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土耳其西部健康献血者中西尼罗河病毒的调查。

Investigation of West Nile virus among healthy blood donors in the western part of Turkey.

出版信息

Turk J Med Sci. 2015;45(1):84-8. doi: 10.3906/sag-1312-50.

Abstract

BACKGROUND/AIM: THE West Nile virus (WNV) is a mosquito-borne flavivirus causing different forms of infection among humans, varying from asymptomatic illness to fetal central nervous system infection. Turkeylies within an endemic region for WNV. Transfusion of infected blood products is another well-documented major route of transmission. The aim of our study was to investigate the presence of WNV viremia among a healthy donor population from the western part of the country.

MATERIALS AND METHODS

A total of 438 healthy volunteer blood donors were included in the study. The presence of WNV RNA was investigated by quantitative real-time reverse-transcriptase polymerase chain reaction (qRT-PCR) and anti-WNV IgG was detected by a commercial ELISA test.

RESULTS

Ages of volunteer donors were 18-62 years (mean: 34.7) and 34 (7.76%) were women. All samples were negative for WNV RNA by qRT-PCR. Eleven (2.51%) samples, 1 of which was borderline, were positive for anti-WNV IgG. All positive samples were from the western part of the country and 9 of them were from Izmir.

CONCLUSION

Although all donor samples were negative for WNV RNA by qRT-PCR, the risk of WNV transmission via blood products should not be ignored in endemic regions.

摘要

背景/目的:西尼罗河病毒(WNV)是一种蚊媒黄病毒,可引起人类不同形式的感染,从无症状疾病到胎儿中枢神经系统感染不等。土耳其位于 WNV 的流行区域内。受感染的血液制品的输注是另一种有据可查的主要传播途径。我们的研究旨在调查该国西部健康献血者人群中是否存在 WNV 病毒血症。

材料和方法

共纳入 438 名健康志愿者献血者进行研究。通过实时定量逆转录聚合酶链反应(qRT-PCR)检测 WNV RNA 的存在,并通过商业 ELISA 试验检测抗 WNV IgG。

结果

志愿者献血者的年龄为 18-62 岁(平均年龄:34.7),其中 34 名(7.76%)为女性。所有样本均通过 qRT-PCR 检测为 WNV RNA 阴性。11 份(2.51%)样本,其中 1 份为临界值,对抗 WNV IgG 呈阳性。所有阳性样本均来自该国西部,其中 9 份来自伊兹密尔。

结论

尽管所有供者样本均通过 qRT-PCR 检测为 WNV RNA 阴性,但在流行地区不应忽视通过血液制品传播 WNV 的风险。

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