江苏省血液检测阳性献血者保留和归队经验探讨  

Experiences on the retention and reentry of reactive blood donors in Jiangsu Province

作　　者：蒋昵真[1] 王金花[1] 濮云峰[2] 王亚武[1] 陈晓莉 胡文佳[1] JIANG Nizhen;WANG Jinhua;PU Yunfeng;WANG Yawu;CHEN Xiaoli;HU Wenjia(Jiangsu Provincial Blood Center,Nanjing 210042,China;Changzhou Blood Station)

机构地区：[1]江苏省血液中心,江苏南京210042 [2]常州市中心血站

出　　处：《中国输血杂志》2019年第11期1155-1159,共5页Chinese Journal of Blood Transfusion

基　　金：江苏省预防医学课题(Y2018093)

摘　　要：目的探讨献血者召回策略的合理性。方法2014年10月-2019年3月对2706名ELISA单试剂阳性、而NAT阴性献血者标本的阳性项目进行确认,确认结果为阴性者,保留献血资格;3109名被屏蔽至少6个月的献血者提出归队申请,归队检测合格者回归献血者队伍。比较参与保留和申请归队2种途径的检测合格率、再次献血比例、再次献血不合格率、再次献血的时间间隔。结果2390名(88.32%)献血者被成功保留献血资格,其中203人(8.49%)再次献血,再次献血不合格率12.32%,再次献血不合格者距离上一次不合格献血的时间间隔平均335 d,再次献血合格者的时间间隔为408 d。2066名(66.45%)献血者成功归队,其中882人(42.69%)再次献血,再次献血不合格率4.99%,不合格者距离归队申请平均157 d,合格者平均92 d。结论献血者归队的流程、检测方法比献血者保留更科学,再次献血比例高,献血不合格率低,建议取消献血者保留途径,并永久屏蔽体内反复出现干扰物的献血者。Objective To discuss the rationality of blood donor recall strategy.Methods From Oct 2014 to Mar 2019,2706 blood donor specimens of ELISA single reactive but NAT non-reactive were further confirmed.The qualification of those blood donors whose blood specimens were confirmed as non-reactive was retained.In addition,3109 blood donors after being shielded for at least 6 months applied for donor reentry.Those qualified donors after test were reentered.The qualified rate of tests,repeated donation rate,unqualified rate of repeated donation and donation interval of both ways of recall were compared.Results 2390 donors(88.32%)were successfully retained,and 203(8.49%)of them re-donated but unfortunately 12.32% of their re-donations were unqualified.The average interval between the twice donations before and after retention was respectively 408 and 335 days for those whose re-donations were qualified and unqualified.In contrast,2066 donors(66.45%)successfully reentered,882(42.69%)of whom re-donated and only 4.99% of their re-donations were unqualified.The average interval between the first donation after reentry and the date of application was respectively 92 and 157 days for those whose re-donations were qualified and unqualified.Conclusion Donors reentry strategy is much reasonable than donors retention as its higher repeated donation rate and lower unqualified rate.It is suggested donors retention strategy should be canceled and those donors with repeated interferent should be shielded permanently.

关 键 词：保留献血资格 献血者归队 单试剂阳性 

分 类 号：R457.1[医药卫生—治疗学] R446[医药卫生—临床医学]