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输血传播感染

Transfusion-transmitted infections.

作者信息

Kim Han Joo, Ko Dae-Hyun

机构信息

Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-Ro, Songpa-Gu, Seoul, 05505, Korea.

出版信息

Blood Res. 2024 Apr 12;59(1):14. doi: 10.1007/s44313-024-00014-w.

Abstract

The risk of transfusion-transmitted infection (TTI) has always existed because transfused blood products are biological materials derived from humans. To prevent TTIs, screening strategies have been developed for various infectious diseases, such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus, contributing significantly to reducing TTI globally. Nevertheless, septic transfusion reactions (STRs) due to bacterial contamination remain an unresolved issue. Various infectious diseases can be transmitted through blood products, and preventive and selective screening strategies have been applied across different regions. Although multiple strategies, including culture-based and rapid detection kit-based methods, have been introduced to overcome STRs, complete prevention has not yet been achieved. Recently, pathogen inactivation methods have been developed to eliminate non-specific organisms rather than screening specific organisms. This approach is anticipated to contribute significantly to diminishing the risk of TTIs in the future.

摘要

由于输注的血液制品是源自人类的生物材料,输血传播感染(TTI)的风险一直存在。为预防TTI,已针对各种传染病制定了筛查策略,如乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒,这对全球减少TTI做出了重大贡献。然而,由细菌污染引起的败血症性输血反应(STR)仍然是一个未解决的问题。多种传染病可通过血液制品传播,不同地区已应用了预防性和选择性筛查策略。尽管已引入多种策略,包括基于培养的方法和基于快速检测试剂盒的方法来克服STR,但尚未实现完全预防。最近,已开发出病原体灭活方法以消除非特定生物体,而不是筛查特定生物体。预计这种方法将对未来降低TTI风险做出重大贡献。

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