2015, Number 1
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VacciMonitor 2015; 24 (1)
Plasma as alternatively sample to quantify tetanus antitoxin
Menéndez-Barrios A, Sánchez-Frenes P, Sánchez-Bouza MJ, Alemañi-Co A, Gómez-Fonseca S, Nieves-Armas RK
Language: Spanish
References: 14
Page: 52-56
PDF size: 52.05 Kb.
ABSTRACT
Tetanus antitoxin is quantified in Cuba at blood banks, from the serum of immunized donors, to produce a
specific human gamma globulin. A heterogeneous indirect immunoenzymatic assay is used, using the serum
as analytical sample. The possible use of plasma obtained from plasmapheresis as alternative sample was
evaluated in this research, to minimize the volume of total blood extracted to the donors. One hundred plasma
donors who came to donate between October and November 2013 were selected by simple random sampling.
Serum sample was obtained for extraction of 5 mL of blood, deposited in dry glass tube. While the other
sample took 1.5 mL of plasma in a plastic tube with cover, at the end of the donation directly of the unit of
plasma collected. Comparison of the difference between the means of both groups was done using SPSS for
Windows. It was found that the values obtained in serum were bigger than those obtained in plasma. Difference
between the means of both groups was statistically significant (p 0.00). It is not advisable to use the obtained
plasma of the plasmapheresis as analytic sample in this assay.
REFERENCES
Jonghwan S, Jinjoo K, Kyoungjun S. Influences on Formation of Tetanus Antibody after Simultaneous Injection of Tetanus Immunoglobulin with Tetanus Vaccine. J Korean Med Sci 2012;27(8):934-8.
Rojas-Ochoa F. Tétanos, Difteria y Tos ferina. En: Rojas- Ochoa F. Vacunas Cuba 1959 -2008. La Habana: Editorial de Ciencias Médicas; 2011.p.117-9.
Jafarzadeh A, Shabani Z, Hassanabadi M, Rezayati MT, Nemati M, Sayadi AR, et al. Lower immunity to tetanus in cigarette smoker subjects. JOHE 2012;1(3):124-31.
Klein HG, Anstee DJ. Exchange transfusion and haemapheresis. In: Klein HG, Anstee DJ. Mollison’s Blood Transfusion in Clinical Medicine. 11 ed. Massachusetts: Blackwell Publishing; 2009.p.774-809.
Ballester-Santovenia JM, Alfonso-Valdés ME, Ballester-Planes L, Bencomo-Hernández A, Cortina-Rosales L, Macías- Abraham C, et al. Procedimientos para bancos de sangre y servicios de transfusión. La Habana: Editorial de Ciencias Médicas; 2009.
Klein HG, Anstee DJ. The transfusion of platelets, leucocytes, haemopoietics cells and plasma components. In: Klein HG, Anstee DJ. Mollison’s Blood Transfusion in Clinical Medicine. 11 ed. Massachusetts: Blackwell Publishing; 2009.p.611-65.
Centro para el Control Estatal de la Calidad de los Medicamentos. Obtención de plasma humano mediante plasmaféresis productiva automatizada, regulación No. 9/2006. La Habana: CECMED; 2006.
IBL INTERNATIONAL. Tetanus IgG ELISA. Enzyme immunoassays (microtiter strips) for the quantitative determination of IgG antibodies against Tetanus in human serum and plasma. Hamburg: IBL INTERNATIONAL; 2013.
Cortez Diagnostics. Anti-Tetanus Toxoid ELISA test kit. California: Diagnostics Inc; 1994.
TecnoSuma. UMELISA TETANUS, código UM 2010. La Habana: Tecnosuma Internacional S.A; 2003.
Cable R, Glynn SA, Kiss JE, Mast AE, Steele WR, Murphy EL, et al. Iron deficiency in blood donors: the REDS-II Donor Iron Status Evaluation (RISE) study. Transfusion 2012;52(4):702- 11.
Morán-Villatoro L. Obtención de muestras sanguíneas de calidad analítica. La Habana: Editorial Ciencias Médicas; 2006.
Miller H, Lifshitz MS. Pre-Analysis. In: McPherson R, Pincus MR. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 21st. ed. Philadelphia: Sauders Elservier; 2007.p.20-31.
Suardíaz-Pareras JH. Fase pre analítica. En: Suardíaz-Pareras JH, Cruz-Rodríguez CL, Colina-Rodríguez AJ. Laboratorio Clínico. La Habana: Editorial CienciasMédicas; 2007.p.11-7.