Hepatitis C core antigen in Polish blood donors.

作者: Magdalena Letowska , Ewa Brojer , Maria Mikulska , Agnieszka Gronowska , Aleksandra Rosiek

DOI: 10.1111/J.1537-2995.2004.03340.X

关键词:

摘要: BACKGROUND:  The goal of this study was to evaluate the feasibility adopting HCV core antigen ELISA (HCVcAg) for routine screening Polish blood donors. STUDY DESIGN AND METHODS:  A total 133,279 donor samples were tested by ORTHO HCVcAg. All repeatedly reactive (RR) neutrali-zation test confirmation, RIBA anti-HCV, and Cobas Amplicore RNA. donations ALT level. RESULTS:  HCVcAg specificity 99.94 percent. In total, 1499 (1.12%) initially 124 (0.09%) RR. Antibodies found in 22 out donors RNA detected 19 22. 10 HCV-RNA-positive donors, neutralization positive. Among 102 RR/anti-HCV-negative there 6 neutralization-test-positive indivi-duals, all Elevated level observed one them. During follow-up studies three RR/HCV-RNA-positive sero-convertion 5 7 weeks after initial HCVcAg-positive result. all, results became negative once antibodies detected. CONCLUSION:  proved be feasible Blood Transfusion Service. Six identified. calculated residual risk preseroconversion window 45 per million. Mandatory testing every plasma donation or recommended as January 2, 2002.

参考文章(17)
Susan L. Stramer, Sally Caglioti, D.M. Strong, NAT of the United States and Canadian blood supply. Transfusion. ,vol. 40, pp. 1165- 1168 ,(2000) , 10.1046/J.1537-2995.2000.40101165.X
M J Alter, Epidemiology of hepatitis C Hepatology. ,vol. 26, pp. 169- 183 ,(1997) , 10.1002/HEP.510260711
Francoise Bouchardeau, Annie Razer, Michele Maniez, Syria Laperche, Nicole Simon, Anne-Marie Courouce, Nadine Le Marrec, Efficacy of HCV core antigen detection during the preseroconversion period. Transfusion. ,vol. 40, pp. 1198- 1202 ,(2000) , 10.1046/J.1537-2995.2000.40101198.X
S. R. Lee, J. Peterson, P. Niven, C. Bahl, E. Page, R. DeLeys, D. Giordano-Schmidt, D. Baggett, G. Green, Efficacy of a hepatitis C virus core antigen enzyme-linked immunosorbent assay for the identification of 'window-phase' blood donations. Vox Sanguinis. ,vol. 80, pp. 19- 23 ,(2001) , 10.1046/J.1423-0410.2001.00008.X
P FLANAGAN, J BARBARA, PCR testing of plasma pools: From concept to reality Transfusion Medicine Reviews. ,vol. 13, pp. 164- 176 ,(1999) , 10.1016/S0887-7963(99)80030-3
Syria Laperche, Nadine Le Marrec, Nicole Simon, Françoise Bouchardeau, Christine Defer, Michèle Maniez-Montreuil, Thierry Levayer, Jean-Pierre Zappitelli, Jean-Jacques Lefrère, A new HCV core antigen assay based on disassociation of immune complexes: an alternative to molecular biology in the diagnosis of early HCV infection. Transfusion. ,vol. 43, pp. 958- 962 ,(2003) , 10.1046/J.1537-2995.2003.00430.X
G. Icardi, F. Ansaldi, B. M. Bruzzone, P. Durando, S. Lee, C. de Luigi, P. Crovari, Novel Approach To Reduce the Hepatitis C Virus (HCV) Window Period: Clinical Evaluation of a New Enzyme-Linked Immunosorbent Assay for HCV Core Antigen Journal of Clinical Microbiology. ,vol. 39, pp. 3110- 3114 ,(2001) , 10.1128/JCM.39.9.3110-3114.2001
Anil C. Anand, Peter Nightingale, James M. Neuberger, Early indicators of prognosis in fulmitant hepatic failure: an assessment of the King's criteria Journal of Hepatology. ,vol. 26, pp. 62- 68 ,(1997) , 10.1016/S0168-8278(97)80010-4