MSM和献血:转向个性化风险评估
1Medical Affairs & Innovation, Canadian Blood Services, and Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, ON, Canada.
Hematology. American Society of Hematology. Education Program
|December 9, 2023
概括
献血政策正在远离对同性恋,双性恋和其他与男性发生性关系的男性 (gbMSM) 的全面推迟. 新的基于风险的查旨在确保血液安全,同时减少gbMSM的耻辱.
科学领域:
- 输血安全 输血安全
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 从历史上看,同性恋,双性恋和其他与男性发生性关系的男性 (gbMSM) 因艾滋病毒/艾滋病发病率较高而被推迟献血.
- 艾滋病毒检测的进步显著缩短了输血传染性感染的窗口期.
- 基于时间的gbMSM延期,在保持安全的同时,被批评为耻辱化.
研究的目的:
- 审查支持在献血者资格方面的政策变革的研究.
- 检查各个国家的当前捐赠者查政策.
- 介绍加拿大2022年9月实施的基于风险的新查政策的初步调查结果.
主要方法:
- 对支持政策转变的研究进行文献综述.
- 对不同国家的献血者资格标准进行比较分析.
- 检查加拿大修订的捐赠者查方法的初步数据.
主要成果:
- 有证据支持从全面推迟转向对献血者进行个人风险评估.
- 一些国家已经采用或正在考虑基于风险行为的查.
- 加拿大在2022年9月向基于风险的查过渡正在评估中.
结论:
- 基于风险的供体查提高了血液安全性和包容性.
- 政策演变反映了传染病检测方面的科学进步.
- 远离MSM特定的延期是朝着公平的献血实践的转变.
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