{"id":9638,"date":"2019-11-26T10:09:10","date_gmt":"2019-11-26T10:09:10","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9638"},"modified":"2019-11-26T10:11:25","modified_gmt":"2019-11-26T10:11:25","slug":"infectia-oculta-cu-virus-hepatic-b-si-riscul-rezidual-transfuzie","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/infectia-oculta-cu-virus-hepatic-b-si-riscul-rezidual-transfuzie\/","title":{"rendered":"Infec\u0163ia ocult\u0103 cu virus hepatic b \u015fi riscul rezidual \u00een transfuzie"},"content":{"rendered":"<p><strong><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/11\/Infectia-oculta.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9641 alignleft\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/11\/Infectia-oculta.jpg\" alt=\"\" width=\"200\" height=\"220\" \/><\/a>Autor:<\/strong><\/p>\n<p><em><strong>Dr. Georgeta Hanganu<\/strong><\/em><\/p>\n<ul>\n<li>Medic Primar Laborator Clinic \u015fi Medicin\u0103 Transfuzional\u0103<\/li>\n<li><strong> Directorul Centrul de Transfuzie Sanguin\u0103 Ploie\u015fti<\/strong><\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify\">\u00cen fiecare clip\u0103 cineva are nevoie de s\u00e2nge. Se petrec foarte multe accidente, sunt foarte mul\u0163i pacien\u0163i care suport\u0103 interven\u0163ii chirurgicale dificile, extrem de mul\u0163i\u00a0 oameni care sufer\u0103 de afec\u0163iuni grave oncologice sau hematologice, la care singura \u015fans\u0103 de supravie\u0163uire este transfuzia de s\u00e2nge fie ocazional\u0103, fie la un interval de timp, fie ritmic, pe parcursul \u00eentregii vie\u0163i. Pentru milioanele de oameni care au nevoie de tratament transfuzional, punga de s\u00e2nge\u00a0 face diferen\u0163a \u00eentre via\u0163\u0103 \u015fi moarte.<\/p>\n<p style=\"text-align: justify\"><strong>U<\/strong>na dintre problemele majore ridicate de transfuzia de produse de s\u00e2nge, este printre altele, \u015fi aceea c\u0103 fiind un produs biologic, este un poten\u0163ial transmitor de viru\u015fi. Nu sunt de neglijat viru\u015fii cunoscu\u0163i: HIV, (Virusul Imunodeficientei Umane), HCV (Virusul Hepatitic C), HTLV (Human T Leucocytes Virus), CMV (Virusul Citomegalic), \u015fi nu \u00een ultimul r\u00e2nd HBV (Virusul Hepatitic B).<\/p>\n<p style=\"text-align: justify\">Ast\u0103zi infec\u0163ia cu virusul hepatitei B reprezint\u0103 o problem\u0103 de s\u0103n\u0103tate public\u0103 mondial\u0103. Se estimeaz\u0103 c\u0103 \u00een lume exist\u0103 peste 2 miliarde de persoane infectate \u00een timpul vie\u0163ii. Foarte multe persoane infectate cu virus hepatitic B, descoper\u0103 absolut \u00eent\u00e2mpl\u0103tor ca sunt purt\u0103tori ai virusului hepatitei B. Marea majoritate descoper\u0103 \u00een cursul unor analize de rutin\u0103 prezen\u0163a \u00een s\u00e2nge antigenul de suprafa\u0163\u0103 (Ag HBs) a virusului hepatic B. Foarte rar, investiga\u0163ii suplimentare asociate unor transaminaze m\u0103rite, conduc la descoperirea antigenului de suprafa\u0163\u0103. \u00cen general infec\u0163ia cu virus B nu se manifest\u0103 clinic spectaculos, \u015fi \u00een consecin\u0163\u0103 r\u0103m\u00e2ne nedescoperit\u0103. Foarte mul\u0163i oameni descoper\u0103, cu prilejul unei don\u0103ri ocazionale de s\u00e2nge, c\u0103 au trecut printr-o infec\u0163ie cu virus B. Ace\u015ftia sunt \u00eendep\u0103rta\u0163i din r\u00e2ndul donatorilor, \u015fi \u00eendrepta\u0163i c\u0103tre serviciile de gastroenterologie, iar s\u00e2ngele donat este incinerat.<\/p>\n<p style=\"text-align: justify\">Exist\u0103 \u00eens\u0103 o form\u0103 particular\u0103 de infec\u0163ie cu VHB identificat\u0103 doar prin biologie molecular\u0103, \u015fi anume, <strong>infec\u0163ia ocult\u0103 cu VHB<\/strong>, definit\u0103 prin prezen\u0163a ADN VHB \u00een \u0163esutul hepatic, uneori \u015fi \u00een ser, la persoanele cu AgHBs absent \u00een ser. Prevalen\u0163a infec\u0163iei oculte cu virus B nu este cunoscut\u0103, \u00een ciuda a numeroase studii, care prezint\u0103 dezavantajul includerii unui num\u0103r relativ mic de persoane, lipsa standardiz\u0103rii testelor de laborator, care aproape toate sunt retrospective. \u00cen ceea ce prive\u015fte popula\u0163ia aparent s\u0103n\u0103toas\u0103, prevalen\u0163a infec\u0163iei oculte cu virus B a fost cercetat\u0103 mai mult la donatorii de s\u00e2nge \u015fi mult mai pu\u0163in \u00een popula\u0163ia general\u0103.<\/p>\n<p style=\"text-align: justify\">La donatorii de s\u00e2nge prevalen\u0163a infec\u0163iei oculte cu virus B este mult redus\u0103 \u00een \u0163\u0103rile dezvoltate, spre deosebire de una semnificativ mai ridicat\u0103 \u00een \u0163\u0103rile \u00een curs de dezvoltare. \u00cen popula\u0163ia general\u0103 a fost depistat\u0103 \u00een 16% din cazurile studiate. \u00cen patogeneza infec\u0163iei oculte cu virus B au fost avansate urm\u0103toarele ipoteze: imunitatea gazdei, interferen\u0163e virale, factori epigenetici. Pentru detectarea ADN-VHB, la valori serice foarte reduse, este nevoie de utilizarea unei tehnologii sensibile \u015fi specifice PCR (Polymerase Chain Reaction) sau NAT (Nucleic acid testing). Prin utilizarea PCR \u00een timp real pot fi detectate majoritatea infec\u0163iilor oculte (&lt;10 copii\/ml). Peste 92 de milioane de don\u0103ri de s\u00e2nge sunt colectate la nivel mondial \u00een fiecare an.\u00a0 O singur\u0103 donare de s\u00e2nge transformat\u0103 \u00een produse labile, poate ajunge la trei persoane, iar produsele stabile de la o singur\u0103 donare pot ajunge la sute de pacien\u0163i. De\u015fi testarea este tot mai elaborat\u0103, \u00een sensul cre\u015fterii securit\u0103\u0163ii transfuzionale, este unanim recunoscut\u0103 existen\u0163a unui risc rezidual de infectare cu HIV, HCV, HBV, WNV, CMV, etc. Screening-ul s\u00e2ngelui donat, pentru bolile infec\u0163ioase virale este o m\u0103sur\u0103 cheie de siguran\u0163\u0103, \u00een toat\u0103 lumea, pentru protejarea pacien\u0163ilor, ceea ce a determinat introducerea NAT \u00een foarte multe \u0163\u0103ri \u00eenc\u0103 din 1997, \u00een func\u0163ie de situa\u0163ia epidemiologic\u0103 a zonei respective \u015fi de poten\u0163ialul economico-financiar al \u0163\u0103rii. Transmiterea infec\u0163iei oculte cu virus B poate fi cauzat\u0103 de transfuzii, transplant hepatic, hemodializ\u0103 \u015fi transplant medular.<\/p>\n<p style=\"text-align: justify\">De\u015fi riscul hepatitei post-transfuzionale este acum foarte redus, riscul infec\u0163iei prin transfuzie de produse de s\u00e2nge este \u00eenc\u0103 foarte mare (1: 100.000), comparativ cu VHC (1:700.000), \u015fi cu HIV (1:2.000.000). Post-transplant hepatic, riscul infec\u0163iei cu VHB de la donator cu infec\u0163ie ocult\u0103 cu virus B variaz\u0103 \u00eentre 25-94%, dar este mult mai redus dup\u0103 transplantul medular. Prevalen\u0163a infec\u0163iei oculte cu virus B la pacien\u0163ii hemodializa\u0163i este mai ridicat\u0103 (14-19%). Infec\u0163ia ocult\u0103 cu virus B este o entitate biologic\u0103 complex\u0103, legat\u0103 \u00een principal de persisten\u0163a indefinit\u0103 a ADN VHB, \u00een hepatocite \u015fi supresia puternic\u0103 a replic\u0103rii virale. Infec\u0163ia ocult\u0103 cu virus B contribuie esen\u0163ial la imposibilitatea eradic\u0103rii infec\u0163iei cu VHB.<\/p>\n<p style=\"text-align: justify\">\u00cen Rom\u00e2nia prevalen\u0163a infec\u0163iei oculte cu virus B r\u0103m\u00e2ne necunoscut\u0103, aceast\u0103 entitate fiind de cele mai multe ori subdiagnosticat\u0103. Infec\u0163ia ocult\u0103 cu virus B poate fi transmis\u0103 prin transfuzii, transplant hepatic \u015fi perinatal. \u00cen afar\u0103 de testarea pentru Ag HBs, testarea pentru anti-HBc, anti-HBs, anti-HBe, a s\u00e2ngelui folosit \u00een transfuzii ar fi o op\u0163iune. Testarea s\u00e2ngelui prin PCR \u00een timp real pentru to\u0163i markerii virali cunoscu\u0163i este o realitate \u00een majoritatea \u0163\u0103rilor europene \u015fi r\u0103m\u00e2ne pentru moment un deziderat, o op\u0163iune notabil\u0103\u00a0 pentru Rom\u00e2nia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Autor: Dr. Georgeta Hanganu Medic Primar Laborator Clinic \u015fi Medicin\u0103 Transfuzional\u0103 Directorul Centrul de Transfuzie Sanguin\u0103 Ploie\u015fti \u00a0 &nbsp; &nbsp; \u00cen fiecare clip\u0103 cineva are nevoie de s\u00e2nge. Se petrec [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":9641,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,661],"tags":[],"class_list":["post-9638","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-nefrologie-articole"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Infec\u0163ia ocult\u0103 cu virus hepatic b \u015fi riscul rezidual \u00een transfuzie<\/title>\n<meta name=\"description\" content=\"Infec\u0163ia ocult\u0103 cu virus hepatic b \u015fi riscul rezidual \u00een transfuzie Dr. Georgeta Hanganu Medic Primar Laborator Clinic \u015fi Medicin\u0103 Transfuzional\u0103 Directorul Centrul de Transfuzie Sanguin\u0103 Ploie\u015fti\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/infectia-oculta-cu-virus-hepatic-b-si-riscul-rezidual-transfuzie\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Infec\u0163ia ocult\u0103 cu virus hepatic b \u015fi riscul rezidual \u00een transfuzie\" \/>\n<meta property=\"og:description\" content=\"Infec\u0163ia ocult\u0103 cu virus hepatic b \u015fi riscul rezidual \u00een transfuzie Dr. Georgeta Hanganu Medic Primar Laborator Clinic \u015fi Medicin\u0103 Transfuzional\u0103 Directorul Centrul de Transfuzie Sanguin\u0103 Ploie\u015fti\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/infectia-oculta-cu-virus-hepatic-b-si-riscul-rezidual-transfuzie\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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