Re: [新聞] 衛福部取消男同志不得捐血禁令新制最快5月上路

看板medstudent作者cerberi (cerberi)時間6年前 (2018/01/23 12:07)推噓11(12推 1噓 14→)

留言27則, 14人參與討論串2/3 (看更多)

這個問題當然不只是醫學上的問題很多牽扯到政治正確與否但既然在這裡醫學生版也許我們可以單純以醫學角度來看相信很多人都有在看 NEJM 當興趣 2017年01月有一篇相關的文章 Rethinking the Ban — The U.S. Blood Supply and Men Who Have Sex with Men N Engl J Med. 2017 Jan 12;376(2):174-177. doi: 10.1056/NEJMms1613425. Epub 2016 Nov 16. 提到近35年來最大的兩個進展 1. Progressive shortening of the window period HIV RNA 空窗期縮短到 9 ~ 14 天 2. Improvements in the test's sensitivity sensitivity of HIV testing 97.3% in 1985 --> 100% in 2016 使感染機率降低 risk of HIV transmission 1 in 1.5 million 而這與自我管控(self-deferal)無關很快就有不少回應 Changes in France’s Deferral of Blood Donation by Men Who Have Sex with Men N Engl J Med. 2017 Apr 13;376(15):1485-1486. doi: 10.1056/NEJMc1700740. 根據法國統計(French national surveillance system for blood donors,2011-2015) 108 / 142 donors (76%) who were found to be HIV-positive were men. 82 / 108 有資料可回朔 49 / 82 (60%) reported having had sex with men. 20 / 22 (91%)HIV nucleic acid–positive, antibody-negative donors were men 11 / 20 were MSM 在香港也有篇論文 Low compliance of men having sex with men with self-deferral from blood donation in a Chinese population Blood Transfus. 2014 Apr; 12(2): 166–171. doi: 10.2450/2013.0103-13 Over a 6-week period in 2012, 250 MSM, three-quarters of whom were aged between 16 and 30 years old 119/ 250 (47.6%) 曾捐血. 90/ 119 (75.6%) 是重複捐血者約 1/3 每3至6個月捐血一次但與非捐血者比較 a higher proportion of blood donors had had anal sex (OR:2.39) and multiple partners (OR:1.53) in the preceding year while their condom usage rate was similar non-compliance的原因 (1) belief of their right to donate (53.8% giving this as the main reason) (2) confidence about the safety of their blood at the time of donation (43.7% as the main reason) 這兩篇都顯示一件事自我管控機制是失效的.... 但是否因此要全面撤除自我管控我認為不適合與其全部在檯面下隱藏反而翻到檯面上可以藉此收集相關數據與管理至於血要不要用如何用那又是另一件事了 -- ※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 61.222.1.181 ※ 文章網址: https://www.ptt.cc/bbs/medstudent/M.1516680476.A.B3F.html ※ 編輯: cerberi (61.222.1.181), 01/23/2018 12:08:28 ※ 編輯: cerberi (61.222.1.181), 01/23/2018 12:13:58

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holyhelm

01/23 12:31, 6年前 , 1^F

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cerberi

01/23 14:20, 6年前 , 2^F

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cerberi

01/23 14:21, 6年前 , 3^F

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