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德黑兰地区教育输血中心健康献血者外周血单个核细胞中肺炎衣原体的检测

Detection of Chlamydia pneumoniae in peripheral blood mononuclear cells of healthy blood donors in Tehran Regional Educational Blood Transfusion Centre.

作者信息

Karimi Gh, Samiei Sh, Hatami H, Gharehbaghian A, Vafaiyan V, Namini M Tabrizi

机构信息

Research Centre of Iranian Blood Transfusion Organization, Tehran, Iran.

出版信息

Transfus Med. 2010 Aug 1;20(4):237-43. doi: 10.1111/j.1365-3148.2010.01003.x. Epub 2010 Apr 8.

Abstract

Chlamydia pneumoniae is a common pathogen in the world often causing upper or lower respiratory tract infection and may also be linked to some chronic inflammatory diseases. Recent studies have shown that a high percentage of healthy blood donors harbour Chlamydia DNA and antigens. The objective of this study was to investigate the presence of this microorganism among blood donors. Blood samples were collected between November 2004 and March 2005 from 196 healthy blood donors. Ten millilitre of blood was collected in ethylenediaminetetraacetic (EDTA) tube. Reverse transcription of RNA was performed with Moloney murine leukaemia virus (MMLV) reverse transcriptase and random primers hexamer. Polymerase chain reaction products were evaluated by electrophoresis. Data were analysed using the chi(2) test and t-test. Of the 196 healthy blood donors, 7.1% were C. pneumoniae DNA positive (CI 95 % = 3.51- 10.69), which is slightly higher in female (8.5%) than male (6.5%) donors; this difference was not found to be significant (P = 0.4). The average age of study groups was 40.84 (SD +/- 10.80) years; significant association was not found between age groups and the presence of C. pneumoniae DNA. There was no significant differences between positive rate and first-time [37 (19.3%)] and repeat [155 (80.7%)] donors. C. pneumoniae DNA seems to be frequent in apparently healthy blood donors; therefore, it can be a threat for blood safety. But further studies are needed to evaluate the survival of C. pneumoniae in blood bank conditions and in blood recipients to define the clinical importance of such findings. Elimination of intracellular bacteria by filtration is an effective strategy for risk reduction.

摘要

肺炎衣原体是一种常见的病原体,在全球范围内常引起上呼吸道或下呼吸道感染,也可能与一些慢性炎症性疾病有关。最近的研究表明,很大比例的健康献血者体内携带肺炎衣原体DNA和抗原。本研究的目的是调查献血者中这种微生物的存在情况。在2004年11月至2005年3月期间,从196名健康献血者中采集了血样。用乙二胺四乙酸(EDTA)管采集10毫升血液。使用莫洛尼鼠白血病病毒(MMLV)逆转录酶和随机六聚体引物进行RNA逆转录。通过电泳评估聚合酶链反应产物。使用卡方检验和t检验分析数据。在196名健康献血者中,7.1%的人肺炎衣原体DNA呈阳性(95%置信区间=3.51-10.69),女性献血者(8.5%)略高于男性献血者(6.5%);但未发现这种差异具有统计学意义(P=0.4)。研究组的平均年龄为40.84(标准差±10.80)岁;未发现年龄组与肺炎衣原体DNA的存在之间存在显著关联。首次献血者[37人(19.3%)]和重复献血者[155人(80.7%)]的阳性率之间没有显著差异。肺炎衣原体DNA在看似健康的献血者中似乎很常见;因此,它可能对血液安全构成威胁。但需要进一步研究来评估肺炎衣原体在血库条件下和受血者体内的存活情况,以确定这些发现的临床重要性。通过过滤消除细胞内细菌是降低风险的有效策略。

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