首页|沈阳地区9050名无偿献血者HTLV-Ⅰ/Ⅱ感染状况调查

沈阳地区9050名无偿献血者HTLV-Ⅰ/Ⅱ感染状况调查

Infection status of HTLV-Ⅰ / Ⅱ in 9050 voluntary blood donors in Shenyang

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目的 人类T淋巴细胞白血病病毒(HTLV-Ⅰ/Ⅱ),是一种复杂的逆转录病毒,呈世界性广泛分布,国内局部地区有相应的报道.本次调查沈阳地区无偿献血人群中人类T淋巴细胞白血病病毒感染状况,为本地区安全用血提供合适的策略.方法 对沈阳地区献血人群以国产双抗原夹心法ELISA试剂初检血清中HTLV-Ⅰ/Ⅱ抗体,初检阳性标本再双孔复试,复试阳性标本采用RT-PCR或蛋白印迹法(Westemblot,WB)确证.结果 从2013年3月-2013年5月止,共检测无偿献血者9 050份标本,结果检出可疑阳性5份,用RT-PCR或WB确证实验证实全部为阴性,假阳性率为0.06%.结论 调查结果表明沈阳地区献血人群属于HTLV-Ⅰ/Ⅱ感染的低发区或非流行区,从血液检测成本效益和安全输血角度综合分析,沈阳地区对预防血液传染HTLV-Ⅰ/Ⅱ策略是对血制品进行滤白处理更合适.
Objective Human T lymphotropic virus (HTLV-Ⅰ / Ⅱ) is a kind of complex retrovirus and widely distributed throughout world.The corresponding information was reported in local area of China.This paper aims to investigate the infection status of human T lymphotropic virus among volunteer blood donors in Sheyang,and provide appropriate strategies for blood safety in this area.Methods HTLV-Ⅰ / Ⅱ antibody was detected in blood donors in Shenyang area by home-made double antigen sandwich ELISA kit in the first test.The positive blood samples in the first test were re-tested by double-hole retrial method.Then the seropositive samples were confirmed by RT-PCR or Western blot.Results A total of 9050 voluntary blood donors were detected from March to May in 2013,5 samples were suspected positive,but confirmed negative with RT-PCR or WB,the false positive rate was 0.06%.Conclusion The blood donors belong to the low-incidence and non-epidemic area of HTLV-Ⅰ / Ⅱ infection in Shenyang.Based on the analysis of the blood test cost and transfusion safety,leucodepletion treatment may be better to prevent the HTLV-Ⅰ / Ⅱ virus infection in blood transfusion.

Voluntary blood donorsScreeningHTLV-Ⅰ / Ⅱ

刘炜、王芳、王雪妹、张宁、栾燕

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辽宁省血液中心,辽宁沈阳110044

无偿献血者 筛查 人类嗜T淋巴细胞白血病病毒Ⅰ/Ⅱ

国家科技重大专项

2012ZX10004702

2014

中国卫生检验杂志
中华预防医学会

中国卫生检验杂志

CSTPCD
影响因子:0.771
ISSN:1004-8685
年,卷(期):2014.24(4)
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