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Comparative evaluation of APRI and MELD scores in the prediction of complications of chronic hepatitis in patients infected with hepatitis B or C viruses in Lubumbashi, democratic republic of Congo 在刚果民主共和国卢本巴希,APRI和MELD评分预测乙型或丙型肝炎病毒感染患者慢性肝炎并发症的比较评价
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jcvp.2024.100200
Arsène Kabamba-Tshikongo , Adolphe Baleebenga , Bernard Kalunga-Tompa , Claude Mwamba-Mulumba , Henry Manya-Mboni , Cedrick Mutombo-Shakalenga , Pierrot Mwamba-Tshilumba , Sébastien Bontems , Géraldine Dessilly , Benoît Kabamba-Mukadi , Albert Longanga-Otshudi
The indication for treatment of viral hepatitis B and C depends on the degree of deterioration of liver function and secondarily viral load. APRI and MELD scores are WHO-validated tests for the assessment of liver fibrosis. They are inexpensive and non-invasive. Many patients suffer from viral hepatitis B or C in the Democratic Republic of Congo. These scores are an asset in the medical management of these patients. The objective of this study was to compare APRI and MELD scores in the prediction of fibrosis in patients with chronic viral hepatitis B in Lubumbashi. It included infected patients followed in the gastroenterology departments of the hospitals of Lubumbashi and the Center of Excellence and Expertise for Viral Hepatitis and other Pathologies (CEEHP). Biological parameters of patient samples were evaluated to calculate APRI and MELD scores. Analytical performance of APRI and MELD scores was evaluated by using liver biopsy as gold standard.
The APRI and MELD scores had a sensitivity of 100 % and a specificity of 93.5 and 88.6 %, respectively. In the fibrosis group of patients infected with HBV, the mean APRI score was of 1.89 whereas the mean MELD score was of 12.4 Incorporating these scores in routine clinical practice could reduce the morbidity rate, the costs related to the practice of liver biopsy and thus improve the routine management of viral hepatitis in Lubumbashi.
病毒性乙型肝炎和丙型肝炎治疗的适应症取决于肝功能恶化的程度和继发病毒载量。APRI和MELD评分是世卫组织认可的评估肝纤维化的检测方法。它们价格低廉且无侵入性。在刚果民主共和国,许多患者患有病毒性乙型或丙型肝炎。这些分数在这些病人的医疗管理中是一个资产。本研究的目的是比较APRI和MELD评分在卢本巴希地区预测慢性乙型病毒性肝炎患者纤维化的作用。它包括在卢本巴希医院的胃肠科和病毒性肝炎及其他病症卓越和专业知识中心(CEEHP)随访的感染患者。评估患者标本的生物学参数,计算APRI和MELD评分。以肝活检为金标准评价APRI和MELD评分的分析性能。APRI和MELD评分的敏感性为100%,特异性为93.5%和88.6%。在HBV感染的纤维化组中,APRI平均评分为1.89,MELD平均评分为12.4,将这些评分纳入常规临床实践可以降低发病率,降低肝活检相关费用,从而改善卢本巴希地区病毒性肝炎的常规管理。
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引用次数: 0
Seroprevalence of hepatitis B and C virus among a group of hemophilia patients in Kurdistan Region, Iraq 伊拉克库尔德斯坦地区一组血友病患者中乙型和丙型肝炎病毒的血清阳性率
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jcvp.2025.100203
Salih A. Hama

Background

The risk of blood-borne infections, particularly hepatitis B virus (HBV) and hepatitis C virus (HCV), continues to persist in developing countries among patients who receive blood products, such as hemophiliacs, but there is a lack of up-to-date data in such countries. This study aims to determine the prevalence of HBV and HCV infections among a group of hemophilia patients in Kurdistan Region, Iraq.

Methods

This prospective cross-sectional study, conducted from June to September 2022, screened 117 hemophilic patients in the region for Hepatitis B surface antigen (HBsAg) and anti-HCV antibodies using serologic assays.

Results

One hundred fifteen participants were male (98.3 %) with a mean age of 20.7 years (8–47). HBV seropositivity was found in 9 (7.7 %) patients, while HCV seropositivity was noted in 15 (12.8 %). No significant correlation was observed between HBV/HCV infectivity status and age, residency, or education status (p < 0.05). The prevalence of only HBV was significantly higher among patients with more frequent clotting factor intake (p = 0.016), which was associated with lower odds of HBV positivity (OR = 0.034, 95 % CI: 0.002–0.492). Moreover, HCV seropositive patients were more commonly associated with surgical history compared to negative cases (20 %vs. 3.9 %; p = 0.044), which was associated with significantly increased odds of HCV positivity (OR = 6.125, 95 % CI: 1.221–30.719).

Conclusion

This study reveals an intermediate prevalence of HBV (7.7 %) and a high prevalence of HCV (12.8 %) infections among hemophilia patients in the Kurdistan Region, Iraq.
在发展中国家,血友病患者等接受血液制品的患者中,血液传播感染的风险,特别是乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)的风险持续存在,但这些国家缺乏最新数据。本研究旨在确定伊拉克库尔德斯坦地区一组血友病患者中HBV和HCV感染的流行情况。该前瞻性横断面研究于2022年6月至9月进行,通过血清学检测筛查该地区117名血友病患者的乙型肝炎表面抗原(HBsAg)和抗hcv抗体。结果男性115例(98.3%),平均年龄20.7岁(8 ~ 47岁)。HBV血清阳性9例(7.7%),HCV血清阳性15例(12.8%)。HBV/HCV感染状况与年龄、居住地或教育状况之间无显著相关性(p <;0.05)。在凝血因子摄入频繁的患者中,仅HBV的患病率明显较高(p = 0.016),这与HBV阳性的几率较低相关(OR = 0.034, 95% CI: 0.002-0.492)。此外,与阴性病例相比,HCV血清阳性患者更常与手术史相关(20% vs。3.9%;p = 0.044),这与HCV阳性的几率显著增加相关(OR = 6.125, 95% CI: 1.221-30.719)。结论:本研究揭示了伊拉克库尔德斯坦地区血友病患者中HBV感染率中等(7.7%),HCV感染率较高(12.8%)。
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引用次数: 0
A systematic review on the correlation between COVID-19 and lower urinary tract symptoms COVID-19与下尿路症状相关性的系统综述
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jcvp.2025.100202
Ashkan Shafigh , Amir Mohammadi-Garebagh , Kavous Shahsavarinia , Sona Tayebi , Ali Mostafaei , Hanieh Salehi-Pourmehr , Sakineh Hajebrahimi
COVID-19 can lead to extrapulmonary symptoms such as Lower Urinary Tract Symptoms (LUTS). We aimed to investigate the impact of the severity of SARS-CoV-2 infection on the lower urinary tract in patients affected by COVID-19. We conducted a comprehensive literature search using the terms "COVID-19," "SARS-CoV-2," and "Lower Urinary Tract Symptoms" with various combinations in MEDLINE, Scopus, ProQuest, Web of Science, Google Scholar, and Cochrane Library, including Cochrane Central Register of Controlled Trials (CENTRAL) and Cochrane Database of Systematic Reviews (CDSR) databases. The studies were selected based on eligibility criteria, and quantitative data were extracted using the data extraction tool from JBI-MAStARI. A total of 988 articles were found through the literature search. Twenty-five articles were included in our qualitative evaluation, and seven studies were included in the quantitative analysis. The qualitative publications were systematically reviewed separately under the titles of LUTS, benign prostatic hyperplasia (BPH), and kidney failures or kidney transplant recipients. The analysis of eligible studies showed a 3.3 % prevalence of LUTS in infected patients (95 % CI: 2.0 % - 5.3 %; Q-value: 1021.397, I2: 97.45 %). Furthermore, frequency and urgency were the most prevalent symptoms in the eligible meta-analysis studies, with 15.3 % (95 % CI: 5.7 % – 34.9 % in 4 studies) and 11.5 % (95 % CI: 7.1 % - 18.1 % in two studies), respectively. The prevalence of LUTS among COVID-19 patients was 3.3 %, with common symptoms including urinary frequency, urgency, UTI, and hematuria. Long-term follow-up and consideration of pre-existing LUTS are essential for improving understanding and clinical management.
COVID-19可导致肺外症状,如下尿路症状(LUTS)。我们旨在探讨SARS-CoV-2感染严重程度对COVID-19患者下尿路的影响。我们在MEDLINE、Scopus、ProQuest、Web of Science、谷歌Scholar和Cochrane图书馆(包括Cochrane中央对照试验注册库(Central)和Cochrane系统评价数据库(CDSR)数据库中使用“COVID-19”、“SARS-CoV-2”和“下尿路症状”等不同组合进行了全面的文献检索。根据入选标准选择研究,并使用JBI-MAStARI的数据提取工具提取定量数据。通过文献检索共找到988篇文章。我们的定性评价纳入了25篇文章,定量分析纳入了7篇研究。定性出版物分别在LUTS,良性前列腺增生(BPH)和肾衰竭或肾移植受者的标题下进行系统审查。对符合条件的研究的分析显示,感染患者中LUTS的患病率为3.3% (95% CI: 2.0% - 5.3%;q值:1021.397,I2: 97.45%)。此外,在符合条件的meta分析研究中,频率和急迫性是最常见的症状,分别为15.3%(4项研究中95% CI: 5.7% - 34.9%)和11.5%(2项研究中95% CI: 7.1% - 18.1%)。COVID-19患者中LUTS的患病率为3.3%,常见症状包括尿频、尿急、尿路感染和血尿。长期随访和考虑预先存在的LUTS是提高认识和临床管理的必要条件。
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引用次数: 0
Serum levels of the Parkinson's disease-linked protein Parkin are specifically elevated in COVID-19 在COVID-19中,帕金森病相关蛋白帕金森氏蛋白的血清水平特异性升高
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jcvp.2025.100206
Nadezhda G. Gumanova, Natalya L. Bogdanova, Alexander Yu. Gorshkov

Background

Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and is known to cause various unfavorable effects, including neurodegenerative disorders. The aim of the present study was to assess comparative serum protein profiles specifically associated with COVID-19.

Methods

COVID-19 infection was confirmed by the detection of immunoglobulin G (IgG)-SARS antibodies against SARS-CoV-2 S1 protein receptor-binding domain in serum samples collected in 2019–2021. IgG antibodies to adenovirus (IgG-AdV) were analyzed in serum samples collected in 2016–2018 prior the onset of the COVID-19 pandemic. Comparative protein profiling was conducted in matched serum samples with positive or negative IgG-SARS-status using the Signaling Explorer Antibody Array (SET100) that included 1358 specific antibodies in two replicates. This analysis identified Parkin as a top protein discriminating between the SARS-positive and negative status. The results were validated using in-house ELISA in the serum of participants recruited in 2019- 2021. Specificity versus another viral infection was tested in the serum samples with positive or negative status of IgG-AdV antibodies.

Results

High serum levels of the Parkinson's disease-linked protein Parkin were associated with SARS-positive status (P < 0.05) but were not associated with IgG-AdV-positive-status (P > 0.05).

Conclusions

Specific associations of Parkin with COVID-19 contribute to identification of the signaling pathways linked to COVID-19 effects.
冠状病毒病2019 (COVID-19)是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的,已知会导致各种不利影响,包括神经退行性疾病。本研究的目的是评估与COVID-19特异性相关的比较血清蛋白谱。方法检测2019-2021年采集的患者血清中针对SARS-CoV-2 S1蛋白受体结合域的免疫球蛋白G (IgG)-SARS抗体,确认感染。分析了2016-2018年COVID-19大流行发病前采集的血清样本中腺病毒IgG抗体(IgG- adv)。在igg - sars阳性或阴性的匹配血清样本中,使用包括两个重复的1358种特异性抗体的Signaling Explorer Antibody Array (SET100)进行比较蛋白谱分析。该分析确定Parkin是区分sars阳性和阴性状态的顶级蛋白。在2019- 2021年招募的参与者的血清中使用内部ELISA对结果进行了验证。在IgG-AdV抗体阳性或阴性的血清样本中检测对另一种病毒感染的特异性。结果血清中高水平的帕金森病相关蛋白Parkin与sars阳性状态相关(P <;0.05),但与igg - adv阳性状态无关(P >;0.05)。结论帕金蛋白与COVID-19的特异性关联有助于识别与COVID-19效应相关的信号通路。
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引用次数: 0
Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system NeuMoDx系统上的Qiagen BK病毒ASR性能评估
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-11-14 DOI: 10.1016/j.jcvp.2024.100198
Amorce Lima, Luciano Soares, Caroline Simmons, Laura Rowe, Dominic Uy, Deanna Becker, Suzane Silbert

Background

BK virus (BKV) is the main cause of polyomavirus‐associated nephropathy in kidney transplant patients and hemorrhagic cystitis in bone marrow recipients. BKV quantitation by PCR is crucial in diagnostic and therapeutic management of transplant patients infected with BKV. We evaluated the performance of the Qiagen BKV ASR for the quantification of BKV on the NeuMoDx™ 96 System and compared the results to our standard of care (SOC) test, the Diasorin BKV ASR on the Liaison® MDX.

Methods

The analytical performance was assessed using commercially available BKV Panels that meet the 1st WHO International Standards for BKV nucleic acid amplification techniques. The clinical performance was evaluated using 204 residual plasma and urine samples previously identified with the SOC assay.

Results

The assay exhibited a strong linear correlation (R² = 0.9985) with the reference panel and an excellent analytical accuracy (R² = 0.9976). The LoD was determined to be 50 IU/mL with remarkable precision within and between days (SDEV 0.00—0.57 and 0.05—0.31, respectively). Of the 204 samples, only 10 (4.9 %) were discordant (PPA = 92.37 %; NPA = 100 %). Although the Qiagen BKV ASR quantified BKV DNA at an average of 0.48 Log IU/mL lower than the SOC, it showed a strong concordance to the SOC results. Compared to the SOC, the Qiagen BKV ASR had a more automated workflow, with less hands-on time, leading to quicker turnaround time.

Conclusion

The Qiagen BKV ASR is specific, sensitive, and accurate in quantifying BKV in plasma and urine specimens on the fully automated NeuMoDx™ 96 System.
背景BK病毒(BKV)是肾移植患者多瘤病毒相关性肾病和骨髓受者出血性膀胱炎的主要病因。在对感染 BKV 的移植患者进行诊断和治疗管理时,通过 PCR 对 BKV 进行定量至关重要。我们评估了Qiagen BKV ASR在NeuMoDx™ 96系统上定量检测BKV的性能,并将结果与我们的标准检测(SOC)--Liaison® MDX上的Diasorin BKV ASR--进行了比较。结果该检测方法与参考试剂盒呈较强的线性相关(R² = 0.9985),分析准确度极高(R² = 0.9976)。LoD被确定为50 IU/mL,天内和天间的精确度非常高(SDEV分别为0.00-0.57和0.05-0.31)。在 204 份样本中,只有 10 份(4.9%)不一致(PPA = 92.37%;NPA = 100%)。虽然Qiagen BKV ASR对BKV DNA的定量平均比SOC低0.48 Log IU/mL,但它与SOC的结果显示出很强的一致性。结论在全自动NeuMoDx™ 96系统上,Qiagen BKV ASR能特异、灵敏、准确地定量血浆和尿液标本中的BKV。
{"title":"Performance evaluation of the Qiagen BK virus ASR on the NeuMoDx system","authors":"Amorce Lima,&nbsp;Luciano Soares,&nbsp;Caroline Simmons,&nbsp;Laura Rowe,&nbsp;Dominic Uy,&nbsp;Deanna Becker,&nbsp;Suzane Silbert","doi":"10.1016/j.jcvp.2024.100198","DOIUrl":"10.1016/j.jcvp.2024.100198","url":null,"abstract":"<div><h3>Background</h3><div>BK virus (BKV) is the main cause of polyomavirus‐associated nephropathy in kidney transplant patients and hemorrhagic cystitis in bone marrow recipients. BKV quantitation by PCR is crucial in diagnostic and therapeutic management of transplant patients infected with BKV. We evaluated the performance of the Qiagen BKV ASR for the quantification of BKV on the NeuMoDx™ 96 System and compared the results to our standard of care (SOC) test, the Diasorin BKV ASR on the Liaison® MDX.</div></div><div><h3>Methods</h3><div>The analytical performance was assessed using commercially available BKV Panels that meet the 1<sup>st</sup> WHO International Standards for BKV nucleic acid amplification techniques. The clinical performance was evaluated using 204 residual plasma and urine samples previously identified with the SOC assay.</div></div><div><h3>Results</h3><div>The assay exhibited a strong linear correlation (R² = 0.9985) with the reference panel and an excellent analytical accuracy (R² = 0.9976). The LoD was determined to be 50 IU/mL with remarkable precision within and between days (SDEV 0.00—0.57 and 0.05—0.31, respectively). Of the 204 samples, only 10 (4.9 %) were discordant (PPA = 92.37 %; NPA = 100 %). Although the Qiagen BKV ASR quantified BKV DNA at an average of 0.48 Log IU/mL lower than the SOC, it showed a strong concordance to the SOC results. Compared to the SOC, the Qiagen BKV ASR had a more automated workflow, with less hands-on time, leading to quicker turnaround time.</div></div><div><h3>Conclusion</h3><div>The Qiagen BKV ASR is specific, sensitive, and accurate in quantifying BKV in plasma and urine specimens on the fully automated NeuMoDx™ 96 System.</div></div>","PeriodicalId":73673,"journal":{"name":"Journal of clinical virology plus","volume":"5 1","pages":"Article 100198"},"PeriodicalIF":1.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Environmental surveillance of SARS-CoV-2 for outbreak detection in hospital: A single centre prospective study 用于检测医院疫情的 SARS-CoV-2 环境监测:单中心前瞻性研究
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-11-13 DOI: 10.1016/j.jcvp.2024.100199
Hania Siddiqui , Alexandra M.A. Hicks , Aaron Hinz , Prachi Ray , Jennie Johnstone , Derek R. MacFadden , Jason A. Moggridge , Michael Fralick

Background

Healthcare facilities remain at risk of Coronavirus Disease 2019 (COVID-19) outbreaks. Proactive surveillance strategies can potentially mitigate the risk of these outbreaks.

Objective

To determine whether results from the environmental detection of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) from floor swabs could be provided to the Infection Prevention and Control (IPAC) team in near real-time.

Methods

We conducted a 9-week prospective study at a rehabilitation hospital in Toronto, Canada. Beginning in October 2023, we swabbed the hallways and adjoining areas of one of the floors of the hospital. This floor consisted of two separate units: the Medical Rehab Unit and the Transitional Care Unit, each accommodating 32 patients. Swabs were assayed for SARS-CoV-2 by quantitative reverse-transcriptase polymerase chain reaction (RT-qPCR). Results from the floor swabs, including percentage positivity for SARS-CoV-2 and number of viral RNA copies, were sent to the hospital's infection control team twice-weekly. Number of patients with COVID-19, confirmed and suspected COVID-19 outbreaks, and acute transfers to another hospital were recorded over the study duration.

Results

A total of 465 swabs were collected, and 232 (50%) were positive for SARS-CoV-2. The turnaround time from floor swabbing to the results being provided to IPAC ranged from 1–6 days with an average turnaround time of 1.9 days (interquartile range: 1 to 2 days). Swab positivity in the Medical Rehab Unit (65%, 95% CI: 58–71%) was significantly greater than the Transitional Care Unit (38%, 95% CI: 32–44%). During the study period there were 4 patients diagnosed with COVID-19 on the Medical Rehab Unit and none on the Transitional Care Unit. There was one suspected COVID-19 outbreak on the Medical Rehab Unit: three COVID-19 cases were identified within six days; all patients on the unit were tested for COVID-19; no further cases were identified and no outbreak was declared. During the suspected outbreak, the percentage of floor swabs positive for SARS-CoV-2 peaked, at 100% in the Medical Rehab Unit.

Conclusion

Floor swabs were provided to IPAC in almost real-time; however, delays in shipments in some instances led to delays in the results being made available. Larger studies over an extended timeframe are needed to better understand whether environmental surveillance can aid IPAC decision-making.
背景医疗机构仍然面临着冠状病毒病 2019 (COVID-19) 爆发的风险。目标确定从地板拭子中检测到的严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的环境检测结果能否近乎实时地提供给感染预防与控制(IPAC)团队。方法我们在加拿大多伦多的一家康复医院开展了一项为期 9 周的前瞻性研究。从 2023 年 10 月开始,我们对医院其中一个楼层的走廊和毗邻区域进行了抽样检查。该楼层由两个独立的单元组成:医疗康复单元和过渡护理单元,每个单元可容纳 32 名病人。通过定量反转录聚合酶链反应(RT-qPCR)对拭子进行 SARS-CoV-2 检测。地板拭子的检测结果,包括 SARS-CoV-2 阳性率和病毒 RNA 拷贝数,每周两次发送给医院的感染控制小组。研究期间记录了 COVID-19 患者、确诊和疑似 COVID-19 爆发患者以及急性转院患者的人数。从采集拭子到向 IPAC 提供结果的周转时间为 1-6 天,平均周转时间为 1.9 天(四分位数间距:1-2 天)。医疗康复部的拭子阳性率(65%,95% CI:58-71%)明显高于过渡护理部(38%,95% CI:32-44%)。在研究期间,医疗康复科有 4 名患者被确诊感染了 COVID-19,而过渡护理部则没有。医疗康复科曾爆发过一次疑似COVID-19疫情:6天内发现3例COVID-19病例;对该科所有患者进行了COVID-19检测;未再发现病例,也未宣布爆发疫情。在疑似疫情爆发期间,医疗康复科的地拭子对 SARS-CoV-2 呈阳性的百分比达到了峰值,为 100%。为了更好地了解环境监测是否有助于 IPAC 的决策,需要在更长的时间范围内进行更大规模的研究。
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引用次数: 0
Correlation of cytokine storm with ocular fundus abnormalities in critically ill patients with severe viral pneumonia 重症病毒性肺炎重症患者细胞因子风暴与眼底异常的相关性
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-11-09 DOI: 10.1016/j.jcvp.2024.100196
Yun Yu , Yun-jiao Zhao , Qi-hang Zhou, Xiao-yin Zhou, Yu-qing Lan, Hai-jun Gong

Purpose

To investigate the relationship between ocular fundus abnormalities and cytokines in patients with severe viral pneumonia, aiming to provide targeted diagnostic recommendations.

Methods

We assessed critically ill patients with severe viral pneumonia and categorized them into the survivor (17 patients, 33 eyes) and deceased (30 patients, 58 eyes) groups. Spearman's correlation analysis was used to assess associations between cytokine levels and fundus abnormalities.

Results

In the deceased group, the vascular fractal dimension (FD) and vessel density (VD) were lower and negatively correlated with interleukin 2 (IL-2), IL-8, IL-10, interferon (IFN)-α, IFN-γ, IL-1β, IL-12, and IL-6 but positively correlated with IL-5. In the survivor group, arterial dilatation and reduced curvature were positively correlated with IL-6 and negatively correlated with IL-2 and IL-12; moreover, venous abnormalities were negatively correlated with IL-5, IL-10, and tumor necrosis factor (TNF)-α. In the deceased group, venous abnormalities were positively correlated with IL-10 and negatively correlated with IL-5, IL-1β, and TNF-α. The cup-to-disc ratio (CDR) was lower in the deceased group, with a significant reduction in rim width (RW), especially in the superior region. In the survivor group, the CDR was negatively correlated with IL-10, while in the deceased group, it was positively correlated with IL-6. RW was positively correlated with IL-1β, IL-5, and IL-10 in the survivor group and with IL-10, IL-12, and IL-17 in the deceased group.

Conclusion

Fundus vascular abnormalities and optic disc edema are associated with cytokine levels in patients with severe viral pneumonia, with significant differences between survivors and deceased patients.
目的 研究重症病毒性肺炎患者眼底异常与细胞因子之间的关系,旨在提供有针对性的诊断建议。方法 我们对重症病毒性肺炎重症患者进行了评估,并将其分为存活组(17 例患者,33 眼)和死亡组(30 例患者,58 眼)。结果 在死亡组中,血管分形维度(FD)和血管密度(VD)较低,且与白细胞介素 2(IL-2)、IL-8、IL-10、干扰素(IFN)-α、IFN-γ、IL-1β、IL-12 和 IL-6 呈负相关,但与 IL-5 呈正相关。在幸存者组中,动脉扩张和弯曲度降低与IL-6呈正相关,与IL-2和IL-12呈负相关;此外,静脉异常与IL-5、IL-10和肿瘤坏死因子(TNF)-α呈负相关。在死亡组中,静脉异常与 IL-10 呈正相关,与 IL-5、IL-1β 和 TNF-α 呈负相关。死亡组的杯盘比(CDR)较低,边缘宽度(RW)显著减少,尤其是在上部区域。在存活组中,CDR与IL-10呈负相关,而在死亡组中,CDR与IL-6呈正相关。结论重症病毒性肺炎患者的眼底血管异常和视盘水肿与细胞因子水平有关,幸存者和死亡患者之间存在显著差异。
{"title":"Correlation of cytokine storm with ocular fundus abnormalities in critically ill patients with severe viral pneumonia","authors":"Yun Yu ,&nbsp;Yun-jiao Zhao ,&nbsp;Qi-hang Zhou,&nbsp;Xiao-yin Zhou,&nbsp;Yu-qing Lan,&nbsp;Hai-jun Gong","doi":"10.1016/j.jcvp.2024.100196","DOIUrl":"10.1016/j.jcvp.2024.100196","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the relationship between ocular fundus abnormalities and cytokines in patients with severe viral pneumonia, aiming to provide targeted diagnostic recommendations.</div></div><div><h3>Methods</h3><div>We assessed critically ill patients with severe viral pneumonia and categorized them into the survivor (17 patients, 33 eyes) and deceased (30 patients, 58 eyes) groups. Spearman's correlation analysis was used to assess associations between cytokine levels and fundus abnormalities.</div></div><div><h3>Results</h3><div>In the deceased group, the vascular fractal dimension (FD) and vessel density (VD) were lower and negatively correlated with interleukin 2 (IL-2), IL-8, IL-10, interferon (IFN)-α, IFN-γ, IL-1β, IL-12, and IL-6 but positively correlated with IL-5. In the survivor group, arterial dilatation and reduced curvature were positively correlated with IL-6 and negatively correlated with IL-2 and IL-12; moreover, venous abnormalities were negatively correlated with IL-5, IL-10, and tumor necrosis factor (TNF)-α. In the deceased group, venous abnormalities were positively correlated with IL-10 and negatively correlated with IL-5, IL-1β, and TNF-α. The cup-to-disc ratio (CDR) was lower in the deceased group, with a significant reduction in rim width (RW), especially in the superior region. In the survivor group, the CDR was negatively correlated with IL-10, while in the deceased group, it was positively correlated with IL-6. RW was positively correlated with IL-1β, IL-5, and IL-10 in the survivor group and with IL-10, IL-12, and IL-17 in the deceased group.</div></div><div><h3>Conclusion</h3><div>Fundus vascular abnormalities and optic disc edema are associated with cytokine levels in patients with severe viral pneumonia, with significant differences between survivors and deceased patients.</div></div>","PeriodicalId":73673,"journal":{"name":"Journal of clinical virology plus","volume":"5 1","pages":"Article 100196"},"PeriodicalIF":1.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A prospective study to evaluate the clinical specificity of the cobas® MPX test kit for screening for HIV RNA, HCV RNA, and HBV DNA in blood donation samples using the cobas® 6800 system in HBV endemic areas 一项前瞻性研究,评估在 HBV 流行地区使用 cobas® 6800 系统筛查献血样本中 HIV RNA、HCV RNA 和 HBV DNA 的 cobas® MPX 检测试剂盒的临床特异性
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-11-07 DOI: 10.1016/j.jcvp.2024.100197
Lei Zhou , Lin Wang , Xiaofang Gong , Xiaochun Liu , Yaxuan Zou , Yingying Wang , Jinfeng Zeng , Liang Zang

Background

Nucleic acid testing (NAT) is widely used for screening blood donors for infectious diseases to enhance transfusion safety. Roche's advanced cobas® MPX assay detects human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) using the cobas® 6800/5800 Systems, based on real-time PCR technology, providing improved sensitivity. This study aims to evaluate the clinical sensitivity and specificity of the cobas® MPX assay and its effectiveness in identifying infected donors in HBV endemic areas, particularly those with occult HBV infection (OBI).

Materials and methods

A total of 12,067 donor samples from the Dalian Blood Center (DLBC, northern China) were tested for HIV, HCV, and HBV using both the cobas® MPX assay on the cobas® 6800 system and the previous generation cobas® TaqScreen MPX test v2.0 on the cobas s 201 system as the reference method. Testing was conducted using individual-donation testing (IDT) and primary pool of six donations (PP6), following the manufacturer's instructions and the operational procedures of the instruments. Samples with inconsistent results underwent repeated confirmation tests.

Results

Cobas® MPX demonstrated 100.00 % overall percent agreement (95 % CI, 99.22 %-100.00 %) for IDT and 99.89 % (95 % CI, 99.82 %-99.95 %) for PP6. Kappa coefficients were 1.0 for IDT and 0.76 for PP6. Cobas® MPX specificity was 100.00 % (95 % CI, 99.22 %-100.00 %) for IDT and 99.99 % (95 % CI, 99.94 %-100.00 %) for PP6. Sensitivity was 100.00 % (95 % CI, 2.50 %-100.00 %) for IDT and 86.67 % (95 % CI, 68.36 %-95.64 %) for PP6. A total of 12 HBV NAT-yield cases were detected by cobas® MPX.

Conclusion

Cobas® MPX demonstrated outstanding sensitivity and specificity in screening HIV, HCV, and HBV in routine blood donations, particularly enhancing occult HBV detection in endemic regions.
背景核酸检测(NAT)被广泛用于对献血者进行传染病筛查,以提高输血安全性。罗氏公司先进的cobas® MPX检测法基于实时PCR技术,使用cobas® 6800/5800系统检测人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和乙型肝炎病毒(HBV),提高了灵敏度。本研究旨在评估 cobas® MPX 检测法的临床灵敏度和特异性,以及它在识别 HBV 流行地区受感染供体(尤其是隐性 HBV 感染(OBI)供体)方面的有效性。材料与方法采用cobas® 6800系统上的cobas® MPX检测法和cobas s 201系统上的上一代cobas® TaqScreen MPX检测法v2.0作为参考方法,对大连血液中心(DLBC,中国北方)的12,067份献血者样本进行了HIV、HCV和HBV检测。检测采用个体捐献检测(IDT)和六次捐献初选库(PP6),按照生产商的说明和仪器的操作程序进行。结果Cobas® MPX在IDT和PP6中的总体一致性分别为100.00%(95% CI,99.22%-100.00%)和99.89%(95% CI,99.82%-99.95%)。IDT 的卡帕系数为 1.0,PP6 为 0.76。IDT 和 PP6 的 Cobas® MPX 特异性分别为 100.00 %(95 % CI,99.22 %-100.00 %)和 99.99 %(95 % CI,99.94 %-100.00 %)。IDT 的灵敏度为 100.00 %(95 % CI,2.50 %-100.00 %),PP6 的灵敏度为 86.67 %(95 % CI,68.36 %-95.64 %)。结论cobas® MPX在常规献血中筛查HIV、HCV和HBV方面表现出了出色的灵敏度和特异性,尤其是在流行地区提高了隐性HBV的检测能力。
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引用次数: 0
A rapid review of the epidemiology and combating strategies of hepatitis C virus infection in Ghana 加纳丙型肝炎病毒感染流行病学和防治策略快速审查
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-09 DOI: 10.1016/j.jcvp.2024.100195
Marcarious M. Tantuoyir , Muhammed Camara , Marjan Sohrabi , SeyedAhmad SeyedAlinaghi , Zahra Ahmadinejad
The contribution of viral hepatitis including hepatitis C virus (HCV) to morbidity and death is thought to be substantial in Ghana and should be accorded greater attention. Scopus, PubMed, and Web of Science databases were searched, as well as the Google Scholar search engine, for primary studies published from 1995–2023 inclusive. We specifically searched for primary studies as well as studies using both quantitative and qualitative methodologies. The country lacks population-based studies and comprehensive national HCV surveillance systems, making it difficult to estimate the true burden of HCV accurately. The prevalence of HCV infection is estimated to be between 1.75 and 3.4 % in Ghana. The predominant HCV genotype in the country is genotype 2, followed by genotype 1. The prevalence of genotypes 4, 5, and 6 is very low or nonexistent in Ghana. Older age (>50 years), male gender, and HCV genotype 1b are significantly associated with liver fibrosis and cirrhosis leading to hepatocellular carcinoma. Ghana is among the high-prevalence HCV infection countries. There is a high prevalence of cirrhosis among HCV-infected individuals, with older age and genotype 1b associated with an increased risk. Consequently, more efforts are needed to increase awareness and implementation of national guidelines.
在加纳,包括丙型肝炎病毒(HCV)在内的病毒性肝炎对发病和死亡的影响被认为是巨大的,应给予更多关注。我们在 Scopus、PubMed 和 Web of Science 数据库以及 Google Scholar 搜索引擎中搜索了 1995-2023 年间发表的主要研究。我们特别搜索了初级研究以及采用定量和定性方法的研究。该国缺乏基于人群的研究和全面的国家 HCV 监测系统,因此很难准确估计 HCV 的真实负担。据估计,加纳的 HCV 感染率在 1.75% 到 3.4% 之间。加纳的主要 HCV 基因型是基因 2 型,其次是基因 1 型。基因型 4、5 和 6 在加纳的发病率很低或根本不存在。高龄(50 岁)、男性和 HCV 基因型 1b 与肝纤维化和导致肝细胞癌的肝硬化密切相关。加纳是丙型肝炎病毒感染高发国家之一。在感染 HCV 的人群中,肝硬化的发病率很高,年龄越大、基因型 1b 的风险越高。因此,需要做出更多努力,提高对国家指导方针的认识和执行力度。
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引用次数: 0
Serologic evidence of dengue and chikungunya among patients with acute febrile illness in Ghana, 2016 – 2018 2016-2018年加纳急性发热性疾病患者中登革热和基孔肯雅热的血清学证据
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-29 DOI: 10.1016/j.jcvp.2024.100193
Deborah Pratt , Hayashi Takaya , Abigail Akua Abankwa , Yaw Awuku-Larbi , Stephen Nyarko , Esinam E Agbosu , Magdalene Ofori , Stella Bour , Dennis Laryea , Franklin Asiedu-Bekoe , Toshihiko Suzuki , Shoji Yamaoka , Joseph Humphrey Kofi Bonney

Objective

This study aimed to describe the exposure levels to Dengue and Chikungunya viruses among individuals presenting with febrile illnesses in Ghana between January 2016 to June 2018.

Methods

The study was conducted in health facilities in seven selected regions in Ghana; namely, Ashanti, Greater Accra, Northern, Upper West, Volta, and Western regions. Patients who met the case definition were enrolled in the study. A total of 1105 blood samples were collected from patients from 2016 to 2018 and serological analysis of Dengue and Chikungunya viruses were performed with ELISA IgM and IgG commercial kits (Abcam, Cambridge, UK).

Results

Analysed results indicated that Dengue and Chikungunya viruses showed seropositivity of 62.0 % and 40.0 % respectively. All processed samples tested negative for Dengue and Chikungunya using the Polymerase Chain Reaction (PCR) assay. Greater Accra and Ashanti regions recorded the highest positivity for Chikungunya and Dengue fever viruses respectively.

Conclusion

Though no detection of Dengue and Chikungunya using molecular tools, the seropositivity suggests the need for an established surveillance for arboviruses to monitor transmission of these pathogens for epidemic preparedness and response.
目标本研究旨在描述2016年1月至2018年6月期间加纳发热疾病患者的登革热和基孔肯雅病毒暴露水平。方法本研究在加纳七个选定地区的医疗机构进行,即阿散蒂、大阿克拉、北部、上西部、沃尔特和西部地区。符合病例定义的患者被纳入研究。从 2016 年到 2018 年,共采集了 1105 份患者血样,并使用 ELISA IgM 和 IgG 商用试剂盒(Abcam,英国剑桥)对登革热和基孔肯雅病毒进行了血清学分析。结果分析结果显示,登革热和基孔肯雅病毒的血清阳性率分别为 62.0% 和 40.0%。使用聚合酶链式反应(PCR)检测法对所有处理过的样本进行了登革热和基孔肯雅病毒阴性检测。大阿克拉地区和阿散蒂地区的基孔肯雅热和登革热病毒阳性率分别最高。结论虽然没有使用分子工具检测出登革热和基孔肯雅热,但血清阳性反应表明有必要建立虫媒病毒监测机制,以监测这些病原体的传播情况,从而为流行病的防备和应对做好准备。
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引用次数: 0
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Journal of clinical virology plus
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