通知那些对输血传染性感染检测呈阳性的献血者
Sheila F O'Brien1,2, Kiyuri Naicker1,2, Lori Osmond1
1Epidemiology & Surveillance, Canadian Blood Services, Ottawa, Ontario, Canada.
Vox sanguinis
|January 14, 2025
概括
大多数献血者回忆说,他们收到过血传染性感染阳性结果的通知,但对特定感染和医生咨询的理解有所不同. 根据感染类型,公共卫生后续情况有所不同,突出了改善捐赠者沟通和护理的领域.
科学领域:
- 传染病流行病学 传染病流行病学
- 公共卫生监督 公共卫生监督
- 输血安全 输血安全
背景情况:
- 查识别了一些输血传染性感染 (TTIs) 在献血者,需要有效的通知医疗护理.
- 加拿大血液服务局实施了一种通知系统,用于确认B型肝炎病毒 (HBV),C型肝炎病毒 (HCV),人类T细胞淋巴细胞病毒 (HTLV) 和梅毒的阳性结果的捐赠者.
研究的目的:
- 评估捐赠者召回和对TTI通知结果的理解.
- 评估捐赠者的反应和随后的医疗咨询通知后.
- 为了确定在TTI结果呈阳性后的公共卫生接触的程度.
主要方法:
- 一项为期17年的研究 (2006-2022) 涉及到对HBV,HCV,HTLV或梅毒阳性检测的捐赠者的通知后采访.
- 采访评估了捐赠者对阳性结果的认识,感染类型,情绪反应,医生咨询和公共卫生联系人.
- 计算了参与者的响应频率.
主要成果:
- 在2654名捐赠者中,有876人 (33%) 参与了采访.
- 90%的人回忆起被告知有阳性检测结果,尽管大约四分之一的人不确定具体的感染.
- 大多数捐赠者咨询了医生 (77%),公共卫生联系人因感染而异 (66%的HBV/HCV,58%的梅毒,27%的HTLV).
结论:
- 虽然大多数捐赠者记得通知,但有时缺乏对感染细节的理解.
- 并非所有捐赠者都在确认感染时寻求医疗咨询.
- 公共卫生跟踪率表明,需要在不同TTIs之间制定一致的沟通策略.
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