澳大利亚献血者中 ABO RhD 血型的频率是否因取消基于变异克雅氏症的延迟而发生变化?

IF 1.8 4区 医学 Q3 HEMATOLOGY
Vox Sanguinis Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI:10.1111/vox.13614
Rena Hirani, Veronica C Hoad, Iain B Gosbell, David O Irving
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引用次数: 0

摘要

背景和目的:在 2022 年 7 月 25 日之前,由于存在变异型克雅氏症的风险,1980 年至 1996 年期间在英国或其领地居住超过 6 个月的澳大利亚人被推迟献血。目前还没有关于取消这种基于地域的推迟献血对RhD阴性血液供应的影响的报告:纳入 2022 年 7 月 25 日至 2023 年 7 月 25 日期间至少捐献过一次的所有捐献者。从国家血液管理系统中提取英国献血者身份、首次献血者和 ABO RhD 数据:分析了 566,447 名具有有效 ABO RhD 结果的献血者的数据。其中,34,560 人是新的献血者,或者是在英国取消献血者暂缓捐献规定后重新回归的失效献血者。所有献血者的年龄中位数[范围]为 43 [75]岁,英国献血者的年龄中位数为 53 [70]岁。与首次献血者(15.7%)相比,英国献血者的 RhD 阴性比例更高(20.2%):结论:英国的献血者一般年龄较大,为女性,更有可能是 RhD 阴性。尽管英国献血者促进了RhD阴性血的采集,但澳大利亚献血者中ABO RhD血型的总体流行率仍与之前的估计值相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Has the frequency of ABO RhD blood groups in Australian blood donors changed as a result of the removal of the variant Creutzfeldt-Jakob disease-based deferral?

Background and objectives: Until 25 July 2022, Australians who had spent more than 6 months in the United Kingdom or territories between 1980 and 1996 were deferred from blood donation due to the risk of variant Creutzfeldt-Jakob disease. Removal of this geography-based donor deferral on RhD-negative blood availability has not been reported.

Materials and methods: All donors who donated at least once from 25 July 2022 to 25 July 2023 were included. UK donor status, first-time donor and ABO RhD data were extracted from the National Blood Management System.

Results: Data from 566,447 blood donors with a valid ABO RhD result were analysed. Of these, 34,560 were new or returning lapsed donors following removal of the UK donor deferral. The median age [range] in years for all donors was 43 [75] with UK donors being older 53 [70]. There was a higher prevalence of RhD-negative status in UK donors (20.2%) compared with first-time blood donors (15.7%).

Conclusion: UK donors were generally older, female and more likely to be RhD-negative. Although UK donors provided a boost to RhD-negative blood collections, the overall prevalence of ABO RhD blood groups in the total Australian blood donor panel remained similar to previous estimates.

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来源期刊
Vox Sanguinis
Vox Sanguinis 医学-血液学
CiteScore
4.40
自引率
11.10%
发文量
156
审稿时长
6-12 weeks
期刊介绍: Vox Sanguinis reports on important, novel developments in transfusion medicine. Original papers, reviews and international fora are published on all aspects of blood transfusion and tissue transplantation, comprising five main sections: 1) Transfusion - Transmitted Disease and its Prevention: Identification and epidemiology of infectious agents transmissible by blood; Bacterial contamination of blood components; Donor recruitment and selection methods; Pathogen inactivation. 2) Blood Component Collection and Production: Blood collection methods and devices (including apheresis); Plasma fractionation techniques and plasma derivatives; Preparation of labile blood components; Inventory management; Hematopoietic progenitor cell collection and storage; Collection and storage of tissues; Quality management and good manufacturing practice; Automation and information technology. 3) Transfusion Medicine and New Therapies: Transfusion thresholds and audits; Haemovigilance; Clinical trials regarding appropriate haemotherapy; Non-infectious adverse affects of transfusion; Therapeutic apheresis; Support of transplant patients; Gene therapy and immunotherapy. 4) Immunohaematology and Immunogenetics: Autoimmunity in haematology; Alloimmunity of blood; Pre-transfusion testing; Immunodiagnostics; Immunobiology; Complement in immunohaematology; Blood typing reagents; Genetic markers of blood cells and serum proteins: polymorphisms and function; Genetic markers and disease; Parentage testing and forensic immunohaematology. 5) Cellular Therapy: Cell-based therapies; Stem cell sources; Stem cell processing and storage; Stem cell products; Stem cell plasticity; Regenerative medicine with cells; Cellular immunotherapy; Molecular therapy; Gene therapy.
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