巴西一个地方病流行地区的献血者接触城市虫媒病毒的情况。

IF 1.8 4区 医学 Q3 HEMATOLOGY Vox Sanguinis Pub Date : 2024-09-01 Epub Date: 2024-07-05 DOI:10.1111/vox.13707
Rhayany Redon de Sant'Anna, Priscila Conrado Guerra Nunes, Flavia Barreto Dos Santos
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引用次数: 0

摘要

背景和目标:在巴西,登革热病毒(DENV)、寨卡病毒(ZIKV)和基孔肯雅病毒(CHIKV)等城市虫媒病毒构成了重大的公共卫生问题,由于其流行性和无症状病例,它们对献血构成了潜在威胁。巴西里约热内卢(RJ)在过去30年中受到了广泛的 DENV 流行病的影响,2015年后又受到了 CHIKV 和 ZIKV 的影响:通过血清学和分子学方法,对2019年至2022年HEMORIO(RJ)州立血液学研究所的献血者(n = 778)中的城市虫媒病毒DENV、ZIKV和CHIKV进行了调查:结果:26.1%的献血者暴露于虫媒病毒。4.0%的样本中检测到抗 DENV IgM,其中两份献血样本 DENV NS1 阳性。在 4.7% 的献血样本中检测到抗CHIKV IgM 阳性。1.0%的献血者同时检测到抗CHIKV IgM和抗DENV IgM,CHIKV感染率为21.3%。经检测,所有献血者的 DENV、ZIKV 和 CHIKV RNA 均为阴性:结论:本文分析的虫媒病毒血清 IgM 阳性率是无症状献血者近期感染的一个指标,表明献血者人群可能是新感染的媒介,尤其是在流行病时期。
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Urban arbovirus exposure in blood donations from an endemic area of Brazil.

Background and objectives: In Brazil, urban arboviruses, such as dengue virus (DENV), Zika virus (ZIKV) and chikungunya virus (CHIKV), constitute a major public health problem, and due to their endemicity and asymptomatic cases, they pose a potential threat to blood donations. Rio de Janeiro (RJ), Brazil, has been impacted by extensive DENV epidemics over the last 30 years and, after 2015, by CHIKV and ZIKV.

Materials and methods: Urban arboviruses DENV, ZIKV and CHIKV were investigated in blood donations (n = 778) at the State Institute of Hematology, HEMORIO (RJ) from 2019 to 2022 by serological and molecular methods.

Results: An overall arbovirus exposure was observed in 26.1% of the blood donations. Anti-DENV IgM was detected in 4.0% of samples and two donations were DENV NS1 positive. Positive anti-CHIKV IgM was observed in 4.7% of the donations. Co-detection of anti-CHIKV IgM and anti-DENV IgM was observed in 1.0% of donors, and CHIKV prevalence was 21.3%. All blood donations tested were negative for the DENV, ZIKV and CHIKV RNA.

Conclusion: IgM seroprevalence to the arboviruses analyzed here is an indicator of recent infection in asymptomatic donors, showing that the population of blood donors can be a vehicle for new infections, especially during epidemic periods.

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来源期刊
Vox Sanguinis
Vox Sanguinis 医学-血液学
CiteScore
4.40
自引率
11.10%
发文量
156
审稿时长
6-12 weeks
期刊介绍: Vox Sanguinis reports on important, novel developments in transfusion medicine. Original papers, reviews and international fora are published on all aspects of blood transfusion and tissue transplantation, comprising five main sections: 1) Transfusion - Transmitted Disease and its Prevention: Identification and epidemiology of infectious agents transmissible by blood; Bacterial contamination of blood components; Donor recruitment and selection methods; Pathogen inactivation. 2) Blood Component Collection and Production: Blood collection methods and devices (including apheresis); Plasma fractionation techniques and plasma derivatives; Preparation of labile blood components; Inventory management; Hematopoietic progenitor cell collection and storage; Collection and storage of tissues; Quality management and good manufacturing practice; Automation and information technology. 3) Transfusion Medicine and New Therapies: Transfusion thresholds and audits; Haemovigilance; Clinical trials regarding appropriate haemotherapy; Non-infectious adverse affects of transfusion; Therapeutic apheresis; Support of transplant patients; Gene therapy and immunotherapy. 4) Immunohaematology and Immunogenetics: Autoimmunity in haematology; Alloimmunity of blood; Pre-transfusion testing; Immunodiagnostics; Immunobiology; Complement in immunohaematology; Blood typing reagents; Genetic markers of blood cells and serum proteins: polymorphisms and function; Genetic markers and disease; Parentage testing and forensic immunohaematology. 5) Cellular Therapy: Cell-based therapies; Stem cell sources; Stem cell processing and storage; Stem cell products; Stem cell plasticity; Regenerative medicine with cells; Cellular immunotherapy; Molecular therapy; Gene therapy.
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