肯尼亚通过输血传播艾滋病毒的估计风险
A Moore1, G Herrera, J Nyamongo
1Division of HIV/AIDS Prevention-Surveillance and Epidemiology, National Center for HIV, STD, and TB Prevention, Georgia, Atlanta 30333, USA.
Lancet (London, England)
|September 1, 2001
概括
在肯尼亚,一项研究发现,由于实验室实践不佳,2.0%的输血感染了艾滋病毒. 这凸显了改善血液安全和减少发展中国家人类免疫缺陷病毒 (HIV) 传播风险的关键需求.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 输血医学 输血医学
背景情况:
- 发展中国家往往缺乏对血液安全计划的充分支持.
- 肯尼亚面临着成熟的人类免疫缺陷病毒 (HIV) 流行病,增加了输血风险.
研究的目的:
- 评估肯尼亚通过输血传播艾滋病毒的风险.
- 提高人们对血液安全问题的认识.
- 确定减轻输血相关艾滋病毒传播的策略.
主要方法:
- 在肯尼亚六家医院收集了12周 (1994年4月至7月) 的献血者和接受者的血液样本.
- 使用标准的医院实验室实践对艾滋病毒进行查的捐赠.
- 将医院检测结果与参考实验室进行比较,并计算输血相关的艾滋病毒传播风险.
主要成果:
- 献血者中艾滋病毒的患病率为6.4%,在医院之间有很大差异 (2-20%).
- 据估计,2.0%的输血感染了艾滋病毒,其中26例艾滋病毒阳性捐赠给了艾滋病毒阴性患者.
- 确定了有助于因素:不一致的制冷,数据错误,设备故障和缺乏质量保证.
结论:
- 错误的实验室实践是肯尼亚通过输血传播高艾滋病毒传播率的主要原因.
- 肯尼亚卫生部根据研究结果实施了实用,低成本的干预措施,以提高国家血液安全.
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