Academic Journal

Suitability of Different Diagnostic Platforms for Virological Testing of Blood Samples from Cornea Donors

التفاصيل البيبلوغرافية
العنوان: Suitability of Different Diagnostic Platforms for Virological Testing of Blood Samples from Cornea Donors
المؤلفون: Kohmer, N., Kortenbusch, M., Berger, A., Rühl, C., Ciesek, S., Salla, S., Rabenau, H.F.
سنة النشر: 2022
المجموعة: Publikationsdatenbank der Fraunhofer-Gesellschaft
مصطلحات موضوعية: Donor screening, PCR, Serology, Virological testing
الوصف: 379 ; 387 ; Background: To minimize the risk of disease transmission in cornea transplantation, donor screening for blood-derived viral infections is mandatory. Ideally, pre-mortem blood samples are used, but based on availability, cadaveric blood samples of cornea donors may also be used. However, serological and nucleic acid amplification tests (NATs) need to be validated for the use of cadaveric specimens. Methods: Hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), human T-lymphotropic virus (HTLV) 1/2, and Treponema pallidum (syphilis)-specific serological and/or NAT assays were validated on different platforms (Abbott Alinity i, Alinity m, Roche Cobas 6800, and Roche Cobas AmpliPrep/Cobas TaqMan (CAP/CTM)) using (un)spiked paired pre-and post-mortem cornea donor blood samples from the same individual (up to 23.83 h after death) of 28 individuals in accordance with the specifications of the German Federal Institute for Vaccines and Biomedicines (Paul-Ehrlich-Institut [PEI]). In addition, routinely HBV-, HCV-and HIV-PCR-negative tested post-mortem blood samples of 24 individuals were used to assess NAT specificity. Results: For the majority of serological parameters on the Abbott Alinity i (HBsAg, anti-HBc, anti-HBs, anti-HCV, anti-HIV, anti-HTLV 1/2, and anti-Treponema pallidum), ratios of generated test results of (un)spiked paired pre-and post-mortem blood samples differed ≤25%, with an agreement of qualitative pre-and post-mortem test results ranging from 91.2 to 100%. For NAT parameters (HBV, HCV, and HIV) on the Cobas 6800, Alinity m, and CAP/CTM, no significant deviation in virus concentrations (factor >5) of spiked pre-and post-mortem blood samples could be observed. Ct-values of corresponding internal controls did also not differ significantly (>1.5 Ct-values). In addition, no false-positive test results were generated when specificity was assessed. Conclusion: Overall, fluctuations of test results for serological and NAT parameters in pre-and post-mortem ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 16603796
Relation: Transfusion medicine and hemotherapy; https://publica.fraunhofer.de/handle/publica/427992
DOI: 10.1159/000524250
الاتاحة: https://publica.fraunhofer.de/handle/publica/427992
https://doi.org/10.1159/000524250
Rights: open access
رقم الانضمام: edsbas.2A279851
قاعدة البيانات: BASE
الوصف
تدمد:16603796
DOI:10.1159/000524250