2014-2019年无偿献血者保密性弃血回告人群特征分析

Analysis of confidential unit exclusion among blood donors in Zhejiang Provincial Blood Center,2014-2019

目的分析无偿献血者保密性弃血回告人群情况,以进一步提升血液安全,减少经输血传播性疾病的发生。方法回顾分析浙江省血液中心2014—2019年864987人次无偿献血者中保密性弃血回告人群特征,分析献血者回告情况及回告人群特征、献血方式、血液检测结果、回告原因。结果献血者回告45人次,占0.0052%。其中,男性(35人次,占77.8%)、年龄18~40岁(34人次,占75.5%)为主要分布人群,街头献血(29人次,占64.4%)、首次献血(27人次,占60.0%)和全血献血(42人次,占93.3%)者居多。回告保密性弃血前4位原因分别为患有不适宜献血疾病(24人次,占53.3%)、存在高危行为(9人次,占20.0%)、乙肝或乙肝病毒携带者(5人次,占11.1%)和注射疫苗(5人次,占11.1%)。结论无偿献血者保密性弃血回告有助于提升血液安全,但弃血回告的原因以患有不适宜献血疾病为主,提示血站应加强献血者回告的宣传,加强对街头和首次献血者的宣教和征询。

Objective To analyze the status and features of confidential unit exclusion(CUE)among blood donors in 2014-2019.Methods The data of CUE among 864987 blood donors in Zhejiang Provincial Blood Center from 2014 to 2019 were retrospectively analyzed,in terms of the feature of population,the way of donation,the result of testing and the reasons of feedback.Results A total of 45 blood donors with CUE were informed with the prevalence of 0.0052%(45/864987).Males were predominant(77.8%,35/45)and most of them were aged 18-40 years(75.5%,34/45);64.4%(29/45)donated in street spots,60%(27/45)were first-time blood donors,and 93.3%(42/45)donated whole blood.The top four reasons for CUE were diseases not suitable for blood donation(53.3%,24/45),high-risk behavior(20.0%,9/45),hepatitis B carriers or patients(11.1%,5/45)and being vaccinated(11.1%,5/45).Conclusion The blood donors to be informed the CUE can facilitate the blood safety.The study shows that the main reason for CUE is diseases not suitable for blood donation,which indicates that it is necessary to strengthen the education and consultation of blood donation,particularly in street station and for first-time donors.