Rouka E, Kyriakou D
Transfusion Medicine Department, University Hospital of Larisa, Larisa, Greece.
Transfus Med. 2015 Aug;25(4):276-9. doi: 10.1111/tme.12202. Epub 2015 May 4.
Human Herpesviruses (HHVs) maintain life-long latent persistence in the majority of the adult population including blood donors. The necessity for their study resides in the potential risk of transfusion-associated infection and the subsequent complications in the immunocompromised host. We aimed to assess the prevalence of HHVs types 1-6 and 8 among healthy blood donors of Thessaly prefecture in order to evaluate the frequency distribution of HHVs in Greek population and to ascertain possible correlations with demographic factors.
Polymerase chain reaction (PCR) detection of HHVs DNA was determined in 401 randomly selected consecutive blood donors of Central Greece. Epidemiological data were recorded through a well structured questionnaire.
The overall PCR positivity for HHVs was 25·4%. HHVs types 1-3 were not detected in any donor sample. A specimen with high level of HHV-6 DNA (1,580,400 copies per mL) was recorded. HHV-4 DNA positivity was significantly associated with rural residency.
HHV-4 DNA is commonly detected in whole blood specimens of healthy individuals. HHVs types 5, 6 and 8 are rarely detected. However, the existence of a donor sample with high HHV-6 viral load raises questions regarding the potential risk of HHV-6 blood-borne infection and the safety of blood products.
人类疱疹病毒(HHV)在包括献血者在内的大多数成年人群中保持终生潜伏感染。对其进行研究的必要性在于输血相关感染的潜在风险以及免疫功能低下宿主随后出现的并发症。我们旨在评估色萨利地区健康献血者中1 - 6型和8型HHV的流行情况,以评估HHV在希腊人群中的频率分布,并确定与人口统计学因素的可能相关性。
对希腊中部401名随机连续选取的献血者进行聚合酶链反应(PCR)检测HHV DNA。通过一份结构完善的问卷记录流行病学数据。
HHV的总体PCR阳性率为25.4%。在任何献血者样本中均未检测到1 - 3型HHV。记录到一份HHV - 6 DNA水平较高(每毫升1,580,400拷贝)的样本。HHV - 4 DNA阳性与农村居住显著相关。
在健康个体的全血样本中普遍检测到HHV - 4 DNA。很少检测到5、6和8型HHV。然而,存在一份HHV - 6病毒载量高的献血者样本,这引发了关于HHV - 6经血感染的潜在风险以及血液制品安全性的问题。