Shaddel M, Mirzaii Dizgah I, Sharif F
Dept. of Parasitological, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Dept. of Physiology, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Transfus Apher Sci. 2014 Oct;51(2):181-3. doi: 10.1016/j.transci.2014.08.017. Epub 2014 Sep 1.
The prevalence of toxoplasma gondii (T.g) infection in blood donors has been poorly studied. The aim of this study was to assess the prevalence of acute and chronic toxoplasmosis in blood products.
A total of 223 blood products (101 fresh frozen plasma (FFP) and 122 packed cells (PC)) in Imam Reza hospital blood bank, Tehran, Iran were tested for specific T.g antibodies (IgG and IgM) by ELISA method. Positive IgG anti-T.g samples were further tested for IgM anti-T.g. A positive IgG test with the negative and positive IgM test was interpreted as a chronic and acute toxoplasmosis respectively.
Of 223 samples 38.6% and 0.45% were positive for IgG anti-T.g and IgM anti-T.g levels respectively. Therefore, one and 85 samples were involved acute and chronic toxoplasmosis respectively. Twenty-six of fresh frozen plasma samples were positive for IgG anti-T.g and one of them was positive for IgM anti-T.g. Sixty packed cell samples were positive for IgG anti-T.g.
Our study showed that there were chronic and acute toxoplasmosis in blood products and the prevalence of toxoplasmosis especially chronic form was high. Therefore screening of blood for T.g antibodies may be considered.
献血者中弓形虫(T.g)感染的患病率研究较少。本研究旨在评估血液制品中急性和慢性弓形虫病的患病率。
采用酶联免疫吸附测定(ELISA)法对伊朗德黑兰伊玛目礼萨医院血库的223份血液制品(101份新鲜冰冻血浆(FFP)和122份红细胞悬液(PC))进行特异性T.g抗体(IgG和IgM)检测。IgG抗T.g阳性样本进一步检测IgM抗T.g。IgG检测阳性且IgM检测阴性和阳性分别解释为慢性和急性弓形虫病。
223份样本中,IgG抗T.g和IgM抗T.g水平阳性率分别为38.6%和0.45%。因此,分别有1份和85份样本涉及急性和慢性弓形虫病。26份新鲜冰冻血浆样本IgG抗T.g阳性,其中1份IgM抗T.g阳性。60份红细胞悬液样本IgG抗T.g阳性。
我们的研究表明血液制品中存在慢性和急性弓形虫病,弓形虫病患病率尤其是慢性形式较高。因此,可考虑对血液进行T.g抗体筛查。