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Transmission of Parwowirus B19 by Heat-treated Coagulation Factor Concentrates

机译:通过热处理的凝血因子浓缩物通过肺梭菌B19传递

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Transmission of enveloped viruses by blood products prepared from pooled plasma has fortunately become an extremely rare event due to the efficacy of the applied virus inactivation procedures. The inactivation procedures are, however, much less effective against non-enveloped viruses such as human parvovirus B19 (B19) [for review, 1; 2]. Consequently, B19 infections in association with administration of plasma-derived products are still reported until now [3,4].In September 1999, acute B19 infection was diagnosed by routine blood evaluation in two hemophilic children being treated at the university hospital of Bonn. Because B19 DNA was detected in all blood products recently administered to the children, viral transmission by the products could not be excluded. To clarify the causal relationship between product administration and B19 infection, DNA sequencing of the B19 genomes isolated from the patients and the coagulation products was performed. The results show that the administered products have to be considered as source of the B19 infection in both children.
机译:由于应用的病毒失活手术的功效,由汇集等离子体制备的血液制品通过血液制品传播包裹的病毒。然而,灭活程序对非包裹病毒如人parvovirus b19(b19)进行了效果效果较小,[审查,1; 2]。因此,仍然报道了与血浆衍生产物的给药相关联的B19感染仍然报告[3,4]。1999年9月,急性B19感染被常规血液评估诊断出在波恩大学医院治疗的两种血友病儿童中进行常规血液评估。由于在最近给予儿童的所有血液产品中检测到B19 DNA,因此不能排除产品的病毒传播。为了阐明产品给药和B19感染之间的因果关系,从患者分离的B19基因组和凝血产物进行DNA测序。结果表明,给药产品必须被认为是两种儿童B19感染的来源。

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