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目的:对青海西宁地区无偿献血者HIV感染情况进行调查分析,为研究新的招募策略,保障血液安全供给提供参考依据。方法:统计2003年—2013年无偿献血者中HIV感染情况进行分析。结果:2003年—2013年共检测无偿献血者标本300 985人次,WB确认HIV感染者59例,阳性率为0.2‰,10万分之19.60,男性感染者占91.50%。感染者以(18~40)岁为主,占83%。其中(18~30)岁中感染者26例,占44%;(31~40)岁为25例,占42.4%。本地区无偿献血者中HIV感染者高发年龄段扩展到(31~40)岁。59例HIV感染者中,学生6例、工人5例、农民和公务员各3例、军人1例。HIV感染者从高危人群向社会各种人群传播,呈现感染人群多样化,流行形势复杂化的特点。结论:规范采供血行为,加强招募各环节管理,最大限度筛除高危人群献血,着力在单位团体无偿献血志愿者中建立发展无偿献血者队伍。
Objective: To investigate HIV infection status of unpaid blood donors in Xining area of Qinghai Province, and provide reference for studying new recruiting strategies and ensuring blood supply. Methods: Statistics of HIV infection in unpaid blood donors from 2003 to 2013 were analyzed. Results: A total of 300 985 volunteer blood donors were detected in 2003-2013. Among them, 59 were confirmed by WB. The positive rate was 0.2 ‰ and 19.60% respectively. The proportion of men infected was 91.50%. Infected persons (18 to 40) -based, accounting for 83%. Among them, 26 (44%) were infected (18-30) years old and 25 (31.4%) were 42.4%. The HIV-infected persons in the region’s unpaid blood donors have a high prevalence of (31-40) years. Of the 59 HIV-infected patients, 6 were students, 5 were workers, 3 were peasants and civil servants, and 1 was soldier. HIV-infected people from high-risk groups to various social groups spread, showing the diversity of infected people, the epidemic situation is complicated. CONCLUSION: It is necessary to standardize the blood collection and supply behavior, strengthen the management of recruiting, minimize the blood donation of high-risk groups, and focus on establishing a contingent of blood donors in voluntary blood donation units of unit groups.