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[Viral risks associated with blood transfusion]

F Barin1

  • 1Laboratoire de Virologie, URA CNRS 1334, CHRU Bretonneau et UFR Sciences Pharmaceutiques, Tours.

Revue Francaise De Transfusion Et D'Hemobiologie : Bulletin De La Societe Nationale De Transfusion Sanguine
|January 1, 1993
PubMed
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Blood transfusions carry a risk of transmitting viruses like hepatitis and HIV from asymptomatic donors. While screening has reduced risks, some infectious units may be missed, especially during silent incubation periods.

Area of Science:

  • Virology
  • Transfusion Medicine
  • Public Health

Background:

  • Blood transfusions pose a risk of transmitting infectious agents from asymptomatic donors.
  • Hepatitis viruses (HBV, HCV) and retroviruses (HIV, HTLV) are primary transfusion-transmitted pathogens.
  • While screening has improved, residual risks remain due to limitations in detecting all infectious stages.

Purpose of the Study:

  • To review the current landscape of transfusion-transmitted viral infections.
  • To highlight the effectiveness and limitations of existing screening methods for blood donations.
  • To discuss the implications of viral incubation periods and infectivity in the context of blood safety.

Main Methods:

  • Review of existing literature on transfusion-transmitted viruses.

Related Experiment Videos

  • Analysis of screening strategies for hepatitis B, hepatitis C, HIV, and HTLV.
  • Discussion of the impact of viral incubation periods on transfusion safety.
  • Main Results:

    • Screening for HBsAg, ALT, HBc Ab, HCV Ab, HIV Ab, and HTLV Ab has significantly reduced transmission risks.
    • Immunoassays for HCV, HIV, and HTLV primarily detect antibodies, potentially missing infectious units during early incubation.
    • Human cytomegalovirus (HCMV) and parvovirus B19 are common infections, posing risks in specific populations like pregnant women and the immunocompromised.

    Conclusions:

    • Current blood screening methods have substantially decreased transfusion-related hepatitis and retroviral infections.
    • A residual risk of transfusion transmission exists due to antibody-based screening and undetected viral presence during incubation.
    • Further vigilance and potentially advanced screening methods are necessary to mitigate risks from viruses like HCMV and parvovirus B19.