Blood donors

献血者
  • 文章类型: Journal Article
    UNASSIGNED: The current risk of contracting a transfusion transmitted infections (TTIs) is unknown in Burundi.
    UNASSIGNED: The aim of this study was to assess sociodemographic profiles of blood bank donors at Kamenge Teaching Hospital, the prevalence and associated risk factors of HIV, syphilis, HBV and HCV from 2015 to 2020.
    UNASSIGNED: We conducted a cross-sectional study including all blood donors of Kamenge Teaching Hospital blood bank. During this study, 1370 blood samples were screened for HIV, Syphilis, HBV and HCV. We calculated prevalence of TTIs and performed logistic regression to know associated risk factors.
    UNASSIGNED: Blood donors were males at 77% and 23% females. They were mostly students (54.2%). On screening, 83 blood samples (6.06%) were seropositive for at least one TTI. The overall prevalence rate of HIV, Syphilis, HBV and HCV among blood donors was 1.3%, 0.2% ,1.6%, 2.9% respectively. There was difference in distribution of the four TTIs among blood donors which is statistically significant (x2=33.997, ϱ-value<0.001). Private donors were associated with a high risk of syphilis and being a first-time donor was associated with a high HBV risk factor.
    UNASSIGNED: The prevalence of TTIs found still to be high; mandatory and continuous screening is necessary.
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  • 文章类型: Journal Article
    目的:确定Najran省不同供体群体的输血传播性感染(TTI)的患病率。此外,建立TTI的发育与捐献者血型之间的潜在关联,由ABO/Rh血型系统确定。
    方法:4120名献血者的献血数据,从2020年1月到12月,进行了回顾性审查。对血液进行TTI标记物筛查,包括乙型肝炎表面抗原(HBsAg),抗乙型肝炎核心(抗HBc),抗丙型肝炎病毒(抗HCV),抗人类免疫缺陷病毒1和2(抗HIV1和2),抗人嗜T淋巴细胞病毒1型和2型(抗HTLV-1和2),和梅毒抗原.
    结果:在10.9%的供体中检测到阳性TTI标记。检测最多的TTI标记是抗HBc(8.9%),其次是HBsAg(0.7%)。在<1%的供体中单独检测到其他标志物。抗HBc阳性在非沙特献血者中显著升高。年龄组与抗HCV之间存在关联(p=0.002),抗HTLV(p=0.004)和梅毒抗原(p=0.02)标志物阳性。AB阳性血型对TTI标志物表现出最大的阳性,其次是O阳性血型。同样,ABO组和HBsAg之间发现关联(p=0.01),抗HBc(p=0.001),和抗-HCV(p<0.001)标志物阳性。
    结论:本研究强调对捐献血液实施强有力的筛查措施。需要未来的研究来广泛评估TTI状态,以增强我们对TTI趋势的理解。
    OBJECTIVE: To ascertain the prevalence of transfusion transmissible infections (TTIs) across diverse donor groups in the Najran province. Additionally, to establish a potential association between the development of TTI and the donors\' blood group, as determined by the ABO/Rh blood grouping system.
    METHODS: Blood donation data of 4120 donors, spanning from January to December 2020, were retrospectively reviewed. The blood were screened for TTI markers, including hepatitis B surface antigen (HBsAg), anti-hepatitis B core (anti-HBc), anti-hepatitis C virus (anti-HCV), anti-human immunodeficiency viruses 1 and 2 (anti-HIV1&2), anti-human T-lymphotropic virus types 1 and 2 (anti-HTLV-1&2), and syphilis antigen.
    RESULTS: Positive TTI markers were detected in 10.9% of the donors. The most detected TTI marker was anti-HBc (8.9%), followed by HBsAg (0.7%). Other markers were individually detected in <1% of the donors. Anti-HBc-positive was significantly elevated among non-Saudi blood donors. There was an association between age groups and anti-HCV (p=0.002), anti-HTLV (p=0.004) and syphilis antigen (p=0.02) markers positivity. The AB positive blood group exhibited the most positivity for TTI markers, followed by O positive blood group. Similarly, association was found between ABO group and HBsAg (p=0.01), anti-HBc (p=0.001), and anti-HCV (p<0.001) markers positivity.
    CONCLUSIONS: Emphasis on implementing robust screening measures for donated blood is underscored by this study. There is the need for future study to extensively evaluate TTI status to enhance our understanding of the trend in TTI.
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  • 文章类型: Journal Article
    COVID-19是一种由严重急性呼吸道综合症冠状病毒2引起的疾病,该疾病最近已成为全球大流行。目前,传播速度明显放缓,但是背后的明确病理原因仍然未知。因此,必须研究严重急性呼吸综合征冠状病毒2(SARS-CoV-2)抗体的患病率,以确定传播率与抗体存在之间的关系.
    在2021年2月至5月期间,对299名健康志愿者进行了临床评估,以评估SARS-CoV-2免疫球蛋白G(IgG)抗体的血清阳性率。使用化学发光微粒免疫测定(CMIA)技术分析血清样品以检测IgG抗体的存在。
    观察到21%的参与者血清呈阳性,不同性别的人群中有78%是血清阴性的。这证实了抗体的产生与性别无关。同时,t检验进一步提示性别与血清阳性率无统计学相关性.此外,进行了综合分析,以确定年龄和血型与血清阳性率之间的关系.然而,这些参数之间没有统计学关系.
    这项研究有助于检查健康志愿者血清阳性率高或低的根本原因。
    UNASSIGNED: COVID-19 is a disease caused by the severe acute respiratory syndrome coronavirus 2 that has appeared as a global pandemic in recent times. Currently, the transmission rate has slowed down significantly, but the definite pathological reason behind this is still unknown. Therefore, the prevalence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody must be studied to establish the relation between the rate of transmission and antibody presence.
    UNASSIGNED: A clinical assessment was performed to evaluate the seroprevalence of SARS-CoV-2 Immunoglobulin G (IgG) antibodies among 299 healthy volunteers in the period of February to May 2021. Serum samples were analyzed using chemiluminescent microparticle immunoassay (CMIA) technology to detect the presence of IgG antibodies.
    UNASSIGNED: It was observed that 21% of the participants were seropositive, and 78% of the population was seronegative across the different genders. This confirmed that the generation of antibodies is independent of gender. Simultaneously, a t-test was performed that further suggested no statistical correlation between gender and seroprevalence. Moreover, a comprehensive analysis was performed to establish the relation between age and blood group with the seroprevalence. However, there was no statistical relationship found among these parameters.
    UNASSIGNED: This study assisted in examining the underlying causes of high or low seroprevalence among healthy volunteers.
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  • 文章类型: Journal Article
    背景:在发展中国家,输血的安全性仍然是一个重要的公共卫生问题,因为它与输血传播感染(TTI)的高风险相关.在这项研究中,我们旨在评估非洲献血者中HIV血清阳性率,并通过系统评价和荟萃分析评估非洲大陆的时间趋势和地区差异.
    方法:七个电子数据库(PubMed,WebofScience,科克伦,Scopus,Hinari,全球指数药物和临床。
    方法:gov)为我们的研究搜索相关研究。我们纳入了所有初步研究,这些研究估计了非洲16至65岁的献血者中艾滋病毒的血清阳性率,没有语言限制,从成立到2024年3月1日。通过DerSimonian-Laird随机效应模型估计合并的血清阳性率。通过亚组和荟萃回归分析评估时间趋势和区域差异。
    结果:我们获得了122项符合纳入标准的研究,包括7,814,996名献血者进行了艾滋病毒检测。66%的研究来自西非和东非。非洲献血者中HIV的合并血清阳性率为2.66%(95%CI:2.17-3.20%;I2=99.80%,p<0.01)。在中部非洲区域发现了最高的流行率,3.28%(95%CI:2.57%-4.06%),其次是东部3.21%(95%CI:2.12%-4.52%),和西部2.66%(95%CI:1.93%-3.49%)地区。在北部地区观察到较低的患病率,0.57%(95%CI:0.0%-2.10%),其次是南部非洲地区,占0.45%(95%CI:0.16%-0.86%)。我们观察到HIV流行的时间下降趋势。
    结论:非洲献血者中艾滋病毒感染率仍然很高,并且在整个非洲大陆都不均匀。非洲需要采取有效措施加强艾滋病毒检测,防止艾滋病毒通过输血传播。系统审查协议注册:PROSPEROCRD42023395616。
    背景:本文由国家基金通过FCT-FundaçãoparaaCiänciaeaTecnologia支持,I.P.,在INCINTESIS,研发单位(参考UIDP/4255/2020)。
    BACKGROUND: In developing countries, the safety of blood transfusions remains an important public health concern as it is associated with a higher risk of transfusion-transmissible infections (TTIs). In this study, we aimed to estimate the seroprevalence of HIV among blood donors in Africa and assess the temporal trends and regional differences within the continent through a systematic review and meta-analysis.
    METHODS: Seven electronic databases (PubMed, Web of Science, Cochrane, Scopus, HINARI, Global Index Medicus and Clinical.
    METHODS: gov) were searched for relevant studies for our research. We included all primary studies that estimated the seroprevalence of HIV among blood donors in Africa with an age population from 16 to 65 years old, without language restrictions, from inception up to March 1st 2024. The pooled seroprevalence was estimated through the DerSimonian-Laird random effects model. The temporal trends and regional differences were assessed through subgroup and meta-regression analysis.
    RESULTS: We obtained 122 studies that met our inclusion criteria, comprising 7,814,996 blood donors tested for HIV. Sixty-six percent of the studies were from Western and Eastern Africa. The pooled seroprevalence of HIV among blood donors in Africa was 2.66% (95% CI: 2.17-3.20%; I2 = 99.80%, p < 0.01). The highest prevalence was observed in the Central African region, 3.28% (95% CI: 2.57%-4.06%), followed by the Eastern 3.21% (95% CI: 2.12%-4.52%), and the Western 2.66% (95% CI: 1.93%-3.49%) regions. Lower prevalences were observed in the Northern region, 0.57% (95% CI: 0.0%-2.10%), followed by the Southern African region with 0.45% (95% CI: 0.16%-0.86%). We observed a temporal decreased trend of HIV prevalence.
    CONCLUSIONS: The prevalence of HIV infection among African blood donors remains high and is not homogeneous across the continent. Efficient measures to strengthen HIV testing and prevent HIV transmission through blood transfusion are needed in Africa. Systematic review protocol registration: PROSPERO CRD42023395616.
    BACKGROUND: This article was supported by National Funds through FCT - Fundação para a Ciência e a Tecnologia,I.P., within CINTESIS, R&D Unit (reference UIDP/4255/2020).
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  • 文章类型: English Abstract
    Metabolic syndrome (MS) is associated with increased cardiovascular risk. Blood donors are an apparently healthy population in which certain cardiometabolic characteristics are not evaluated in their selection, and there is limited information on their presence.
    To determine the frequency of metabolic syndrome and its metabolic characteristics in blood donors. Materials and methods: Cross-sectional study was carried in a population of 244 blood donors between 18 and 55 years of age who attended the Hemotherapy and Blood Bank Service of the Cayetano Heredia Hospital in Lima, Perú during the month of May 2023. The diagnosis of MS was made according to the Adult Treatment Panel III (ATP III) criteria. A bivariate analysis was performed between MS and metabolic characteristics with sex and a significance level of 5% was considered.
    63.9% of blood donors were male. 43.6% of the population had MS. The most frequent characteristics found were hypertriglyceridemia (54.5%), abdominal obesity (51.2%) and high-density lipoprotein (HDL) low (48.8%). The age range of 40 to 49 years presented the highest frequency of MS (14.3%). Hypertriglyceridemia and high blood pressure were associated with male sex (p=0.003 and p=0.019 respectively), while low HDL was associated with female sex (p<0.001).
    Blood donors present an elevated frequency of MS. The detection of MS in apparently healthy populations as part of primary care could allow the formulation of strategies for early detection of cardiovascular risk factors.
    El síndrome metabólico (SM) está asociado a un incremento del riesgo cardiovascular. Los donantes de sangre son una población aparentemente sana en donde ciertas características cardiometabolicas no son evaluadas en su selección, existiendo limitada información sobre su presencia.
    Determinar la frecuencia de síndrome metabólico y sus características metabólicas en donantes de sangre. Materiales y métodos: Estudio transversal realizado en 244 donantes de sangre entre 18 y 55 años que acudieron al Servicio de Hemoterapia y Banco de sangre del Hospital Cayetano Heredia en Lima- Perú, durante el mes de mayo del 2023. Se realizó el diagnóstico de SM según los criterios del Adult Treatment Panel III (ATP III). Se realizó un análisis bivariado entre el SM y características metabólicas con el sexo y se consideró un nivel de significancia del 5%.
    El 63.9% de los donantes de sangre fueron del sexo masculino. El 43.6 % de la población presentó SM. Las características más frecuentes fueron la hipertrigliceridemia (54.5%), obesidad abdominal (51.2%) y lipoproteina de alta densidad (HDL) bajo (48.8%). El rango de edad de 40 a 49 años presentó la mayor frecuencia de SM (14.3%). La hipertrigliceridemia y presión arterial elevada estuvieron asociadas al sexo masculino (p=0.003 y p=0.019 respectivamente), mientras que el HDL bajo al sexo femenino (p <0.001).
    Los donantes de sangre presentan una frecuencia elevada de SM. La detección de SM en poblaciones aparentemente sanas como parte de la atención primaria podría permitir formular estrategias de detección temprana de factores de riesgo cardiovascular.
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  • 文章类型: English Abstract
    OBJECTIVE: To investigate the effects of mild SARS-CoV-2 infection on hematological parameters of adult blood donors and the suitability of apheresis platelet donation, the changes of the hematological parameters in blood donors with mild infection of the SARS-CoV-2 Omicron variant strain were evaluated.
    METHODS: Seventy-two blood donors with mild COVID-19 symptoms who donated consecutive apheresis platelets for 3 times from December 2022 to January 2023, 42 cases among which were included in the infection-positive group, and 30 cases in the suspected infection group. Forty-two donors un-vaccinated against SARS-CoV-2, un-infected, and donated three consecutive apheresis platelets from October to November 2022 were included in the control group. The changes of blood routine testing in the positive group and the suspected infection group were retrospectively compared before (Time1) and after (Time2 and Time3) the onset of symptoms, three consecutive times (Time1, Time2, Time3) in the control group by repeated measures analysis of variance. The Bayesian discriminant method was used to establish a discriminant equation to determine whether the recent infection of SARS-CoV-2 occurred or not.
    RESULTS: Simple effect of the number times of tests in the positive and suspected infection groups was significant( Finfection-positive group=6.98, P < 0.001, partial η2=0.79, Fsuspected infection group=4.31, P < 0.001, partial η2=0.70). The positive group and the suspected infection group had lower RBC, HCT, and HGB, and higher PLT and PCT at Time2 compared to Time1 and Time3(P < 0.05). The positive group and the suspected infection group showes RDW-CV and RDW-SD at Time3 higher than Time1 and Time2 (P < 0.001). The simple effect of the number times of tests in the control group was not significant ( F=0.96, P =0.55, partial η2=0.34). The difference of the whole blood count parameters in the control group for three times was not statistically significant (P >0.05). We established a discriminant equation to determine whether the recent infection of SARS-CoV-2 occurred or not. The equation had an eigenvalue of 0.22, a canonical correlation of 0.43 (χ2=27.81, P < 0.001), and an analysis accuracy of 72.9%.
    CONCLUSIONS: The hematological indicators of RBC, HCT, HGB, PLT, PCT, RDW-CV and RDW-SD in blood donors who had infected with mild COVID-19 showed dynamic changes. The discriminant equation for whether they are infected recently with COVID-19 has a high accuracy rate.
    UNASSIGNED: 新冠病毒轻型感染对献血者血液学指标及捐献单采血小板适宜性的影响.
    UNASSIGNED: 通过对新冠病毒Omicron变异株轻型感染献血者血液学指标的变化分析,探讨新冠病毒轻型感染对成人血液学指标的影响,进而评估其对捐献单采血小板适宜性的影响。.
    UNASSIGNED: 以2022年12月-2023年1月期间出现新冠病毒轻型感染症状、连续捐献单采血小板3次的72例献血者(其中阳性组42例,疑似感染组30例)和2022年10月-11月期间未接种新冠疫苗、未感染新冠病毒、连续捐献3次单采血小板的42例献血者(对照组)为研究对象,通过重复测量方差分析法回顾性比较阳性组和疑似感染组出现症状前(Time1)后(Time2和Time3)及对照组连续3次(Time1、Time2、Time3)的血常规变化,并采用贝叶斯判别法建立近期是否感染新冠病毒的判别方程式。.
    UNASSIGNED: 阳性组和疑似感染组组内测量次数的简单效应显著( F阳性组=6.98,P < 0.001,偏η2=0.79; F疑似感染组=4.31,P < 0.001,偏η2=0.70);阳性组、疑似感染组Time2与Time1、Time3血常规指标相比较,RBC、HCT、HGB降低,PLT与PCT明显升高(P < 0.05),阳性组、疑似感染组Time3的RDW-CV、RDW-SD与Time1、Time2相比均明显升高(P < 0.001)。对照组组内测量次数简单效应不显著( F=0.96,P =0.55,偏η2=0.34);组内3次血常规指标差异无统计学意义(P >0.05)。建立“近期是否感染新冠病毒”的判别方程式,方程特征值是0.22,典型相关性为0.43(χ2=27.81,P < 0.001),分析正确率为72.9%。.
    UNASSIGNED: 新冠病毒轻型感染献血者血液学指标中RBC、HCT、HGB、PLT、PCT、RDW-CV和RDW-SD呈动态变化,近期是否感染新冠病毒的判别方程式有较高的准确率。.
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  • 文章类型: Journal Article
    我们的小组从具有广泛已知的红细胞抗原谱的献血者中产生了两个诱导多能干细胞(iPSC)系,用于体外红细胞(RBC)生产。一条生产线旨在在镰状细胞病(SCD)患者中产生红细胞用于输血,而另一种是用来制造红细胞面板试剂的。根据他们的红细胞表型选择了两名献血者,通过高通量DNA阵列分析进一步补充,以获得更全面的红细胞抗原谱。使用非整合质粒载体将来自供体外周血单核细胞的富集的成红细胞群体重编程为iPSC。对iPSC系进行表征并随后进行造血分化。iPSCPB02和iPSCPB12在体外和体内证明了iPSC特征,并保留了每个献血者的红细胞抗原谱的基因型。集落形成细胞测定证实iPSCPB02和iPSCPB12产生造血祖细胞。这两个iPSC系产生了确定的红细胞抗原谱,自我更新能力,和造血分化潜力。随着造血分化的改善,这些细胞可能在未来更有效地分化为红细胞。它们可以作为获得不依赖供体的红细胞和解决输血特定需求的补充方法。
    Our group generated two induced pluripotent stem cell (iPSC) lines for in vitro red blood cell (RBC) production from blood donors with extensively known erythrocyte antigen profiles. One line was intended to give rise to RBCs for transfusions in patients with sickle cell disease (SCD), while the other was developed to create RBC panel reagents. Two blood donors were selected based on their RBC phenotypes, further complemented by high-throughput DNA array analysis to obtain a more comprehensive erythrocyte antigen profile. Enriched erythroblast populations from the donors\' peripheral blood mononuclear cells were reprogrammed into iPSCs using nonintegrative plasmid vectors. The iPSC lines were characterized and subsequently subjected to hematopoietic differentiation. iPSC PB02 and iPSC PB12 demonstrated in vitro and in vivo iPSC features and retained the genotype of each blood donor\'s RBC antigen profile. Colony-forming cell assays confirmed that iPSC PB02 and iPSC PB12 generated hematopoietic progenitors. These two iPSC lines were generated with defined erythrocyte antigen profiles, self-renewal capacity, and hematopoietic differentiation potential. With improvements in hematopoietic differentiation, these cells could potentially be more efficiently differentiated into RBCs in the future. They could serve as a complementary approach for obtaining donor-independent RBCs and addressing specific demands for blood transfusions.
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  • 文章类型: Journal Article
    我们分析了2017年至2018年期间来自西班牙中南部地区的1,222名献血者的西尼罗河病毒(WNV)暴露。结果显示该人群中WNV血清阳性率为0.08%(95%CI0.004%-0.4%)。我们的发现强调了继续监测和研究以管理该地区的WNV感染的必要性。
    We analyzed West Nile Virus (WNV) exposure from 1,222 blood donors during 2017-2018 from an area of south-central Spain. Results revealed WNV seroprevalence of 0.08% (95% CI 0.004%-0.4%) in this population. Our findings underscore the need for continued surveillance and research to manage WNV infection in this region.
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  • 文章类型: Journal Article
    D变体的高数量可导致Rh免疫球蛋白的不必要使用,D-RBC单位的过度使用,和反D全通信。D变异患病率因种族而异,以及特定人群中存在的主要变体的知识,他们在血清学测试中的行为,它们对临床实践的影响对于确定常规使用的最佳血清学检测至关重要。本研究旨在探索D变体的血清学特征,并确定哪些变体与假阴性D分型结果和同种免疫接种最相关。在两个研究阶段中选择供体样品。在第一阶段,在微板中的半自动仪器上进行D分型,在试管或凝胶试验中进行弱D试验。在第二阶段,使用带有微孔板的自动化仪器进行D分型,在固相进行弱D试验。还选择了用抗D分型为D+的患者的样品。通过分子测试表征所有样品。总共鉴定了37种RHD变体。在83.4%的样品中观察到差异和非典型反应性而没有抗D形成,捐款之间的D分型结果不一致的占12.3%,抗D的D+患者占4.3%。DAR1.2是最普遍的变体。弱D型38占差异样本的75%,其次是弱D型11,主要通过固相检测。在与同种免疫相关的D变体中,DIVa是最普遍的,血清学检测未发现;DIIIc也是如此。结果突出了选择能够检测弱D型38和11的供体筛选测试的重要性,特别是在这些变体更普遍的人群中。在输血前测试中,D分型试剂与DAR变异体的反应性弱是至关重要的;具有识别DIVa和DIIc的血清学策略也是有价值的.
    The high number of D variants can lead to the unnecessary use of Rh immune globulin, overuse of D- RBC units, and anti-D allommunization. D variant prevalence varies among ethnic groups, and knowledge of the main variants present in a specific population, their behavior in serologic tests, and their impact on clinical practice is crucial to define the best serologic tests for routine use. The present study aimed to explore the serologic profile of D variants and to determine which variants are most associated with false-negative D typing results and alloimmunization. Donor samples were selected in two study periods. During the first period, D typing was performed on a semi-automated instrument in microplates, and weak D tests were conducted in tube or gel tests. In the second period, D typing was carried out using an automated instrument with microplates, and weak D tests were performed in solid phase. Samples from patients typed as D+ with anti-D were also selected. All samples were characterized by molecular testing. A total of 37 RHD variants were identified. Discrepancies and atypical reactivity without anti-D formation were observed in 83.4 percent of the samples, discrepant D typing results between donations were seen in 12.3 percent, and D+ patients with anti-D comprised 4.3 percent. DAR1.2 was the most prevalent variant. Weak D type 38 was responsible for 75 percent of discrepant samples, followed by weak D type 11, predominantly detected by solid phase. Among the D variants related to alloimmunization, DIVa was the most prevalent, which was not recognized by serologic testing; the same was true for DIIIc. The results highlight the importance of selecting tests for donor screening capable of detecting weak D types 38 and 11, especially in populations where these variants are more prevalent. In pre-transfusion testing, it is crucial that D typing reagents demonstrate weak reactivity with DAR variants; having a serologic strategy to recognize DIVa and DIIIc is also valuable.
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