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印度健康献血者中细小病毒 B19 血清阳性率增高。

Increased parvovirus B19 seropositivity in healthy blood donors in India.

机构信息

Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600116, Tamil Nadu, India.

Department of Transfusion Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

出版信息

Sci Rep. 2024 Sep 3;14(1):20497. doi: 10.1038/s41598-024-68095-2.

Abstract

A core component of every blood program is the supply of safe blood and blood products. The elevated risk of transmission through these products is due to parvovirus B19 (B19V) resistance to the virus inactivation procedures. Our study aimed to screen asymptomatic blood donors for B19V at a tertiary care hospital in Chennai, Tamil Nadu, between September 2020 and June 2021. Sera from 106 healthy blood donors who tested negative for Human immunodeficiency virus (HIV), Hepatitis B surface antigen (HBsAg), Hepatitis C virus (HCV), syphilis, and malaria were tested for anti-B19V IgM and IgG using a qualitative indirect enzyme-linked immunosorbent assay (ELISA). In the study population, 23.5% (n = 25) of donors tested IgM positive, 38.6% (n = 41) tested IgG positive, and 7.5% (n = 8) tested positive for both IgM and IgG. A proportion of 61.3% (n = 65) of the blood donors tested IgG negative, suggesting they had no past B19V infection. B19V DNA was not detected in any of the subjects. The high seroprevalence of IgM indicates that blood donors may have been recently exposed to B19V, potentially posing a risk to immunocompromised individuals and those with hematological stress. Further longitudinal studies with a larger sample size are recommended to better understand the risk of B19V transfusion transmission.

摘要

每个血液项目的核心组成部分是安全血液和血液制品的供应。这些产品传播风险增加是由于细小病毒 B19(B19V)对病毒灭活程序的抵抗力。我们的研究旨在 2020 年 9 月至 2021 年 6 月期间在泰米尔纳德邦钦奈的一家三级护理医院筛查无症状献血者的 B19V。对 106 名 HIV(人类免疫缺陷病毒)、乙型肝炎表面抗原(HBsAg)、丙型肝炎病毒(HCV)、梅毒和疟疾检测均为阴性的健康献血者的血清进行 B19V 抗 IgM 和 IgG 检测使用定性间接酶联免疫吸附试验(ELISA)。在研究人群中,23.5%(n=25)的献血者 IgM 检测呈阳性,38.6%(n=41)的 IgG 检测呈阳性,7.5%(n=8)的 IgM 和 IgG 均呈阳性。61.3%(n=65)的献血者 IgG 检测呈阴性,表明他们过去没有 B19V 感染。在任何受试者中均未检测到 B19V DNA。IgM 的高血清阳性率表明献血者可能最近接触过 B19V,这可能对免疫功能低下者和有血液学应激的人构成风险。建议进行进一步的、具有更大样本量的纵向研究,以更好地了解 B19V 输血传播的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb49/11372103/685de309ba25/41598_2024_68095_Fig1_HTML.jpg

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