Real time polymerase chain reaction for hepatitis B screening in donor corneas in the central eye bank of Iran

Autor: Shahram Samiee, Mozhgan Rezaei Kanavi, Mohammad Ali Javadi, Abouzar Bagheri, Sahar Balagholi, Marzieh Sadat Hashemi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Ophthalmic & Vision Research, Vol 13, Iss 4, Pp 392-396 (2018)
Druh dokumentu: article
ISSN: 2008-322X
DOI: 10.4103/jovr.jovr_157_17
Popis: Purpose: The aim of this study was to report the results of the use of real-time polymerase chain reaction (PCR) for the diagnosis of hepatitis B virus (HBV) infection in cornea donors at the Central Eye Bank of Iran. Methods: Between 2014 and 2016, all cornea donors that had negative screening serologic results for hepatitis B (HB) surface antigen, HB surface antibody (Ab), hepatitis C virus Ab, human immune deficiency virus Ab, human T-cell leukemia virus Ab, and syphilis, and positive serology for HB core Ab were subjected to real-time PCR with a detection limit of 400 IU/mL to identify HBV DNA. Positive results for HBV DNA were considered occult HBV infections in these donors. Results: Over the 3-year period, 122 out of 10448 cornea donors had negative screening serologic tests outside of HB core Ab. Of which, 90 cases were subjected to real-time PCR. Occult HBV was detected in 11 cases (12.2%), resulting in the rejection of the corresponding corneas. The remaining 79 cases (87.8%) had negative results for HBV DNA and the corresponding corneas were used for transplantation. Conclusion: Implementation of PCR for the detection of occult HBV in cornea donors is necessary to not only increase the security level of cornea donation but also minimize the rejection rate of donors that have isolated HB core Ab reactivity.
Databáze: Directory of Open Access Journals