COVID-19疫情期间武汉地区机采血小板采集策略

How to collect apheresis platelet from donors in a closed-off Wuhan during the COVID-19 epidemic

目的探讨突发公共卫生事件下,机采血小板的采集、供应应对措施,为今后突发公共卫生事件提供经验。方法疫情期间,人员流动受限、公共交通停运,我们制定了特殊时期的成分献血者招募、采血现场消毒防护、献血全程服务等措施,包括:严格消毒采血环境,甄别安全成分献血者进行招募,甄别安全工作人员坚守岗位,献血过程中成分献血者和工作人员的防护等。结果一共有1 742位成分献血者克服重重困难逆行到武汉血液中心参加血小板献血,完成成分献血3 638人次,采集制备机采血小板5 772治疗剂量。疫情期间,确保了成分献血现场零疫情、零传播,保障了献血者和工作人员的安全。结论采取多种策略,完善应对突发公共卫生事件的应急预案,科学有序落实预案,疫情期间机采血小板自采集占同期武汉地区医院临床用量的80%,较圆满的完成了机采血小板采集供应任务。

Objective In this study, we discussed the countermeasures we adopted to tide over the COVID-19 crisis in order to provide reference and insight for developing strategies to future public health emergencies. Methods Blood donation safety measures covering potential donor recruitment, sterilization of donation site and service throughout the donation process were carried out to overcome the strict traffic restrictions during COVID-19 pandemic. The safety of both donors and staff were prioritized by through cleaning and disinfecting of donation site, restrictive adherence to donor and staff eligibility, and all the necessary precaution for donor attendance and staff protection. Results A total of 1 742 donors overcame the difficulties and successfully donated apheresis platelet for 3 638 occasions in Wuhan Blood Center, from which 5 772 therapeutic doses of platelet were prepared. No donor nor staff acquired infection in the donation process.Conclusion The apheresis platelet donation during the COVID-19 pandemic met 80% of clinical demand in Wuhan thanks to the scientific employment of precautions for major public health emergency.