温州地区实施献血前干预措施降低HIV阳性率的效果评价

Assessment on the implementation of interventions before blood donation to reduce HIV positive rates

目的系统的评价温州市中心血站实施献血前干预措施对降低HIV阳性率的效果。方法本站于2014年开始实施献血前干预措施,对中心血站及下属4个分支机构的业务人员进行献血前干预措施培训;定期举办献血者血液安全知识培训,加强宣传,让献血者认识"窗口期"和"高危行为";制定主动退出和保密性弃血制度,以便献血者主动退出。对2008-2013年和2014-2015年干预前后的HIV阳性率进行统计学分析。结果干预实施前HIV阳性率从2008年的0.008%上升至2013年0.041%(P<0.01),干预实施后2014、2015年分别为0.028%、0.027%(P>0.05),增长趋势得到了有效的控制。结论温州市中心血站献血前干预措施的实施有效抑制了HIV阳性率的增长,保障了血液安全。

Objective To systematically evaluate the effect of HIV intervention before blood donation on reducing HIV positive rates in Central Blood Station Of Wenzhou.Methods Blood donors were informed of ＂window period＂and ＂highrisk behavior＂. A system of voluntary discontinuation and the confidentiality of abandoning the blood was established,which was more convenient for blood donors to voluntarily discontinue. Blood donors＇ HIV infection data from 2008 to 2013 and from2014 to 2015 before and after the implementation of blood donation interventions were statistical analyzed.Results The HIV positive rate decreased from 0. 08% in 2008 to 0. 041% in 2013（ P〈0. 01） before the intervention was carried out. The HIV positive rates were 0. 028% in 2014,and 0. 027% in 2015（ P〉0. 05） after the intervention was carried out. The trend has been effectively controlled.Conclusion Intervention measures which were carried out by Central Blood Station Of Wenzhou have effectively inhibited the growth of the HIV positive rate to ensure the safety of blood resources.