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塞尔维亚献血者中的输血传播感染:2005-2017 年期间的下降趋势。

Transfusion-transmissible infections among Serbian blood donors: declining trends over the period 2005-2017.

机构信息

Institute for Transfusiology and Haemobiology, Military Medical Academy, Belgrade, Serbia.

Faculty of Medicine, Military Medical Academy, University of Defence, Belgrade, Serbia.

出版信息

Blood Transfus. 2019 Sep;17(5):336-346. doi: 10.2450/2019.0185-18. Epub 2019 Feb 19.

Abstract

BACKGROUND

The mass migrations experienced by the Western Balkans in the past decades have significantly changed the demographic structures and have probably altered the prevalence of transfusion-transmitted infections (TTIs) among blood donors. However, data on the prevalence of TTIs in the Western Balkans countries remain incomplete. This study reports the prevalence of TTIs among blood donors in Serbia in the period 2005-2017.

MATERIALS AND METHODS

Between January 2005 and December 2017, in the four largest Serbian transfusion centres, mandatory serology tests for screening HBV, HCV, HIV and syphilis infection were used for all blood donations.

RESULTS

Of the total of 1,660,019 blood donations made, 3,377 (0.203%) were positive for one of the TTIs: 1,440 (0.087%), 1,055 (0.064%), 215 (0.013%), and 667 (0.040%) were positive for HBV, HCV, HIV and syphilis, respectively. Serbia showed a declining trend of prevalence of HBV and HCV infection, while prevalence of HIV and syphilis remained unchanged. Prevalence of TTIs varied between different transfusion centres and showed a north-to-south upward trend.

DISCUSSION

The reported prevalence of TTIs among blood donors in Serbia was low and continued to follow a declining trend over the period of study.

摘要

背景

过去几十年,西巴尔干地区经历了大规模移民潮,这极大地改变了人口结构,并可能改变了献血人群中输血传播感染(TTIs)的流行率。然而,关于西巴尔干国家 TTIs 流行率的数据仍然不完整。本研究报告了 2005 年至 2017 年期间塞尔维亚献血人群中 TTIs 的流行率。

材料和方法

2005 年 1 月至 2017 年 12 月期间,在塞尔维亚的四个最大的输血中心,对所有献血者进行了强制性血清学检测,以筛查乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、人类免疫缺陷病毒(HIV)和梅毒感染。

结果

在总共 1660019 份献血中,有 3377 份(0.203%)对一种 TTIs 呈阳性:1440 份(0.087%)、1055 份(0.064%)、215 份(0.013%)和 667 份(0.040%)分别对 HBV、HCV、HIV 和梅毒呈阳性。塞尔维亚的 HBV 和 HCV 感染流行率呈下降趋势,而 HIV 和梅毒的流行率保持不变。不同输血中心的 TTIs 流行率存在差异,并呈北向南上升趋势。

讨论

本研究报告的塞尔维亚献血人群中 TTIs 的流行率较低,且在研究期间继续呈下降趋势。

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