实时荧光PCR检测HBsAg阴性、抗HBc阳性献血者血液中HBV DNA研究
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叶贤林

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R512.6+2

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深圳市科学计划重大攻关项目(200601001)


Detection of blood HBV DNA  in blood donors with  HBsAg(-)/antiHBc(+) by realtime fluorescence PCR
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    摘要:

    目的对乙型肝炎表面抗原(HBsAg)阴性、乙型肝炎核心抗体(抗HBc)阳性的献血者血液进行经输血传播乙型肝炎病毒(HBV)的风险评估,为完善HBV血液筛查模式及确保临床用血安全提供依据。方法对献血者血液常规检测阴性的标本进行8×45 μL汇集,应用实时荧光聚合酶链反应(PCR)进行混样核酸检测HBV DNA。对血液常规筛查和混样核酸检测合格的标本,进行随机乙型肝炎血清学5项标志物的酶联免疫吸附试验(ELISA)。对获得的HBsAg阴性、混样HBV DNA阴性、抗HBc阳性的标本,进一步采用单份样本(720 μL)实时荧光PCR法检测并定量分析。结果混样标本共检测12 552份,检出HBsAg阴性、HBV DNA阳性标本2份,阳性率为0.02%。随机筛查混样核酸检测阴性标本614份,检出抗HBc阳性标本320份,对此320份标本进行单份核酸检测,检出阳性标本1份,阳性率为0.31%。结论HBsAg阴性、抗HBc阳性献血者血液存在输血传播HBV的风险,应用核酸扩增技术检测血液HBV DNA能大大提高血液安全性。

    Abstract:

    ObjectiveTo evaluate the risks of bloodtransmitted HBV through blood donors with  HBsAg(-)/antiHBc(+),so as to improve  better blood screening mode and ensure blood safety in clinical application. MethodsBlood HBV DNA in serologically screened negative blood samples  pooled at 8×45 μL size were detected by realtime fluorescence PCR, and  PCR negative samples were tested for HBsAg, antiHBs, HBeAg, antiHBe and antiHBc by ELISA. All HBsAg(-), HBV DNA(-) and antiHBc positive samples were detected by  realtime fluorescence PCR individually for HBV DNA, HBV DNA positive samples were analysed by quantitative fluorescence PCR.ResultsAmong 12 552 seronegative samples, 2 were detected HBsAg(-)/HBV DNA(+), the positive rate was 0.02%. Among 614 PCR negative samples, 320 were positive antiHBc, and one of which was positive HBV DNA, the positive rate was 0.31%. ConclusionDonors with HBsAg(-)/antiHBc(+) remain potential risk for HBV transmission, and nucleic acid amplication technique can  implement  and improve blood safety.

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叶贤林,刘晓红,马兰,等.实时荧光PCR检测HBsAg阴性、抗HBc阳性献血者血液中HBV DNA研究[J]. 中国感染控制杂志,2009,8(4):241-244.
YE Xianlin, LIU Xiaohong, MA Lan, et al. Detection of blood HBV DNA  in blood donors with  HBsAg(-)/antiHBc(+) by realtime fluorescence PCR[J]. Chin J Infect Control, 2009,8(4):241-244.

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  • 收稿日期:2008-12-23
  • 最后修改日期:2009-02-12
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  • 在线发布日期: 2009-07-30
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