高雄地區捐輸血機構抗體鑑定結果分析

Analysis Antibody Identification Data from Blood Donation and Transfusion Services in Kaohsiung

陳嘉文(Jir-Wen Chen) ； 胡春美(Chun-Mei Hu) ； 林冠州(Kuan-Tsou Lin) ； 黃詩晴(Shi-Qing Huang) ； 李正華(Jang-Hwa Lee)

《Journal of Biomedical & Laboratory Sciences》 19卷3期 (2007/09) Pp. 99-105

https://doi.org/10.30046/JBLS.200709.0005

摘要

本文爲針對高雄地區捐輸血機構的抗體鑑定結果統計與已發表相關報告的比較分析。捐血者抗體篩檢陽性率約爲0.17%，醫院病患抗體篩檢陽性率平均約爲4.1%。國內對臨床上有意義的抗體鑑定結果，不論是捐血者或病患皆以Anti-Mi(上標 a)居首位，發生率約爲31%，其次爲Anti-E約爲17%及Anti-M約爲4%。由高雄榮總醫院血庫95年的統計資料得知抗體陽性消失率約爲9.3%。抗體篩檢陽性檢體經資料比對後可減少60%重複抗體鑑定的工作，並可把關輸血安全。

關鍵字

抗體鑑定 ； 抗體篩檢 ； 外部能力試驗

並列摘要

This report is to compare and analyse the results of antibody identification from blood donation and transfusion services in Kaohsiung. The positive rates of antibody screening are 0.17% and 4.1% in the blood donation center and hospital transfusion services, respectively, The most frequently identified antibody is anti-Mia with a incidence of 31% both in blood donation center and hospital transfusion services. The rest are anti-E of 16% and Anti-M of 4% .The rate of the positively identified antibodies becoming negative is about 9.3% according to the experience from Kaohsiung Veterans General Hospital. The benefits from consulting the patient’s previous laboratory records will reduce the workload of antibody identification and enhance the patient safety.

並列關鍵字

Antibody identification ； Antibody screening ； Proficiency test