盐城地区2015-2017年无偿献血者抗-HIV检测情况分析

Analysis of Anti-HIV Detection in 2015—2017 Years of Blood Donors in Yancheng

目的对盐城地区2015年至2017年抗-HIV阳性无偿献血者资料进行分类研究,为降低输血传播HIV风险提供依据。方法选取2015年至2017年盐城地区209 677例无偿献血标本进行ELISA双试剂检测及核酸检测,初筛抗-HIV呈阳性的标本送至市疾控中心进行确认,并通过献血者管理系统(BIS)及疾控中心抗-HIV结果反馈单对其资料进行回顾性分析。结果 209 677例无偿献血者样本中,抗-HIV初筛阳性为181例,经过确证阳性为21例。确认抗-HIV阳性无偿献血者中,抗-HIV阳性无偿献血者男性占比重较大为95.2%,小于25岁献血者占比重较大为38.00%,初中及以下学历献血者占比重较大为42.90%,其他不肯透露职业献血者占比重较大,为61.90%。结论江苏盐城地区筛查抗-HIV阳性无偿献血者呈现低龄化,主要以年轻男性、低学历以及其他不肯透露职业者为主,因此,在招募献血者时应针对性的加强宣传,减少高危潜在献血者,以此提高输血的安全性。

Objective The data of anti-HIV positive blood donors from 2015 to 2017 in Yancheng area were classified to provide evidence for reducing the risk of transfusion transmitted HIV. Method From 2015 to 2017,209 677 samples of free blood donation in Yancheng area were detected by ELISA double reagent and nucleic acid test. The initial screening anti-HIV positive specimens were sent to the CDC to be confirmed,and the data of the blood donor management system(BIS)and the CDC anti-HIV result feedback were reviewed. Results Among the 209 677 blood donors,181 were positive for HIV screening,21 were confirmed positive. Among the people who confirmed anti-HIV positive free blood donation,the proportion of men with anti-HIV positive free blood donation was 95.2%,the proportion of those less than 25 years old was 38%,and the proportion of junior high school and below was 42.90%,and the other did not disclose the proportion of professional blood donors,which was 61.90%. Conclusion The screening of anti-HIV positive blood donors in Yancheng area of Jiangsu is low age,mainly with young men,low educational background and others who are not willing to disclose the professional. Therefore,it is necessary to enhance the publicity and reduce the risk of potential blood donors in the recruitment of blood donors,so as to improve the safety of blood transfusion.