酶免四项再检标本检测结果分析

目的 对HBsAg、抗-HCV、抗-HIV、抗-TP酶免四项中再检标本检测结果进行追溯,分析造成再检的原因,为是否对单试剂阳性献血者进行永久屏蔽提供参考依据.方法 追溯分析2010年1月1日～2012年12月31日本站无偿献血者酶免四项再检标本2329例,用原试剂进行双孔再检的情况.结果 再检标本66.98％为阴性,阳性符合性仅为33.02％.阳性献血者中除抗-TP主要为双试剂阳性报废外,其他3项均以单试剂阳性报废为主,尤其是抗-HIV,单试剂阳性报废占87.10％.结论 单试剂阳性献血者永久屏蔽会造成一定比例合格献血者的流失.建议对单试剂阳性献血者实行暂时屏蔽,并定期追踪复查,复查阴性者可解除屏蔽,复查阳性者再进行永久屏蔽较为合理.

Enzyme analysis of results in detection of four further specimens

Objective To analyze the reasons for check again in the four specimens detection of HBsAg, anti-I-ICV, anti-TP, in order to provide a reference for whether to shield permanently for single reagent positive blood donors. Methods Retrospective analysis on report from January 1,2010 to December 31, 2012 enzymes from blood donors specimens of four further 2,329 cases, double again with the original reagent test. Results Found a specimen of 66.98% was negative, positive compliance was only 33.02%. Anti-TP-positive blood donors in addition to the main positive for double reagent scrap outside while the other 3 were dominated by single reagent positive scrap, especially anti--HIV, single reagent positive scrap accounted for 87.1%. Conclusion Single reagent positive conclusion permanent screening of blood donors will result in loss of certain percentage of eligible blood donors. Recommended for single reagent temporarily-positive blood donors screened, and regular follow-up review, review the negative can be lifted by shielding, review positive and permanent masking more reasonable.