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心脏手术期间输血传播GB病毒C

Transmission of GB virus C by blood transfusions during heart surgery.

作者信息

Shimizu M, Osada K, Okamoto H

机构信息

Department of Transfusion Medicine, Tokyo Women's Medical College, Japan.

出版信息

Vox Sang. 1997;72(2):76-8. doi: 10.1046/j.1423-0410.1997.7220076.x.

DOI:10.1046/j.1423-0410.1997.7220076.x
PMID:9088073
Abstract

BACKGROUND AND OBJECTIVES

Hepatitis-causing viral agents other than those designated A to E are being reported. Their epidemiology, modes of transmission, and infectivity are not yet clear, although they may be transmitted by transfusion.

MATERIALS AND METHODS

Thirty five patients underwent open-heart surgery, receiving an average of 10.2 +/- 10.8 (range 1 to 35) units of blood. The patients were investigated postoperatively for the RNA of the putative non-A-to-E hepatitis virus designated as GB virus C (GBV-C).

RESULTS

Four patients (12%) acquired GBV-C RNA in the serum within 2 to 4 weeks after the operation. GBV-C RNA was detected in at least one of the blood units received by three patients, all of whose units were available for testing, with a sequence in the nonstructural 3 region identical to that from the corresponding patient. Three patients developed elevated alanine aminotransferase levels which persisted for two weeks or longer in two of them.

CONCLUSIONS

GBV-C is transmissible by transfusion and can induce elevated transaminase levels.

摘要

背景与目的

除了已命名的A至E型肝炎病毒外,其他导致肝炎的病毒因子也有报道。尽管它们可能通过输血传播,但其流行病学、传播方式和传染性尚不清楚。

材料与方法

35例患者接受了心脏直视手术,平均输注了10.2±10.8(范围1至35)单位血液。术后对患者进行了检测,以寻找被称为GB病毒C(GBV-C)的假定非A至E型肝炎病毒的RNA。

结果

4例患者(12%)在术后2至4周内血清中检测到GBV-C RNA。在3例患者输注的至少一个血液单位中检测到GBV-C RNA,这3例患者输注的所有血液单位均可供检测,其中非结构3区的序列与相应患者的序列相同。3例患者出现丙氨酸转氨酶水平升高,其中2例持续两周或更长时间。

结论

GBV-C可通过输血传播,并可导致转氨酶水平升高。

相似文献

1
Transmission of GB virus C by blood transfusions during heart surgery.心脏手术期间输血传播GB病毒C
Vox Sang. 1997;72(2):76-8. doi: 10.1046/j.1423-0410.1997.7220076.x.
2
Infection with hepatitis G virus and its strain variant, the GB agent (GBV-C), among blood donors in Japan.日本献血者中庚型肝炎病毒及其毒株变异体GB病毒(GBV-C)的感染情况。
Transfusion. 1997 Jun;37(6):657-63. doi: 10.1046/j.1537-2995.1997.37697335163.x.
3
Prevalence of GB virus C/hepatitis G virus ribonucleic acid and anti-hepatitis G virus-E2 antibodies among Japanese children with histories of transfusions or with liver diseases.日本有输血史或患有肝病儿童中GB病毒C/庚型肝炎病毒核糖核酸及抗庚型肝炎病毒-E2抗体的流行情况。
Pediatr Res. 1999 Jan;45(1):128-32. doi: 10.1203/00006450-199901000-00021.
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Hepatitis GB virus C genome in the serum of aplastic anaemia patients receiving frequent blood transfusions.接受频繁输血的再生障碍性贫血患者血清中的丙型庚型肝炎病毒基因组
Br J Haematol. 1997 Mar;96(4):864-7. doi: 10.1046/j.1365-2141.1997.d01-2105.x.
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GB virus C/hepatitis G virus infection in patients on continuous ambulatory peritoneal dialysis.持续非卧床腹膜透析患者的GB病毒C/庚型肝炎病毒感染
Nephrol Dial Transplant. 1998 Nov;13(11):2914-9. doi: 10.1093/ndt/13.11.2914.
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Relation between GB virus C/hepatitis G virus and fulminant hepatic failure may be secondary to treatment with contaminated blood and/or blood products.庚型肝炎病毒与暴发性肝衰竭之间的关系可能继发于受污染血液和/或血液制品的治疗。
Gut. 1999 Feb;44(2):274-8. doi: 10.1136/gut.44.2.274.
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GB hepatitis agent in cadaver organ donors and their recipients.尸体器官捐献者及其接受者中的GB型肝炎病原体
Transplantation. 1997 Feb 15;63(3):346-51. doi: 10.1097/00007890-199702150-00003.
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The prevalence of serum GB virus C/hepatitis G virus RNA and anti-E2 in Japanese children without a history of blood transfusion.日本无输血史儿童血清GB病毒C/庚型肝炎病毒RNA及抗E2的流行情况
Tohoku J Exp Med. 2000 Mar;190(3):185-92. doi: 10.1620/tjem.190.185.
9
Transfusion-transmitted hepatitis G virus following open heart surgery.心脏直视手术后输血传播的庚型肝炎病毒
Transfusion. 1996 Oct;36(10):937. doi: 10.1046/j.1537-2995.1996.361097017183.x.
10
Mother-to-infant transmission occurs more frequently with GB virus C than hepatitis C virus.与丙型肝炎病毒相比,母婴传播在庚型肝炎病毒中更为常见。
Arch Virol. 1998;143(1):65-72. doi: 10.1007/s007050050268.

引用本文的文献

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Eur J Epidemiol. 2001;17(3):271-4. doi: 10.1023/a:1017916506897.
2
Detection of GBV-C/HGV RNA in saliva and serum, but not in urine of infected patients.在感染患者的唾液和血清中检测到GBV-C/HGV RNA,但在尿液中未检测到。
Infection. 1998 Jan-Feb;26(1):39-41. doi: 10.1007/BF02768751.