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献血者中抗C100 - 3和乙肝表面抗原的流行率——对采集的全血单位、排除重复献血后调整的总采集量以及首次献血者的比较研究

[Prevalence of anti C100-3 and HBsAg in blood donors--comparative study of total collected blood units, total collection adjusted to exclude repeat blood donations, and in first time blood donors].

作者信息

Tanaka J, Moriya T, Sasaki F, Yoshizawa H, Nagakami H, Irie A, Mizui M

机构信息

Department of Hygiene, Hiroshima University School of Medicine.

出版信息

Nihon Koshu Eisei Zasshi. 1993 Jul;40(7):540-6.

PMID:8369530
Abstract

Prevalence of anti C100-3 and HBsAg in donor blood collected at the Hiroshima Red Cross Blood Center during the period of Aug., 1990 to July, 1991 was studied in three groups--total received blood units (187,532 units) without any adjustment, blood units after adjustment by excluding repeat donations of blood units by the same donors (142,160 units), and blood units of first time donors (28,596 units). The results of the study is summarized as follows. 1) There was no significant difference in the prevalence of anti C100-3 between the group comprising the total collected units, and the group after the adjustment. This result suggests that repeat donors do not necessarily belong to any fixed age group. 2) The prevalence of HBsAg is significantly higher in the first time donor group than in the other two groups. In both the total blood units group and the group after the adjustment, prevalence of HBsAg among older age groups was as low as that of younger age groups. This is presumably because of the introduction of selective exclusion of HBsAg positive subjects from donors since 1980. When data from blood donors are used for the epidemiological studies of viral infection among healthy subjects, it is important to know the characteristics of such donor subjects and whether or not they are pre-screened for the viral markers in question.

摘要

对广岛红十字血液中心在1990年8月至1991年7月期间采集的供血者血液中的抗C100 - 3和乙肝表面抗原(HBsAg)的流行情况进行了研究,分为三组——未作任何调整的全部接收血液单位(187,532单位)、排除同一供血者重复献血单位后经调整的血液单位(142,160单位)以及首次献血者的血液单位(28,596单位)。研究结果总结如下。1)在全部采集单位组和调整后组之间,抗C100 - 3的流行率没有显著差异。这一结果表明,重复献血者不一定属于任何固定年龄组。2)首次献血者组中HBsAg的流行率显著高于其他两组。在全血单位组和调整后组中,老年组HBsAg的流行率与年轻组一样低。这大概是因为自1980年以来实行了从供血者中选择性排除HBsAg阳性者的措施。当将供血者的数据用于健康人群病毒感染的流行病学研究时,了解这些供血者的特征以及他们是否针对相关病毒标志物进行过预筛查非常重要。

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