嘉兴市无偿献血者献血后回告及保密性弃血现状分析
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摘要
目的探讨无偿献血者保密性弃血的现状,为保障血液安全提供科学依据。方法对2011-2016年受理的15例在本血站要求保密性弃血的无偿献血者进行原因分析与人群特征调查。结果嘉兴市无偿献血保密性弃血人数为15例,比例为0.011%,其中14例要求保密性弃血的献血者4项传染病标志物检测为阴性,1例为抗-HIV检测阳性,18-30岁之间的未婚男性是保密性弃血的主要群体,再次献血者有高危行为或病症献血者相对较少。保密性弃血原因以高危行为(27%)和不洁性史(20%)为主。结论献血者献血后的良心回告对提高输血的安全性非常重要,必须做好回告工作人员的培训,拓宽回告途径,加大宣教力度,强化献血前的征询工作并为献血者提供一个私密的进行保密性弃血的环境。
Objective This paper analyzes the situation of confidential blood discarding in voluntary blood donation in Jiaxing in 2011-2016 years,and provides scientific evidence for ensuring the blood safety. Methods During 2011-2016 years,15 voluntary blood donors who required confidential blood donation in the blood bank were investigated for their reasons and characteristics. Results The blood discarding rate was 0.011%. 15 cases were abandoned in the confidential blood discarding of voluntary blood donation in Jiaxing,in which 14 blood donors' 4 infectious disease markers were negative,1blood donor was HIV positive,18-30 years old unmarried males are the main category of secrecy abandoned blood donors,the number of secondary donors who have high-risk behaviors or diseases are relatively small. The causes of confidentiality were mainly high risk behaviors( 27%) and feculent sexual history( 20%). Conclusion Blood donors' conscience to report the truth is quite important to improve the safety of blood transfusion,it is a must to prepare the training of staffs,to broaden the back way,strengthen the propaganda and education,strengthen the consultation work before the blood donation and provide a private security environment of abandoned blood for blood donors.
Objective This paper analyzes the situation of confidential blood discarding in voluntary blood donation in Jiaxing in 2011-2016 years,and provides scientific evidence for ensuring the blood safety. Methods During 2011-2016 years,15 voluntary blood donors who required confidential blood donation in the blood bank were investigated for their reasons and characteristics. Results The blood discarding rate was 0.011%. 15 cases were abandoned in the confidential blood discarding of voluntary blood donation in Jiaxing,in which 14 blood donors' 4 infectious disease markers were negative,1blood donor was HIV positive,18-30 years old unmarried males are the main category of secrecy abandoned blood donors,the number of secondary donors who have high-risk behaviors or diseases are relatively small. The causes of confidentiality were mainly high risk behaviors( 27%) and feculent sexual history( 20%). Conclusion Blood donors' conscience to report the truth is quite important to improve the safety of blood transfusion,it is a must to prepare the training of staffs,to broaden the back way,strengthen the propaganda and education,strengthen the consultation work before the blood donation and provide a private security environment of abandoned blood for blood donors.
引文
[1]Food and Drug Administration.Additional recommendations for reducing further the number of units of blood and plasma donated for transfusion or for further manufacture by persons at increased risk of HTLVIII/LAV infection.Memorandum to blood establishments.1986.
[2]de Almeida-Neto C,Liu J,Wright DJ,et al.Demographic characteristics and prevalence of serologic markers among blood donors who use confidential unit exclusion(CUE)in Sao Paulo,Brazil:implications for modification of CUE policies in Brazil.Transfusion,2011,51(1):191-197.
[3]Zou S,Notari EP,Musavi F,et al.Current impact of the confidential unit exclusion option.Transfusion,2004,44(5):651-657.
[4]刘志远,张荣华,王鸿捷.61例保密性弃血资料分析.中国输血杂志,2012,25(5):474-476.
[5]王拥军,冯晴,孟忠华,等.2006~2010年浙江省血液中心无偿献血者保密性弃血现状分析.中国输血杂志,2012,25(12):1308-1309.
[2]de Almeida-Neto C,Liu J,Wright DJ,et al.Demographic characteristics and prevalence of serologic markers among blood donors who use confidential unit exclusion(CUE)in Sao Paulo,Brazil:implications for modification of CUE policies in Brazil.Transfusion,2011,51(1):191-197.
[3]Zou S,Notari EP,Musavi F,et al.Current impact of the confidential unit exclusion option.Transfusion,2004,44(5):651-657.
[4]刘志远,张荣华,王鸿捷.61例保密性弃血资料分析.中国输血杂志,2012,25(5):474-476.
[5]王拥军,冯晴,孟忠华,等.2006~2010年浙江省血液中心无偿献血者保密性弃血现状分析.中国输血杂志,2012,25(12):1308-1309.