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目的:分析献血员输血相关感染性标志物检测阳性结果与献血员屏蔽的关系,探讨其在完善献血员保留机制中的意义。方法:回顾性分析2011-2014年献血员输血相关感染性标志物检测结果及相应的献血员淘汰情况。结果:HBsAg、抗-HCV、抗-HIV、抗-TP不合格淘汰者分别占总检测人数的0.86%、0.41%、0.15%、0.53%;4项单试剂阳性未经确认淘汰者分别占总检测人数的0.32%、0.29%、0.09%、0.18%,双试剂阳性未经确认淘汰者分别占总检测人数的0.54%、0.12%、0.06%、0.35%。双试剂阳性淘汰者中,除抗-HIV行确认试验,其余均未行确认试验直接淘汰。结论:献血员输血相关感染性标志物检测结果与献血员保留机制密切相关,全面开展确认试验及优化献血员屏蔽程序以完善献血员保留机制有待进一步论证和合法化。
OBJECTIVE: To analyze the relationship between the positive results of blood transfusion-related infectious markers and the screening of blood donors, and to explore its significance in improving the retention mechanism of blood donors. Methods: Retrospective analysis of blood transfusion-related infectious markers in blood donors from 2011 to 2014 and the corresponding blood donors were eliminated. Results: The HBsAg, anti-HCV, anti-HIV and anti-TP failed to account for 0.86%, 0.41%, 0.15% and 0.53% of the total testing population, respectively. 0.32%, 0.29%, 0.09% and 0.18% of the total number of people tested, and 0.54%, 0.12%, 0.06% and 0.35% of the total number of people who failed to confirm the positive double reagent test. Reversal of positive double reagent, in addition to anti-HIV line to confirm the test, the rest did not confirm the test directly out of the test. Conclusion: The results of blood transfusion-related infectious markers in blood donors are closely related to the retention mechanism of blood donors. It is necessary to further validate and validate the confirmation test and the optimization of blood donor screening procedures in order to improve the retention mechanism of blood donors.