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加纳阿克拉37军医院部分无偿献血者中巨细胞病毒的血清流行率。

Seroprevalence of cytomegalovirus among some voluntary blood donors at the 37 military hospital, accra, ghana.

作者信息

Adjei Aa, Armah Hb, Narter-Olaga Eg

机构信息

Department of Pathology, University of Ghana Medical School, College of Health Sciences, Korle-Bu, Accra, Ghana.

出版信息

Ghana Med J. 2006 Sep;40(3):99-104. doi: 10.4314/gmj.v40i3.55261.

Abstract

SUMMARY BACKGROUND

Cytomegalovirus (CMV) is one of the most significant pathogens infecting immunosuppressed individuals. CMV is transmissible through transfusion of blood components.

AIM

The goal of this study was to determine the seroprevalence of antibodies to CMV among blood donors seen at the 37 Military Hospital Blood Transfusion Unit, (MHBTU) Accra, Ghana.

METHODS

The seroprevalence of antibodies specific for CMV was tested using CMV IgG/IgM particle agglutination test kit and ELISA.

RESULTS

Of the 264 blood donors, 18 were negative and 246 were positive for CMV IgG antibodies, giving an overall CMV prevalence rate of 93.2%. None of the 264 blood donors was positive for CMV IgM antibodies. About 96% of the donors aged between 30 to 39 years were seropositive for CMV, as against 91.9% in those aged 20-29 years, 88.6% in 40 to 49 years, 75.0% (3 out of 4) in 50 to 59 years, and 100% (1 out 1) in 60-69 years. There was no statistically significant difference (P>0.05) in the CMV IgG status in different age groups. The blood donors comprised largely of male donors (236 out of 264), making sex comparisons statistically undesirable. However, all the female (n=28) donors were positive for CMV IgG.

CONCLUSION

Since about 93% of blood donors at the MHBTU are seropositive for CMV, it would be very useful to screen blood donors in Ghana for CMV to identify the very few CMV-seronegative blood donors, and maintain an inventory of them for use as donors.

摘要

摘要背景

巨细胞病毒(CMV)是感染免疫抑制个体的最重要病原体之一。CMV可通过输血传播。

目的

本研究的目的是确定在加纳阿克拉37军医院输血科(MHBTU)就诊的献血者中抗CMV抗体的血清流行率。

方法

使用CMV IgG/IgM颗粒凝集试验试剂盒和酶联免疫吸附测定法检测CMV特异性抗体的血清流行率。

结果

在264名献血者中,18人CMV IgG抗体呈阴性,246人呈阳性,CMV总体流行率为93.2%。264名献血者中无一例CMV IgM抗体呈阳性。年龄在30至39岁之间的献血者中约96%CMV血清学呈阳性,而20 - 29岁年龄段的为91.9%,40至49岁年龄段的为88.6%,50至59岁年龄段的为75.0%(4人中有3人),60至69岁年龄段的为100%(1人中有1人)。不同年龄组的CMV IgG状态无统计学显著差异(P>0.05)。献血者主要为男性(264人中有236人),因此进行性别比较在统计学上不可行。然而,所有女性(n = 28)献血者CMV IgG均呈阳性。

结论

由于MHBTU约93%的献血者CMV血清学呈阳性,在加纳对献血者进行CMV筛查以识别极少数CMV血清学阴性的献血者,并建立库存以供使用,将非常有用。

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