实用医学杂志 ›› 2021, Vol. 37 ›› Issue (8): 1076-1079.doi: 10.3969/j.issn.1006⁃5725.2021.08.023

• 调查研究 • 上一篇    下一篇

2010-2019年广州地区18~25岁献血者HIV阳性人群特征分析

黄志健, 黄伯泉    

  1. 广州血液中心,广州市血液安全重点实验室(广州 510095)
  • 出版日期:2021-04-25 发布日期:2021-04-25
  • 通讯作者: 黄伯泉 E⁃mail:88485021@qq.com
  • 基金资助:
    广州市医学重点学科建设项目(血液安全重点实验室)

Analysis of HIV positive population of blood donors aged 18 to 25 years in Guangzhou from 2010 to 2019

HUANG Zhijian,HUANG Boquan. 
  

  1. Guangzhou Blood Center Guangzhou Key Laboratory of Blood Safety,Guangzhou 510095,China
  • Online:2021-04-25 Published:2021-04-25
  • Contact: HUANG Boquan E⁃mail:88485021@qq.com

摘要:

目的 了解本地区18 ~ 25岁青年献血者HIV感染人群特征,为相应献血人群制定献血招募策 略提供依据,降低HIV输血传播风险。方法 采用2种不同厂家ELISA试剂和核酸检测试剂对2 973 685 无偿献血者标本进行 HIV 项目进行初检、复检 2 遍检测,阳性者送第三方机构(广州金域医学检验中心)采用免疫印迹方法进行 HIV 确证,对 18 ~ 25 岁青年献血者 HIV 感染人群特征统计分析。结果 2 973 685 献血者标本中确证为抗⁃HIV 阳性有 736 例,其中 1 561 660 18 ~ 25 岁青年献血者中抗⁃HIV 确证病例为 289 例,占总确证病例的 39.27%;289 HIV 确认青年献血者中男性明显高于女性(P < 0.01)。其他分布特征是:初次献血占218例(75.45%),献血次数达3次或以上占比少(4.15%);街头与单位团体分别占84.43% 15.56%;献全血的有 286 例(98.96%),其余 3 例为成分献血;本市户籍和外省分别占 35.99% 36.68;在校学生与非在校献血者分别占 24.57% 60.9%。结论 广州地区 18 ~ 25 岁献血者中男性献血者感染 HIV 风险远高于女性,固定献血者、单位团体献血者和在校学生为感染 HIV 低风险人群;本地区献血招募中应加强对青年人群的关于男男同性恋等健康征询和HIV 宣传工作,保证临床用血的安全。

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Abstract:

Objective To understand the characteristics of HIV infection among young blood donors aged 18 to 25 in this area,It provides a basis for the development of recruitment strategies for blood donors and reduces the risk of HIV transmission through blood transfusion. Methods A total of 2 973 685 samples of unpaid blood donors were tested for HIV by two ELISA reagents and nucleic acid reagents from two different manufacturers and the third party agencies(guangzhou golden field medical inspection center)confirmed by western blot method for HIV positive people. The characteristics of HIV infection among young blood donors aged 18 ~ 25 years were analyzed statistically. Results Among the 2 973 685 blood donors,736 cases were confirmed to be anti ⁃HIV positive. Among the 1 561 660 young blood donors aged 18⁃25,289 were confirmed anti⁃HIV cases,accounting for 39.27% of the total confirmed cases. Among 289 HIV ⁃confirmed young blood donors,males were significantly higher than females(P < 0.01). Other distribution characteristics were as follows:218 patients(75.45%)donated blood for the first time,and 4.15%(4.15%)donated blood for more than 3 times. Street and work groups accounted for 84.43% and 15.56%,respectively;There were 286 cases(98.96%)who donated whole blood,and the other 3 cases were component blood donation.35.99% of the city′ s household registration and 36.68 of the provinces Students and non⁃school blood donors accounted for 24.57% and 60.9%,respectively. Conclusion Among blood donors aged 18⁃25 years in Guangzhou,the risk of HIV infection among male blood donors is much higher than that of female blood donors. Fixed blood donors,group blood donors and school students are the groups with low risk of HIV infection;in the recruitment of blood donation in this region,we should strengthen the health consulta⁃tion on male homosexuality and HIV publicity among young people to ensure the safety of blood for clinical use. 

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