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目的了解2012年-2016年本地区无偿献血者HIV感染特点,为制定无偿献血招募策略提供依据。方法 2012-2016年临汾地区无偿献血者全血标本和机采血小板全血经实验室ELISA两遍检测,2015年12月25日以后,酶免实验室呈阴性的标本进行NAT的检测,值得一提的是2016年3月的一份标本,血清学试验两种试剂检测均为阴性,对该标本进行核酸检测时,该标本的核酸检测结果为阳性,拆分后检测该标本HIV为核酸检测阳性,送确认实验室确认为阳性。所有HIV有反应性的标本均送检临汾市疾病预防控制中心进行确认。结果 2012年-2016年临汾地区检测标本139769份,初筛HIV有反应的标本79份,经确认阳性为21份,其中不确定8份。结论从年龄、学历、职业、性别等为出发点对于招募一支低危人群献血者有一定指导作用。献血前的大力宣传,能够促使高危人群进行自我屏蔽,安全固定的献血者才是输血安全的基本保障。
Objective To understand the characteristics of HIV infection in unpaid blood donors in the region from 2012 to 2016 and provide evidence for developing a voluntary blood donation recruitment strategy. Methods From 2012 to 2016, whole blood samples of blood donors and platelet-harvested whole blood from Linfen were tested twice by laboratory ELISA. After December 25, 2015, ELISA-negative laboratory specimens were tested for NAT, worth a Mentioned in March 2016 a specimen of serological tests were negative for both reagents, the nucleic acid test of the specimen, the specimen of nucleic acid test results were positive, the detection of the specimen after split HIV nucleic acid test Positive, sent to confirm the laboratory confirmed as positive. All HIV-positive specimens were sent to Linfen City Center for Disease Control for confirmation. Results A total of 139 769 specimens were detected in Linfen area from 2012 to 2016. A total of 79 HIV-positive specimens were screened from 21 HIV positive samples, of which 21 were confirmed positive, of which 8 were undetermined. Conclusion From the age, education, occupation, gender, etc. as a starting point for the recruitment of a low-risk blood donors have some guidance. Vigorous publicity before blood donation, can promote self-shielding of high-risk groups, safe blood donors are the basic security of blood transfusion.