摘要
Abstract
Objective To understand the infectious diseases situation among the volunteer blood donors in Wanzhou district so as to provide a scientific basis for the blood donation recruitment methods and the recruitment strategies ,thus to reach the goal for decreasing the blood scrap ,protecting the blood resources and improvig the blood safety .Methods The related data from the volunteer blood donors in Wanzhou district during 2008 to 2013 were col‐lected .Before blood donation ,HBsAg was screened by adopting the golden gel testing strip ,ALT was screened by u‐sing the dry chemical method .After blood donation ,ALT was detected by using the rate method ,with the measured value ≤ 40 units as being qualified ;since August 2013 ,with ALT ≤ 50 units for male and ALT ≤ 40 units for fe‐male as the qualified standards .HBsAg ,anti‐HCV antibody ,anti‐syphilis antibody (anti‐T P) and anti‐HIV antibody were detected by ELISA .Results The volunteer blood donors totaled 259 004 person‐times ,the total unqualified rate of the blood infectious indexes detection was 5 .96% .The unqualified rates of each detection item inturn were ALT >anti‐TP> HBsAg> anti‐HCV> anti‐HIV .The unqualified rate of the blood infectious indexes detection for the groups recruitment appointment blood collecting way was 6 .41% ,which was higher than 5 .43% for the streets blood collecting ,the difference had statistical significance (P<0 .05);the unqualified rates of the blood infectious indexes detection for the technical personnel ,civil servants and individual category were 8 .69% ,7 .49% and 7 .05% respec‐tively ,which were higher than 2 .69% ,4 .24% ,5 .48% and 5 .55% for the students ,soldiers ,medical personnel and farmers respectively ,the differences had statistical significance (P<0 .05);the unqualified rates of the blood infec‐tious indexes detection for the illiterates ,postgraduates ,persons with high school ,middle school and elementary edu‐cation level were 8 .89% ,6 .70% ,6 .22% ,6 .11% and 6 .05% ,which were higher than 5 .65% ,5 .71% and 5 .93% for the persons with secondary school ,undergraduate and college education levels respectively ,the difference had statisti‐cal significance(P<0 .05) .Conclusion Further improving the accuracy of ALT and HBsAg screening and increasing pre‐donation screening for syphilis‐TP will conduce to reduce the blood scrap and protect the blood resources .Consol‐idating and developing blood donation of college students and medical personnel ,vigorously advocating ,mobilizing and developing blood donation of peasants will be the future direction of blood resource recruitment strategy .关键词
血源招募/无偿献血者/传染性指标/不合格率Key words
recruitment of blood resource/volunteer blood donors/infectious indicators/unqualified rate
