个性化PITC策略对控制无偿献血人群HIV感染率的影响(1)
[摘要]目的 探讨实施个性化医务人员主动提供艾滋病检测咨询(PITC)策略对控制无偿献血人群HIV感染率的影响，并依据感染人群特点提出相关对策。方法 回顾分析2009年1月～2018年12月张家港市红十字血站的185 510份无偿献血人群标本HIV阳性率，比较实施个性化PITC策略前(2009年1月～2013年12月)、后(2014年1月～2018年12月)无偿献血人群HIV感染率的变化，分析无偿献血HIV感染阳性人群分布情况。结果 实施个性化PITC策略后，无偿献血人群HIV感染率由0.014%下降为0.009%。文化程度较低的青年男性HIV感染阳性率较高。结论 实施个性化PITC策略、扩大高危献血者检测咨询服务覆盖面，对控制无偿献血人群HIV阳性率有积极的实践意义。
[关键词]PITC策略;无偿献血人群;HIV感染;回顾性调查
[中图分类号] R446.6 [文献标识码] A [文章编号] 1674-4721(2019)9(a)-0191-04
Effect of personalized PITC strategy on controlling HIV infection rate in volunteer blood donors
XIA Yun-feng
Zhangjiagang Red Cross Blood Station， Jiangsu Province， Zhangjiagang 215600， China
[Abstract] Objective To explore the effect of personalized provider-initated HIV testing and counseling (PITC) strategy on controlling HIV infection rate in volunteer blood donors， and propose relevant countermeasures according to the characteristics of infected people. Methods A retrospective analysis was made on HIV positive rate of 185 510 specimens of volunteer blood donors from Zhangjiagang Red Cross Blood Station from January 2009 to December 2018. The changes in HIV infection rate among voluntary blood donors before (from January 2009 to December 2013) and after (from January 2014 to December 2018) the implementation of personalized PITC strategy were compared， and the HIV positive distribution of volunteer blood donation was analyzed. Results After implementing the personalized PITC strategy， the HIV infection rate of volunteer blood donors decreased from 0.014% to 0.009%. There were higher HIV positive infection rates in young men with lower education. Conclusion Implementing the strategy of PITC and expanding the coverage of the examination and consultation service for high-risk blood donors have positive practical significance for controlling the HIV positive rate of volunteer blood donors.
[Key words] PITC strategy; Volunteer blood donors; HIV infection; Retrospective survey
國家357家采供血机构无偿献血专项调查报告显示，无偿献血人群HIV感染率以每年0.002%的幅度小幅增长，HIV输血传播的潜在风险有增无减[1]。医务人员主动提供艾滋病检测咨询策略(provider-initated HIV testing and counseling，PITC)由世界卫生组织在2007年提出并在全球推广[2]，是新形势下开展艾滋病筛查防治的战略性举措。张家港地区近年来全面参与国家艾滋病防治重大科技专项项目建设，目前PITC工作已成为发现HIV感染者的主要途径[3-4]。张家港市血站从2015年起，探索建立献血体检人员在献血咨询环节主动提供艾滋病检测咨询服务，为潜在高危献血者提供HIV感染咨询、快速检测和转介转诊服务，以期控制无偿献血者HIV感染率。为评估献血招募中实施艾滋病检测咨询策略的成效，并完善献血前艾滋病检测咨询策略，对张家港地区近10年来无偿献血人群HIV感染者资料进行综合分析，现报道如下。, http://www.100md.com(夏云峰)
[关键词]PITC策略;无偿献血人群;HIV感染;回顾性调查
[中图分类号] R446.6 [文献标识码] A [文章编号] 1674-4721(2019)9(a)-0191-04
Effect of personalized PITC strategy on controlling HIV infection rate in volunteer blood donors
XIA Yun-feng
Zhangjiagang Red Cross Blood Station， Jiangsu Province， Zhangjiagang 215600， China
[Abstract] Objective To explore the effect of personalized provider-initated HIV testing and counseling (PITC) strategy on controlling HIV infection rate in volunteer blood donors， and propose relevant countermeasures according to the characteristics of infected people. Methods A retrospective analysis was made on HIV positive rate of 185 510 specimens of volunteer blood donors from Zhangjiagang Red Cross Blood Station from January 2009 to December 2018. The changes in HIV infection rate among voluntary blood donors before (from January 2009 to December 2013) and after (from January 2014 to December 2018) the implementation of personalized PITC strategy were compared， and the HIV positive distribution of volunteer blood donation was analyzed. Results After implementing the personalized PITC strategy， the HIV infection rate of volunteer blood donors decreased from 0.014% to 0.009%. There were higher HIV positive infection rates in young men with lower education. Conclusion Implementing the strategy of PITC and expanding the coverage of the examination and consultation service for high-risk blood donors have positive practical significance for controlling the HIV positive rate of volunteer blood donors.
[Key words] PITC strategy; Volunteer blood donors; HIV infection; Retrospective survey
國家357家采供血机构无偿献血专项调查报告显示，无偿献血人群HIV感染率以每年0.002%的幅度小幅增长，HIV输血传播的潜在风险有增无减[1]。医务人员主动提供艾滋病检测咨询策略(provider-initated HIV testing and counseling，PITC)由世界卫生组织在2007年提出并在全球推广[2]，是新形势下开展艾滋病筛查防治的战略性举措。张家港地区近年来全面参与国家艾滋病防治重大科技专项项目建设，目前PITC工作已成为发现HIV感染者的主要途径[3-4]。张家港市血站从2015年起，探索建立献血体检人员在献血咨询环节主动提供艾滋病检测咨询服务，为潜在高危献血者提供HIV感染咨询、快速检测和转介转诊服务，以期控制无偿献血者HIV感染率。为评估献血招募中实施艾滋病检测咨询策略的成效，并完善献血前艾滋病检测咨询策略，对张家港地区近10年来无偿献血人群HIV感染者资料进行综合分析，现报道如下。, http://www.100md.com(夏云峰)