无偿献血人群人疱疹病毒8型和巨细胞病毒及细小病毒B19感染流行情况调查

Prevalence of Human herpesvirus 8, cytomegalovirus and parvovirus B19 infection among unpaid blood donors

  • 摘要: 目的 调查无偿献血人群中人疱疹病毒8型(HHV-8)、人类巨细胞病毒(HCMV)和人细小病毒B19(HPVB19)感染流行情况,为提供输血筛查策略提供数据支持。方法 对2015年3月-2016年3月本地区选取1 046例无偿献血者采用酶联免疫吸附法(ELISA)进行血清HHV-8、HCMV和HPVB19 IgM/IgG抗体检测。结果 1 046例无偿献血者中,HHV-8、HCMV及HPVB19检测阳性率分别为16.6%、91.3%及33.0%;HHV-8、HCMV和HPVB19阳性率随年龄的增加而增加,差异有统计学意义(P<0.05);女性HPVB19感染阳性率明显高于男性,两组间比较差异有统计学意义(P<0.05);HCMV阳性率随文化程度的增加而减少,差异有统计学意义(P<0.05);HHV-8、HCMV和HPVB19阳性率在不同职业间比较,差异有统计学意义(P<0.05),其中学生HHV-8和HPVB19阳性率最低为10.7%和25.9%;公务员及企事业单位人员HCMV感染阳性率最低为87.5%;不同血型献血者HHV-8、HCMV和HPVB19阳性率,差异无统计学意义。结论 HHV-8、HCMV和HPVB19在本地区存在不同程度的感染,在条件允许的情况下,对重点人群输血时需对三种病毒进行检测。

     

    Abstract: OBJECTIVE To investigate the prevalence of human herpesvirus 8(HHV-8), human cytomegalovirus (HCMV)and parvovirus B19 (HPVB19) infections among unpaid blood donors, so as to provide data support for transfusion screening strategies. METHODS From Mar. 2015 to Mar. 2016, serum IgM/IgG antibodies of HHV-8, HCMV and HPVB19 were detected in 1 046 cases of unpaid blood donors using enzyme-linked immunosorbent assay (ELISA). RESULTS Among 1046 cases of unpaid blood donors, the positive rates of HHV-8, HCMV, and HPVB19 were 16.6%, 91.3%, and 33.0%, respectively. The positive rates of HHV-8, HCMV and HPVB19 increased with the increase of age, and the difference was statistically significant (P<0.05). The positive rate of HPVB19 infection in females was significantly higher than that in males (P<0.05). The positive rates of HCMV decreased with the increase of education level, and the difference was significant (P<0.05). The positive rates of HHV-8, HCMV and HPVB19 were significantly different among different occupational groups (P<0.05). The positive rates of HHV-8 and HPVB19 were the lowest in students, which were 10.7% and 25.9%, and the lowest rate of HCMV infection was 87.5% in civil servants and enterprises. The positive rates of HHV-8, HCMV and HPVB19 had no significant difference among different blood types. CONCLUSION There are different degrees of infections of HHV-8, CMV and HPV B19 in this region. When conditions permit, the 3 viruses should be detected for blood transfusion in key populations.

     

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