印度西北部一家三级医疗中心的献血者中 Kell 血型系统的流行情况

Girraj Prasad Mathuria, Narendra Kumar Dadhich, Bheem Singh Meena
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摘要

目的凯尔血型系统是输血中具有重要临床意义的血型系统之一,由不同类型的抗原组成,具有很高的免疫原性,可能导致严重的输血反应以及胎儿和新生儿溶血性疾病。了解抗原频率对于评估同种免疫风险和指导找到抗原阴性献血者血液的概率至关重要,这对患有相应或多种红细胞同种抗体的患者非常有用:这是一项回顾性研究,在斋浦尔 SMS 医学院免疫血液学和输血医学系进行,为期一年(2020 年 1 月 1 日至 12 月 31 日)。在研究期间,对自愿献血者和替代献血者的血液进行了凯尔抗原分型,分型方法是在 neo immucor 中使用捕获-R 技术自动进行红细胞抗原分型:共有 9677 名(九千六百七十七名)献血者进行了凯尔抗原分型。在这 9677 份样本中,288 份为 Kell 阳性(K+),Kell(K)抗原的总频率为 2.9%:这是首次确定印度西北部献血者 Kell 抗原流行率的研究。这些结果似乎有助于通过实施应成为血库例行工作的检测,为患者提供更好的护理。Kell 系统在输血医学实践中非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PREVALENCE OF KELL BLOOD GROUP SYSTEM IN BLOOD DONORS ATTENDING A TERTIARY CARE CENTRE IN NORTHWESTERN INDIA
Objective: The Kell blood group system is amongst one of the clinically significant blood group system in blood transfusion, consisting of different types of antigens with high immunogenicity which can be a potential cause of serious transfusion reactions and hemolytic disease of fetus and newborn. Knowledge of the antigenic frequency is crucial to assess the risk of alloimmunisation and to guide the probability of finding antigen-negative donor blood, which can be useful for a patient with corresponding or multiple red cell alloantibodies. Methods: This is a retrospective study which was done at Department of Immunohematology and Transfusion medicine, SMS Medical College, Jaipur over a period of one year from 1st Jan to 31st Dec 2020. During the study period, blood both voluntary donors as well as replacement donors were typed for Kell antigens by automated red cell antigen typing by capture-R technology in neo immucor. Results: A Total of 9677(Nine Thousand Six Hundred Seventy Seven) Blood donors were typed for Kell Antigens. Out of these 9677 samples, 288 were Positive for Kell positive (K+) resulting in overall frequency of Kell (K) Antigen as 2.9%. Conclusion: This is the first study that set out to determine the prevalence of Kell antigens among Blood Donors in Northwestern India. These results appear to be useful in providing better care for patients by implementing tests that should become a routine in blood banks. The Kell system is very important in Transfusion medicine practice.
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