Abstract
The past 15 years have witnessed remarkable advances in the prevention of transfusion-transmitted infections including the sequential introduction of donor screening assays for HIV and HCV, the advent of solvent detergent and other technologies for the sterilisation of plasma, intensified and more uniform donor questionnaires, increased FDA oversight and the demanding dictates of “Good Manufacturing Practices and most recently, the introduction of genomic amplification techniques (GAT) to narrow the infectious window for the most serious blood-transmitted viruses. To place these advances into perspective, prior to HIV testing in the spring of 1985, 8038 cases of transfusion-transmitted AIDS were reported in adults and 374 in children. In the 14 years since the first anti-HIV assays became available, there have been only 37 cases of transfusion-associated AIDS reported in adults and 2 in children; most of these cases occurred during the first generation of HIV assays and transmission is now an exceedingly rare event estimated to occur at a frequency of one case per 676,000 transfusions.
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Alter, H.J. (1999). Risk of Transfusion-Transmitted Infection: A Comparative Analysis of Then and Now. In: Sibinga, C.T.S., Alter, H.J. (eds) Risk Management in Blood Transfusion: The Virtue of Reality. Developments in Hematology and Immunology, vol 34. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3009-8_5
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DOI: https://doi.org/10.1007/978-1-4757-3009-8_5
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