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血友病患者中SEN病毒感染率的调查。

Investigation of SEN virus prevalence in hemophilia patients.

作者信息

Javanmard Davod, Mahi-Birjand Motahareh, Alemzadeh Effat, Mohammadi Mahdie, Ziaee Masood

机构信息

Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Department of Clinical Pharmacy, School of Pharmacy, Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

New Microbes New Infect. 2024 Aug 27;62:101470. doi: 10.1016/j.nmni.2024.101470. eCollection 2024 Dec.

Abstract

BACKGROUND

Hemophilia and transfusion-dependent patients are at high risk of a wide range of blood-borne agents. Among these, SEN virus (SENV) stands out as a significant concern due to its association with transfusion-induced non-A to non-E hepatitis. This study, therefore, aimed to investigate the prevalence of this virus in hemophilia patients, focusing on potential complications and risk factors.

METHOD

This was a cross-sectional study conducted in a hemophilia center in the east of Iran. Blood samples were taken from patients and healthy people, and demographic and clinical information was collected. The sera samples were then subjected to DNA extraction. PCR-based methods detected SENV and its genotype, and then phylogenetic analysis was performed. The collected data were analyzed and interpreted by SPSS22 software.

RESULTS

The mean age of patients and the healthy group was 26.18 ± 14.97 and 41.69 ± 14.05, respectively. Among the patient and healthy groups, 94.5 % and 36.4 % were male, and the rest were female, respectively. Most of the participants in the patient group had hemophilia type A (85.5 %), then type B (7.3 %), VWD type (3.6 %), and F and plt type (1.8 %) were in the next categories. SENV-DNA was detected in 58.2 % of patients and 20 % of healthy groups (P-value: 0.00). Among these, H and D genotypes were found in 35 % and 23.7 % of patients and 12.7 % and 7.3 % of healthy groups, respectively. The prevalence of the virus was significantly related to minor elevation of AST and was higher in hemophilia type A (63.8 %) and severe type of disease (63.2 %).

CONCLUSION

This study underscore the significant prevalence of the SENV virus in hemophilia patients, a particularly noteworthy finding compared to the healthy population. With the limited information available about this virus, our findings highlight the importance of continuous monitoring and follow-up of high-risk groups in relation to blood-borne pathogens, providing reassurance about the ongoing efforts in the field.

摘要

背景

血友病患者及依赖输血的患者感染多种血源性病原体的风险很高。其中,SEN病毒(SENV)因其与输血引起的非甲至非戊型肝炎有关而备受关注。因此,本研究旨在调查该病毒在血友病患者中的流行情况,重点关注潜在并发症和危险因素。

方法

这是一项在伊朗东部一家血友病中心进行的横断面研究。采集患者和健康人的血样,并收集人口统计学和临床信息。然后对血清样本进行DNA提取。采用基于PCR的方法检测SENV及其基因型,随后进行系统发育分析。收集的数据由SPSS22软件进行分析和解释。

结果

患者组和健康组的平均年龄分别为26.18±14.97岁和41.69±14.05岁。患者组和健康组中男性分别占94.5%和36.4%,其余为女性。患者组中大多数参与者为A型血友病(85.5%),其次是B型(7.3%)、血管性血友病(VWD)型(3.6%),F和血小板型(1.8%)位列其后。58.2%的患者和20%的健康组检测到SENV-DNA(P值:0.00)。其中,H基因型和D基因型在患者组中的检出率分别为35%和23.7%,在健康组中的检出率分别为12.

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