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对621名单采浆HBsAg阴性献血员及354名HBsAg阴性非献血者和124名单采浆HBsAg阳性献血员及124名HBsAg阳性非献血者进行调查,结果-HCV阳性率分别为84.22%(523/621)、0.85%(3/354)、41.94%(52/124)、1.61%(2/124),肝炎现患率分别为34.94%(217/621)、1.98%(7/354)、18.55%(23/124)、4.84%(6/124)。调查结果表明,HCV的感染和丙型肝炎的流行主要发生在单采浆还输血球献血员中。提示在单采浆还输血球过程中应注意避免医源性交叉感染以及对所有献血员、输成分血和用于制备注射用制品的血浆检测抗-HCV是非常必要的。在血浆制品的制备工艺中能否将HCV全部灭活是一个十分值得重视的问题。
A total of 621 single plasmapheresis HBsAg negative donors and 354 HBsAg negative non-donors and 124 single plasmapheresis HBsAg positive donors and 124 HBsAg positive non-donors were investigated. The positive rates of HCV-HCV were 84.22% (523 /621),0.85%(3/354),41.94%(52/124),1.61%(2/124). The prevalence rates of hepatitis were 34.94% (217/621), 1 .98% (7/354), 18.55% (23/124), 4.84% (6/124). The results of the survey indicate that the prevalence of HCV infection and hepatitis C occurs predominantly in apheresis blood transfusion blood donors. It is suggested that it is necessary to avoid iatrogenic cross-infection and detect anti-HCV for all blood donors, blood transfusions and plasma used for preparation of injectable products during the apheresis and transfusions. Whether the inactivation of HCV can be completely inactivated during the preparation of plasma products is a very important issue.