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输血医学中的克氏锥虫感染

Trypanosoma cruzi infection in transfusion medicine.

作者信息

Gómez Lina Andrea, Gutierrez Fredy R S, Peñuela Oscar Andres

机构信息

Biomedical Research Center (CIBUS), School of Medicine, Universidad de la Sabana, Chía, Colombia.

Laboratory of Immunology, School of Medicine, Antonio Nariño University, Bogotá, Colombia.

出版信息

Hematol Transfus Cell Ther. 2019 Jul-Sep;41(3):262-267. doi: 10.1016/j.htct.2018.12.001. Epub 2019 Mar 21.

Abstract

INTRODUCTION

Infection by Trypanosoma cruzi is challenging to blood bank supplies in terms of accurate diagnosis, mostly due to its clinical complexity. Infected individuals may remain asymptomatic for years, albeit they may have circulating parasites potentially transferable to eventual receptors of a transfusion.

OBJECTIVE

Although risk donors are systematically excluded through a survey, an important residual risk for transmission remains, evidencing the need to implement additional actions for the detection of T. cruzi in blood banks.

METHOD

A review of the scientific literature is presented with the objective of identifying relevant publications on this subject.

RESULTS

We discuss the diagnostic considerations of this chronic infection on transfusion medicine and some recent advances in the processing of blood and derivatives units.

CONCLUSION

Finally, recommendations are made on how the transmission of T. cruzi can be avoided through the implementation of better diagnostic and pathogen control measures at blood banks.

摘要

引言

克氏锥虫感染对血库供应而言,在准确诊断方面颇具挑战,主要因其临床复杂性。受感染个体可能多年无症状,尽管他们体内可能存在可转移至最终输血受体的循环寄生虫。

目的

尽管通过调查系统性地排除了风险献血者,但仍存在重要的残余传播风险,这表明有必要在血库实施额外行动以检测克氏锥虫。

方法

对科学文献进行综述,目的是识别关于该主题的相关出版物。

结果

我们讨论了这种慢性感染在输血医学中的诊断考量以及血液和血液制品处理方面的一些最新进展。

结论

最后,就如何通过在血库实施更好的诊断和病原体控制措施来避免克氏锥虫传播提出了建议。

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Chagas disease in solid organ and heart transplantation.实体器官与心脏移植中的恰加斯病
Curr Opin Infect Dis. 2014 Oct;27(5):418-24. doi: 10.1097/QCO.0000000000000088.
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Acute and congenital Chagas disease.急性和先天性克氏锥虫病。
Adv Parasitol. 2011;75:19-47. doi: 10.1016/B978-0-12-385863-4.00002-2.
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[Oral transmission of Chagas' disease].[恰加斯病的经口传播]
Rev Med Chil. 2011 Feb;139(2):258-66. Epub 2011 Jul 11.
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Chagas disease: 100 years after its discovery. A systemic review.恰加斯病:发现 100 年后。系统综述。
Acta Trop. 2010 Jul-Aug;115(1-2):5-13. doi: 10.1016/j.actatropica.2010.03.008. Epub 2010 Apr 9.
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Transfusion transmitted Chagas disease: is it really under control?经输血传播的恰加斯病:真的得到控制了吗?
Acta Trop. 2010 Jul-Aug;115(1-2):28-34. doi: 10.1016/j.actatropica.2009.12.006. Epub 2010 Jan 4.

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