关于三级医院献血者输血传播感染血清流行率的横断面研究

Angampally K, Darapuneni Rc, Gafurjiwala Sm
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摘要

背景:输血传播感染(TTIs)是与输血相关的主要问题,准确预测 TTI 风险对于跟踪血液供应安全至关重要。本研究了解一家多专科医院中输血传播感染的血清流行趋势和变化模式。研究的目的是评估献血者中 TTI 感染的流行率,并比较献血者血清流行率的变化趋势。材料和方法:2017 年 1 月至 2022 年 12 月在印度塞康德拉巴德的 KIMS 血液中心进行了一项横断面研究。在此期间向血液中心报到的所有献血者均接受了人类免疫缺陷病毒(HIV)1 和 2、丙型肝炎病毒、乙型肝炎表面抗原(HBsAg)、乙型肝炎核心抗体(aHBC)和乙型肝炎表面抗体(aHBs)、疟疾和梅毒筛查。艾滋病病毒、乙型肝炎病毒和丙型肝炎病毒的筛查采用化学发光法,梅毒和疟疾的筛查采用 RPR 法。结果共筛查了 69741 名自愿献血者,其中男性 68857 人,女性 1083 人。艾滋病毒、乙型肝炎病毒、丙型肝炎病毒、疟疾和梅毒的血清阳性率分别为 0.36%、0.59%、0.48%、0.01% 和 0.07%。附加检测是 aHBC 和 aHBs,结果显示,在所有潜在捐献者中,本中心最常见的 TTI 流行率是乙型肝炎,其次是丙型肝炎病毒、艾滋病毒、梅毒和疟疾。结论需要提高公众意识,谨慎选择捐献者,保持警惕,并采用新技术进行早期检测,以降低 TTI 的发病率。关键词:人类免疫缺陷病毒;艾滋病毒;乙型肝炎;丙型肝炎;血清流行率;输血传播感染
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A cross sectional study on seroprevalence of transfusion-transmitted infections among blood donors at tertiary care hospital
Background: Transfusion transmitted infections (TTIs) are the major problem associated with blood transfusions, and accurate projections of TTI risk are essential for tracking the safety of the blood supply. This research recognized the seroprevalence trends and shifting patterns of TTIs, in a multispecialty hospital. The aim of the study was to assess the prevalence of TTI infections among blood donors and to compare the changing seroprevalence trends in blood donors. Materials and methods: A cross sectional study was conducted from January 2017 to December 2022 at KIMS Blood Centre, Secunderabad, India. All donors reporting to the blood centre during the period were screened for human immunodeficiency virus (HIV) 1 & 2, hepatitis C viruses, hepatitis B surface antigen (HBsAg), total hepatitis B core antibody (aHBC) and hepatitis B surface antibody (aHBs), malaria and syphilis. Screening of HIV, hepatitis B and hepatitis C viruses were done by chemilumiencies, while syphilis and malaria were screened by RPR method. Results: A total of 69741 voluntary blood donors were screened, of which 68857 were males and 1083 were females. Seropositivity of HIV, hepatitis B, hepatitis C viruses, malaria, syphilis were 0.36 %, 0.59%, 0.48%,0.01% and 0.07% respectively. Addition tests were aHBC and aHBs which showed among all the potential donors, the most common TTI prevalence at our centre was hepatitis B followed by HCV, HIV, syphilis and malaria. Conclusion: Public awareness, careful donor selection, vigilance, and adoption of newer techniques for early detection are needed to reduce the incidence of TTIs. Keywords: human immunodeficiency virus; HIV; hepatitis B; hepatitis C; seroprevalence; transfusion transmitted infections
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