死亡组织供体中SARS-CoV-2 RNA检出率低。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-09-01 DOI:10.1007/s10561-022-10054-0
Melissa A Greenwald, Eduard Grebe, Valerie Green, Alyce Linthurst Jones, Jeffrey M Linnen, Phillip Williamson, Michael P Busch, Matthew J Kuehnert
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引用次数: 1

摘要

考虑到疾病传播的可能性,本研究旨在确定死亡组织捐献者的血液中是否存在可检测到的SARS-CoV-2病毒RNA。对2019年10月至2020年6月符合条件的已故组织捐献者的血液样本进行了回顾性分析。最初用SARS-CoV-2 NAT Assay检测血浆等分液;阳性样本进一步使用替代NAT和抗体试验进行检测。计算确诊RNAemia的供者比例和95%置信区间。在2019年收集的供体样本中,894个产生了有效结果,其中6个初始阳性,没有一个通过替代NAT确认阳性。在2020年收集的供体样本中,2562个产生了有效的初始NAT结果,其中21个(0.8%)初始阳性。其中3个被备用NAT确认,17个未被确认,1个无效的备用NAT结果。死亡组织供体中SARS-CoV-2核糖核酸血症的发生率约为千分之一,目前尚不清楚这种核糖核酸血症是否反映了传染性病毒的存在。鉴于这些结果,通过组织传播的风险被认为可能很低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Low rate of detection of SARS-CoV-2 RNA in deceased tissue donors.

Given the possibility for disease transmission, this study was performed to determine whether there is detectable SARS-CoV-2 viral RNA in the blood of deceased tissue donors. A retrospective analysis of blood samples from eligible deceased tissue donors from Oct 2019 through June 2020 was performed. Plasma aliquots were initially tested with a SARS-CoV-2 NAT Assay; positive samples were further tested using an alternate NAT and an antibody assay. The proportion of donors with confirmed RNAemia and 95% confidence intervals were computed. Of donor samples collected in 2019, 894 yielded valid results, with 6 initially positive, none of which confirmed positive by alternate NAT. Of donor samples collected in 2020, 2562 yielded valid initial NAT results, with 21 (0.8%) initially positive. Among those, 3 were confirmed by alternate NAT, 17 were not confirmed, and 1 had an invalid alternate NAT result. The rate of SARS-CoV-2 RNAemia in deceased tissue donors is approximately 1 per 1000, and it is unknown whether this RNAemia reflects the presence of infectious virus. Given these results, the risk of transmission through tissue is thought likely to be low.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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