艾滋病毒和型肝炎病毒RNA在血清阴性器官和组织捐赠者中
Dominique Challine1, Bertrand Pellegrin, Magali Bouvier-Alias
1Viral Emergency and Organ, Tissue, and Cell Donor Screening Laboratory, Department of Virology (INSERM U635), Hôpital Henri Mondor, Université Paris XII, Créteil, France.
Lancet (London, England)
|November 3, 2004
概括
在器官和组织捐赠者中,常规核酸检测HIV和C型肝炎病毒 (HCV) RNA可以提高移植安全性. 这种查方法在血清阴性捐赠者中识别了以前未被检测到的HCVRNA,改善了移植病毒的安全性.
科学领域:
- 病毒学 病毒学
- 移植免疫学 移植免疫学
- 公共卫生 公共卫生
背景情况:
- 确保器官和组织移植的病毒安全性在移植中至关重要.
- 对人类免疫缺陷病毒 (HIV) 和型肝炎病毒 (HCV) 的血清查在检测早期感染方面存在限制.
研究的目的:
- 评估核酸测试 (NAT) 在血清阴性器官和组织捐赠者中检测HIV RNA和HCV RNA的有效性.
- 确定常规NAT的实施是否可以提高移植移植的病毒安全性.
主要方法:
- 测试了大量的器官 (n=2236),组织 (n=636) 和角膜 (n=177) 捐赠者.
- 通过核酸检测以及血清学检测,对捐赠者进行了HIV RNA和HCV RNA的查.
主要成果:
- 在2119名HCV血清阴性器官捐赠者中,发现了5名HCVRNA阳性捐赠者.
- 在631名HCV血清阴性组织捐赠者中发现了一名HCVRNA阳性捐赠者.
- 在血清阴性捐赠者中没有观察到HIVRNA检测的情况.
结论:
- 核酸检测在检测血清阴性捐赠者的病毒病方面是有效的.
- 对器官和组织捐赠者的常规NAT可以显著提高移植病毒的安全性.
- 推实施NAT以改善移植结果.
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