El-Nawawy Ahmed, Arafa Shams Abdel-Fattah, Badeib Adham Ahmed, Antonios Manal A-M
Department of Pediatrics, Faculty of Medicine, El-Shatby Hospital, Alexandria University, Alexandria, Egypt.
Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Indian J Hematol Blood Transfus. 2020 Oct;36(4):745-748. doi: 10.1007/s12288-020-01265-0. Epub 2020 Feb 27.
Alexandria University blood bank adopted double screening tests: a fully automated chemiluminescence immunoassay followed by nucleic acid testing. The aim of the study was to assess the efficiency of dual check of HCV in preventing transfusion related infection among patients admitted to PICU. A prospective cohort study was carried on patients admitted to PICU during 6 months. The included patients performed HCV RNA detection on admission by conventional reverse transcriptase polymerase chain reaction (RT-PCR) technique. Only negative cases were recruited, then patients receiving blood or its product were checked after 4 weeks from discharge by RT-PCR for HCV RNA. A total of 33 patients received 108 transfusions: 9 patients of them deceased during PICU stay and the remaining 24 patients were all found to be negative for HCV. The dual screening of HCV should be implemented in all blood banks of Egypt especially for critically ill pediatric patients.
先进行全自动化学发光免疫分析,然后进行核酸检测。本研究的目的是评估丙型肝炎病毒(HCV)双重检查在预防儿科重症监护病房(PICU)住院患者输血相关感染方面的效率。对PICU在6个月期间收治的患者进行了一项前瞻性队列研究。纳入的患者入院时采用传统逆转录聚合酶链反应(RT-PCR)技术检测HCV RNA。仅招募阴性病例,然后在出院4周后对接受血液或其制品的患者进行RT-PCR检测HCV RNA。共有33例患者接受了108次输血:其中9例患者在PICU住院期间死亡,其余24例患者HCV均为阴性。埃及所有血库都应实施HCV双重筛查,尤其是针对重症儿科患者。