摘要
目的为了控制梅毒经血液传播,降低输血风险,统计分析龙岗区无偿献血者中梅毒阳性的分布特征,提出相应的干预对策。方法采用梅毒甲笨胺红不加热血清试验和酶联免疫吸附试验法同时筛查献血者标本中的梅毒指标,结果阳性采用梅毒螺旋体明胶颗粒凝集试验(TPPA)法确证。结果2002-2004年筛查无偿献血者血液标本38534人份,经TPPA确证梅毒阳性337人份。统计显示梅毒阳性率呈逐年下降趋势;在性别、年龄、职业和学历分布上存在显著性差异;在合并其他传染指标阳性中,梅毒阳性与梅毒阴性的转氨酶(ALT)和抗-丙肝(HCV)指标有显著性差异。结论在全面开展无偿献血的同时,应加强对外来流动人口的健康教育和健康促进,发动和鼓励无偿献血者定期无偿献血,并采用灵敏度高、特异性强的检测试剂,以保证临床用血安全。
OBJECTIVE In order to reduce the risk of blood transfusion through controlling the blood transmission of syphilis, the study analyzed the donated blood in the bank. METHODS TRUST and ELISA were used for syphilis screening. The positive one was confirmed by TPPA. RESULTS Of 38 534 copies of donated blood from 2002 to 2004, 337 were confirmed by TPPA. The data indicated that the prevalence of syphilis has been reduced year after year. The positive rates were different in gender, age, education levels and professionals. CONCLUSIONS Health education should be strengthened in the donated groups especially in the floating people. Sensitive , specific test reagents for detecting the donated blood should be adopted.
出处
《中国初级卫生保健》
2005年第7期27-29,共3页
Chinese Primary Health Care
关键词
献血者
梅毒
干预对策
blood donator, syphilis, interference strategy
