泰安地区捐献全血前HBsAg初筛策略分析  

Analysis of HBsAg preliminary screening strategies before whole blood donation in Tai′an area

作　　者：曲小娜[1] 孙东华[2] QU Xiaona;SUN Donghua(Tai′an Central Blood Station,Tai′an,Shandong 271000,China;Shandong Agricultural University Hospital,Tai′an,Shandong 271000,China)

机构地区：[1]泰安市中心血站,山东泰安271000 [2]山东农业大学校医院,山东泰安271000

出　　处：《现代医药卫生》2024年第24期4210-4213,共4页Journal of Modern Medicine & Health

摘　　要：目的分析泰安地区2019年1月至2023年10月献血者捐献全血前乙型肝炎病毒表面抗原(HBsAg)快速检测(HBsAg初筛)情况,探讨更加适宜本地区的HBsAg初筛策略。方法分别对2019年1月至2023年10月团体献血和街头自愿献血群体、初次和重复献血群体、泰安市各县市区献血群体的HBsAg初筛淘汰情况进行统计分析。结果团体献血群体HBsAg初筛淘汰率(11.18‰)低于街头自愿献血群体(27.72‰);重复献血群体HBsAg初筛淘汰人次明显低于初次献血(9∶563);泰安市各县市区献血群体间HBsAg初筛淘汰率比较,差异均有统计学意义(P<0.05),由高到低排序为新泰市(34.06‰)、泰安市区(23.95‰)、东平县(17.61‰)、宁阳县(15.27‰)、肥城市(11.59‰)。结论本地区采血机构可以根据实际情况调整献血者捐献全血前HBsAg初筛策略,将重复献血群体,团体献血的医疗、教育机构献血群体作为试点,免做捐献全血前HBsAg初筛;HBsAg阳性献血者在泰安地区的分布具有一定的地域特征。Objective To analyze the rapid testing(preliminary screening)of hepatitis B virus surface antigen(HBsAg)among blood donors before whole blood donation in Tai′an area from January 2019 to October 2023,and to explore more suitable HBsAg preliminary screening strategies for this area.Methods Statistical analysis was conducted on the HBsAg preliminary screening elimination rates among group donations and street voluntary donations,first-time and repeat donors,and donors from various counties and districts in Tai′an City from January 2019 to October 2023.Results The HBsAg preliminary screening elimination rate in the group donation population(11.18‰)was lower than that in the street voluntary donation population(27.72‰).The number of HBsAg preliminary screening eliminations in the repeat donation population was significantly lower than that in the first-time donation population(9∶563).Statistically significant differences were found in the HBsAg preliminary screening elimination rates among donors from various counties and districts in Tai′an City(P<0.05),with the rates ranked from high to low as Xintai City(34.06‰),Tai′an urban area(23.95‰),Dongping County(17.61‰),Ningyang County(15.27‰),and Feicheng City(11.59‰).Conclusion Blood collection agencies in this area can adjust their HBsAg preliminary screening strategies before whole blood donation based on actual conditions,with repeat donors and medical and educational institution donors from group donations serving as pilot groups to exempt from HBsAg preliminary screening before whole blood donation.The distribution of HBsAg-positive donors in the Tai′an area exhibits certain geographical characteristics.

关 键 词：乙型肝炎病毒表面抗原 初筛 淘汰 献血 策略 地域特征 山东 

分 类 号：R446.6[医药卫生—诊断学] R457.1[医药卫生—临床医学]