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巴西联邦区登革热疫情期间无症状献血者中基孔肯雅病毒血清流行率。

Chikungunya virus seroprevalence in asymptomatic blood donors during an outbreak in the Federal District of Brazil.

机构信息

Faculty of Ceilândia, University of Brasilia, Brasilia, Brazil.

Euro-American University Centre - UNIEURO, Brasilia, Brazil.

出版信息

Transfus Med. 2022 Aug;32(4):338-342. doi: 10.1111/tme.12870. Epub 2022 Apr 27.

Abstract

INTRODUCTION

Chikungunya virus (CHIKV) is a mosquito-borne alphavirus belonging to the Togaviridae family. The symptomatic infection is characterised by acute febrile disease which generally results in severe arthralgia and myalgia, however, most of the CHIKV infections remain asymptomatic. CHIKV RNA detection in asymptomatic volunteers may be responsible for the transfusion transmission of this infection, especially during outbreaks. There is no information for CHIKV seroprevalence among blood donors from the Federal District of Brazil.

AIM

In early 2019, the Federal District of Brazil experienced a CHIKV outbreak, and this study evaluates the anti-CHIKV IgM and IgG presence in a well characterised cohort of blood donors from this region.

METHODOLOGY

Blood samples were collected from 450 volunteer blood donors during a CHIKV outbreak and tested for the presence of anti-CHIKV IgG and IgM antibodies using ELISA.

RESULTS

The CHIKV seroprevalence was 0.89% (n = 4/450) and anti-CHIKV IgM prevalence was 1.11% (n = 5/450).

CONCLUSION

The obtained results demonstrated that at least some of the blood donors have experienced CHIKV infection which can be related to a hypothetical risk of CHIKV transfusion transmission. More studies are necessary in order to examine the impact of CHIKV on blood transfusion.

摘要

简介

基孔肯雅病毒(CHIKV)是一种虫媒α病毒,属于披膜病毒科。有症状的感染以急性发热性疾病为特征,通常导致严重的关节炎和肌痛,但大多数 CHIKV 感染仍无症状。无症状志愿者中 CHIKV RNA 的检测可能是导致这种感染经输血传播的原因,尤其是在暴发期间。巴西联邦区的献血者中没有关于 CHIKV 血清流行率的信息。

目的

2019 年初,巴西联邦区发生了基孔肯雅热疫情,本研究评估了该地区一组特征明确的献血者中抗 CHIKV IgM 和 IgG 的存在情况。

方法

在基孔肯雅热疫情期间,从 450 名志愿献血者中采集血样,并用 ELISA 检测抗 CHIKV IgG 和 IgM 抗体的存在情况。

结果

CHIKV 血清流行率为 0.89%(n=4/450),抗 CHIKV IgM 流行率为 1.11%(n=5/450)。

结论

所得结果表明,至少有一些献血者经历过 CHIKV 感染,这可能与 CHIKV 输血传播的假设风险有关。需要进一步研究以检验 CHIKV 对输血的影响。

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