在军事献血中心的献血后推迟中感染病因
Somin Kwon1, Brian G Casleton2, Glorimar Z Rivera2
1School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Transfusion
|October 18, 2023
概括
推迟军事献血者的感染率很低,其中Treponema pallidum,C型肝炎 (HCV) 和B型肝炎 (HBV) 是最常见的. 在部署的环境中,需要对HIV,Chagas和HTLV-I/II进行增强的诊断.
科学领域:
- 输血药物 输血药物 输血药物
- 传染病 传染病 传染病
- 军队的医疗卫生.
背景情况:
- 输血传染病 (TTIs) 是一个严重的问题,特别是在军事环境中,测试有限.
- 广泛的查已经减少了TTI负担,但在严格的环境中仍然存在挑战.
研究的目的:
- 在军事献血中心评估推迟献血者的传染病因.
- 为了告知部署的军事人员献血的测试策略.
主要方法:
- 在圣安东尼奥的武装服务血液银行中心,对2017-2022年间推迟的献血者的回顾性分析.
- 对各种传染病原体的阳性捐赠后查结果的评估,包括HCV,HBV,HIV,HTLV-I/II,寨卡病毒,西尼罗河病毒,T. cruzi,T. pallidum和B. microti.
主要成果:
- 213名捐赠者被推迟使用. 在查和验证检测中,Treponema pallidum,HCV和HBV是通过查和验证检测发现的最常见的病原体.
- 不确定的结果对于艾滋病毒,查加斯病 (Trypanosoma cruzi) 和HTLV-I/II.常见.
- 没有确认的反复阳性查发现了HBV.
结论:
- 在这个军事队伍中,捐赠后推迟TTI的比例很低.
- 建议部署的服务人员专注于对HBV,HCV和T. pallidum的供体检测.
- 改善艾滋病毒,查加斯病和HTLV-I/II的诊断是军事血液安全的必要条件.
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