Ramos-Echevarria A A, Monteón-Padilla V M, Reyes-López P A
Laboratorio de Inmunología, Instituto Nacional de Cardiología Ignacio Chávez, México.
Salud Publica Mex. 1993 Jan-Feb;35(1):56-64.
American trypanosomiasis is an endemic disease in Mexico. Blood transfusion has been recognized as the second main mechanism of transmission in South American countries. There is no definitive information available for Mexico. We obtained the prevalence of IgG antibodies against Trypanosoma cruzi among 1076 blood donors at the Instituto Nacional de Cardiología "Ignacio Chávez" in Mexico City. We used an antigen freshly prepared from local isolates, and the complete and soluble antigen preparations were analyzed with the Western blot technique using sera previously characterized as reactive. Blood donors' antibodies were studied with DOT-ELISA and Western blot. All donors were asked in regard to place of birth, and blood samples were serologically tested as usual in transfusion practice. The presence of IgG antibodies to T. cruzi, confirmed with a high-specificity test, showed a prevalence of 0.28 per cent. Screening for antibodies to T. cruzi; should be included in the evaluation of blood donors in Mexico.
美洲锥虫病是墨西哥的一种地方病。在南美国家,输血已被确认为第二大主要传播途径。墨西哥尚无确切信息。我们在墨西哥城的国家心脏病学研究所“伊格纳西奥·查韦斯”对1076名献血者进行了抗克氏锥虫IgG抗体的检测。我们使用了从当地分离株新鲜制备的抗原,并采用蛋白质印迹技术,用先前已鉴定为有反应性的血清对完整和可溶性抗原制剂进行分析。采用斑点酶联免疫吸附测定法(DOT-ELISA)和蛋白质印迹法研究献血者的抗体。询问了所有献血者的出生地,并按照输血实践中的常规方法对血样进行血清学检测。经高特异性检测确认存在抗克氏锥虫IgG抗体,其患病率为0.28%。对克氏锥虫抗体的筛查应纳入墨西哥献血者的评估中。