。自1991年9月1日引入抗丙型肝炎病毒（HCV）筛查以来，特伦特地区所有HCV阳性献血者均被输血医务人员邀请进行访谈，以确定HCV感染的风险因素。我们比较了1993年2月1日引入修订文献之前（1992年9月1日至1993年1月31日）和之后（1993年2月1日至1993年6月30日）这两个5个月期间。在新献血者或重复献血者中，HCV感染的患病率、风险因素史或特定排除标准方面，两个时间段之间未发现差异。新文献未能将有高危行为史的人排除在献血之外，因此迫切需要对这一问题进行进一步研究。
