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储存时间对献血者血液中红细胞特征和活力的影响

Duration of Storage Reduced Erythrocytes Profiles and Viability in Donor Blood.

作者信息

Al Audhah Nelly, Suhartono Eko, Sardjono Teguh Wahju, Fitri Loeki Enggar

机构信息

Doctoral Program of Medical Science, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.

Department of Parasitology, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.

出版信息

J Blood Med. 2021 Feb 22;12:87-99. doi: 10.2147/JBM.S276069. eCollection 2021.

Abstract

BACKGROUND

Malaria screening for blood derived from any donors prior to transfusions is a standard procedure that should be performed; but, in fact, it is not routinely conducted. In case of the blood is infected with spp., the survival of parasites may be depending on, or even influencing, the profile of red blood cells (RBCs).

METHODS

This observational longitudinal study was conducted upon 55 bags of donor blood that randomly selected. Malaria infections were detected using Rapid Diagnostic Test/RDT with thin and thick blood smear confirmation. The changes of spp. viability and RBCs profiles, as well as other hematological parameters, were observed from the results of routine hematological examinations which were performed on days 1,7,14 and 21 of storage.

RESULTS

Among 55 blood samples, there were 17 and 38 bags, respectively, positive and negative for malaria, then used for analysis as the case and control groups. There were significant decreasing values (p<0.05) of all routine blood examination parameters of donor blood, started from days 1, 7, 14, 21, and 28. There were no differences in decreasing profiles between those infected and non-infected donor blood (p>0.05). On days 21 and 28 none of the positive samples still contained parasites.

CONCLUSION

Erythrocytes profiles of donor blood significantly decreased with the duration of storage, but were not influenced by the presence of spp.

摘要

背景

在输血前对任何献血者的血液进行疟疾筛查是一项应执行的标准程序;但实际上,这并非常规操作。如果血液感染了疟原虫属,寄生虫的存活可能取决于甚至影响红细胞(RBC)的特征。

方法

本观察性纵向研究对随机选取的55袋献血进行。使用快速诊断检测/快速诊断试验(RDT)并通过薄血涂片和厚血涂片确认来检测疟疾感染。从储存第1、7、14和21天进行的常规血液学检查结果中观察疟原虫属活力和红细胞特征以及其他血液学参数的变化。

结果

在55份血液样本中,分别有17袋和38袋疟疾检测呈阳性和阴性,然后作为病例组和对照组进行分析。从第1、7、14、21和28天开始,献血者血液的所有常规血液检查参数值均显著下降(p<0.05)。感染和未感染的献血者血液在下降特征方面没有差异(p>0.05)。在第21天和28天,所有阳性样本中均不再含有寄生虫。

结论

献血者血液的红细胞特征随储存时间显著下降,但不受疟原虫属存在的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/846a/7910220/16ddd166df22/JBM-12-87-g0001.jpg

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