COVID-19 pandemic impact on blood donations and discards from screening tests for transfusion-transmitted infections in a Brazil Brazilian metropolitan area.

IF 1.5 4区 医学 Q3 HEMATOLOGY
Laiane da Silva Santos, Sérgio Eduardo Soares Fernandes, Flávio Ferreira Pontes Amorim, Anna Luiza Oliveira Sant'Anna, Felipe Ferreira Pontes Amorim, Fábio Ferreira Amorim
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引用次数: 0

Abstract

Background: The COVID-19 pandemic posed a worldwide challenge for blood services. We aimed to evaluate the impact of the COVID-19 pandemic on blood donations and blood discards resulting from screening tests for transfused-transmitted infections (TTIs) in a Brazilian metropolitan.

Methods: Time-series cohort study including data of all blood donors from January 2018 to December 2021 at the Brasília Blood Center Foundation, Federal District, Brazil. The causal impact analysis was used to evaluate the impact of COVID-19 on blood donations, and a propensity score matching was used to evaluate the effect of the COVID-19 pandemic on the seroprevalence of TTIs.

Results: There were 205 965 blood donations during the study period. The blood donations significantly reduced soon after the onset of the COVID-19 pandemic in Brasilia, Brazil, in March 2020 until August 2020 (absolute effect per week: -2952; 95% CI: -4627 to -1355). However, from September 2020 to December 2021, blood donations had returned to the levels foreseen by the time-series model. Compared to the pre-COVID-19 period, the period between September 2020 and December 2021 was associated with a decrease of at least one reactive or indeterminate screening test for TTI (OR: 0.753, 95% CI: 0.665-0.854, p <0.001).

Conclusion: There was a substantial decrease in blood donations soon after COVID-19 onset in Brazil. However, within a few months, the donation levels had returned to those projected by the model, possibly due to measures implemented by the blood centre for blood donations. The seroprevalence of TTIs decreased during the COVID-19 pandemic.

巴西大都市地区COVID-19大流行对献血量和输血传播感染筛查试验弃血量的影响
背景:2019冠状病毒病大流行对全球血液服务构成挑战。我们的目的是评估COVID-19大流行对巴西大都市输血传播感染(tti)筛查试验导致的献血量和血液丢弃的影响。方法:时间序列队列研究,包括2018年1月至2021年12月在巴西联邦区Brasília血液中心基金会的所有献血者的数据。采用因果影响分析评估COVID-19对献血的影响,采用倾向评分匹配法评估COVID-19大流行对tti血清患病率的影响。结果:研究期间共献血205 965人次。2020年3月至2020年8月,在巴西巴西利亚发生COVID-19大流行后不久,献血量大幅减少(每周绝对影响:-2952;95% CI: -4627至-1355)。然而,从2020年9月到2021年12月,献血量已恢复到时间序列模型预测的水平。与COVID-19发病前相比,2020年9月至2021年12月期间,至少有一项TTI反应性或不确定筛查试验减少(or: 0.753, 95% CI: 0.665-0.854, p)。结论:巴西COVID-19发病后不久,献血量大幅减少。然而,在几个月内,献血水平就回到了模型预测的水平,这可能是由于血液中心采取了献血措施。在COVID-19大流行期间,tti的血清患病率有所下降。
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来源期刊
Transfusion Medicine
Transfusion Medicine 医学-血液学
CiteScore
2.70
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Transfusion Medicine publishes articles on transfusion medicine in its widest context, including blood transfusion practice (blood procurement, pharmaceutical, clinical, scientific, computing and documentary aspects), immunohaematology, immunogenetics, histocompatibility, medico-legal applications, and related molecular biology and biotechnology. In addition to original articles, which may include brief communications and case reports, the journal contains a regular educational section (based on invited reviews and state-of-the-art reports), technical section (including quality assurance and current practice guidelines), leading articles, letters to the editor, occasional historical articles and signed book reviews. Some lectures from Society meetings that are likely to be of general interest to readers of the Journal may be published at the discretion of the Editor and subject to the availability of space in the Journal.
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