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目的对江苏省反应性献血者屏蔽、保留与归队工作进行总结分析,观察保留与归队策略的可行性。方法 ELISA单试剂反应性/NAT(-)及ELISA(-)/NAT(+)的献血者标本,经确认为阴性者,血液淘汰,献血资格保留。屏蔽6个月以上的献血者可在省内任一家血站提出归队申请,经常规检测及江苏省血液中心复检合格后允许其归队。用χ2检验比较保留、归队后再献血的不合格率与普通献血者是否存在差异。结果 2014年10月至2016年6月,单ELISA试剂(+)/NAT(-)标本1 615例,经确认阳性67例,不确定42例,阴性1 506例;ELISA(-)/NAT(+)标本831份,经确认阳性809例,阴性22例。共1 528例确认为阴性,保留献血资格。经保留的献血者中,89例再次献血,79例血液检测合格,不合格率11.24%,与普通献血者不合格率(1.55%)比较,差异有统计学意义(P<0.001)。同期,全省共596例提出归队申请,218例被归队血站方淘汰,在余下的378份送检江苏省血液中心的标本中,有359份合格,符合归队条件。其中有332例在归队后献血,血液检测均合格。结论江苏省反应性献血者的归队策略合理可行,但献血者保留策略仍需进一步优化和完善。
Objective To summarize and analyze the screening, retention and reversion of reactive blood donors in Jiangsu Province and to observe the feasibility of retention and return strategies. Methods ELISA single reagent reactivity / NAT (-) and ELISA (-) / NAT (+) donor samples were confirmed as negative, blood out, blood donation qualifications retained. Masked more than 6 months of blood donors in any blood bank in the province to apply for rejoin, after routine testing and re-examination of blood centers in Jiangsu Province allowed to return. Using χ2 test to compare retention, rejoin blood donation after the failure rate and whether there is a difference between ordinary blood donors. Results From January 2014 to June 2016, a total of 1 615 samples of (+) / NAT (-) were obtained, of which 67 were positive, 42 were uncertain and 1 506 were negative. ELISA (-) / NAT +) Specimens of 831 copies, 809 confirmed positive, negative in 22 cases. A total of 1 528 cases were confirmed as negative, retaining blood donation qualifications. Of the remaining blood donors, 89 donated blood again and 79 patients passed the blood test. The unqualified rate was 11.24%, which was significantly lower than that of the normal blood donors (1.55%) (P <0.001). In the same period, a total of 596 cases were submitted for rejoin application in the province. 218 cases were eliminated in the bloodstaining stations. Among the remaining 378 specimens submitted to the Jiangsu Provincial Blood Center, 359 were eligible for rejoinment. Of these, 332 returned to donate blood after blood tests were performed. Conclusion The rehospitalization strategy of reactive blood donors in Jiangsu Province is reasonable and feasible, but the retention strategy of blood donors still need to be further optimized and perfected.