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Preventing transfusion-transmitted infections: issues related to migrating populations and increasing world travel
1Georgetown University Medical Center, Department of Medicine, Georgetown University Hospital, Washington, DC 20007.
Blood donations by emigrants or other travelers from distant lands require special attention for the prevention of transfusion-transmitted infections. The human immunodeficiency virus, type 1 (HIV-1) is only one of several bloodborne viruses that may be introduced into non-epidemic areas by transfusion and spread further by sexual intercourse, needles shared by drug users or mother-child transmission. Although transfusion-transmitted parasites, such as Trypanosoma cruzi, do not spread further in non-endemic areas in the absence of specific vectors, such unlikely infections may cause serious disease before a diagnosis is made. The challenges posed by transfusion-transmitted infections in a shrinking world require specific preventive strategies and enhanced clinical awareness for timely diagnosis and treatment.
Blood donations by emigrants or other travelers from distant lands require special attention for the prevention of transfusion-transmitted infections. The human immunodeficiency virus, type 1 (HIV-1) is only one of several bloodborne viruses that may be introduced into non-epidemic areas by transfusion and spread further by sexual intercourse, needles shared by drug users or mother-child transmission. Although transfusion-transmitted parasites, such as Trypanosoma cruzi, do not spread further in non-endemic areas in the absence of specific vectors, such unlikely infections may cause serious disease before a diagnosis is made. The challenges posed by transfusion-transmitted infections in a shrinking world require specific preventive strategies and enhanced clinical awareness for timely diagnosis and treatment.