海南地区无偿献血者抗-HIV阳性结果分析

发布时间：2019-01-09 12:25

【摘要】：目的通过对献血者进行严格的抗-HIV检测,对抗-HIV阳性献血者的人群结构和相关感染途径进行分析,了解献血者HIV的感染状况和流行趋势,为制定降低经输血传播HIV风险的有效措施提供依据。方法献血前在现场进行抗-HIV金标法快速检测,献血后用2家ELISA试剂进行双试剂筛查及NAT筛查,将初筛结果为阳性的样品及时送检确认,对确认阳性者资料进行统计分析。结果本中心2006—2013年无偿献血者抗-HIV筛查检测中,共发现抗-HIV初筛阳性218例,WB确证抗-HIV阳性87例。抗-HIV阳性献血者中,年龄在20—30岁的占59.8%;职业结构中,工人占比率较大(占27.6%);学历结构中,大学专科以上学历占56.3%;性别结构中,男性占89.7%。属固定献血者范畴的有5例。传播途径中,以男男同性性行为为主(MSM),占49.4%,其中年龄在20-29岁29例,共占MSM的67.4%。结论 8年来,本地区无偿献血者抗-HIV阳性率呈上升趋势、且具有年轻化和男性化的特点,传播途径以MSM为主,已经波及固定的无偿献血者队伍,提示在完善血源招募服务工作的同时,加强献血者HIV防护知识的宣教不可忽视。
[Abstract]:Objective to investigate the infection status and epidemic trend of HIV in blood donors by analyzing the population structure and related infection routes of blood donors with anti-HIV positive blood donors by strict anti-HIV detection. To provide the basis for making effective measures to reduce the risk of HIV transmitted through blood transfusion. Methods before blood donation, two ELISA reagents were used for double reagent screening and NAT screening before blood donation. The positive samples were sent to test and confirm in time, and the data of those who confirmed positive were statistically analyzed. Results from 2006 to 2013, 218 cases of anti-HIV positive and 87 cases of WB confirmed anti-HIV positive were found. Among the blood donors aged 20 to 30 years old, 59.8% were positive for anti-HIV, 27. 6% for workers, 56.3% for college degree or above, 27. 6% for professional structure, 56. 3% for anti-HIV positive blood donors, and 56. 8% for those aged 20 to 30 years old, 27. 6% and 56. 3% respectively. Of the gender structure, 89. 7% were male. There were 5 cases in the category of fixed blood donors. Among the transmission routes, male homosexual sex accounted for 49.4% of (MSM), among which 29 cases were aged 20-29 years, accounting for 67.4% of MSM. Conclusion in the past 8 years, the positive rate of anti-HIV in unpaid blood donors in this area is on the rise, and has the characteristics of young age and masculinity. MSM is the main route of transmission, and it has spread to a fixed contingent of unpaid blood donors. It is suggested that while improving the blood recruitment service, the propaganda and education of HIV protection knowledge of blood donors should not be ignored.
【作者单位】：海南省血液中心;
【基金】：海南省自然科学基金(813268)
【分类号】：R446.6;R512.91

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