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中国深圳献血者样本中寨卡病毒核酸检测的初步调查。

A preliminary survey of Zika virus infection by nucleic acid test in the volunteer blood donor samples in Shenzhen China.

机构信息

Department of Blood Transfusion, Shenzhen Blood Center, Shenzhen, China.

Department of Blood Transfusion, Shenzhen Bao'an District Central Blood Station, Shenzhen, China.

出版信息

J Med Virol. 2020 Aug;92(8):1326-1329. doi: 10.1002/jmv.25654. Epub 2020 Feb 3.

Abstract

Although Zika virus (ZIKV) infection is mainly transmitted through mosquito bite, it can also be transmitted through blood transfusion. More than 500 000 cases of ZIKV infection were reported in the Americas from 2015 to 2016. Up till now, over 10 cases of imported ZIKV infection have been reported due to frequent international exchanges in the Shenzhen city of Guangdong Province, China. Unfortunately, there were no data on ZIKV infection in Chinese blood donors because it has not been included in routine screening for volunteer blood donors. As such, we performed a preliminary survey of the prevalence of ZIKV infection among volunteer blood donors in Shenzhen, China, to assess the potential risk of ZIKV infection through transfusion. A total of 9626 blood donor samples were collected and ZIKA RNA was detected by transcription-mediated amplification (TMA) nucleic acid amplification method with the Panther nucleic acid automatic analysis system of Grifols, Spain, including Procleix ZIKV Assay reagent. All the experiments in this study were conducted in accordance with the standard operating procedure of the blood center. Of the 9626 donor blood samples tested, none of these samples was Zika RNA reactive. There was no positive case from ZIKV RNA screening in this preliminary survey. There was no ZIKV presence in blood donors in Shenzhen, China, from this preliminary survey. The potential risk of ZIKV infection by transfusion is low in Shenzhen at this moment. Therefore, there is no need to add ZIKV nucleic acid test as a routine screening for blood donors.

摘要

虽然寨卡病毒(ZIKV)感染主要通过蚊子叮咬传播,但也可以通过输血传播。2015 年至 2016 年,美洲报告了超过 50 万例寨卡病毒感染病例。截至目前,由于中国广东省深圳市频繁的国际交流,已报告了 10 多例输入性寨卡病毒感染病例。不幸的是,由于中国的献血者常规筛查中未包括寨卡病毒,因此中国献血者中没有寨卡病毒感染的数据。因此,我们对中国深圳的献血者进行了寨卡病毒感染的初步调查,以评估通过输血感染寨卡病毒的潜在风险。共采集了 9626 份献血者样本,并使用西班牙 Grifols 的 Panther 核酸自动分析系统,通过转录介导扩增(TMA)核酸扩增方法检测 ZIKA RNA,包括 Procleix ZIKV 检测试剂。本研究中的所有实验均按照血液中心的标准操作程序进行。在检测的 9626 份献血者样本中,没有一份样本对寨卡病毒 RNA 有反应。在这次初步调查中,没有发现寨卡病毒 RNA 筛查的阳性病例。在这次初步调查中,中国深圳的献血者中没有寨卡病毒。目前深圳通过输血感染寨卡病毒的潜在风险较低。因此,无需将寨卡病毒核酸检测作为献血者的常规筛查项目。

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