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Improving blood donor screening by nucleic acid technology (NAT)

Identifieur interne : 002800 ( Main/Exploration ); précédent : 002799; suivant : 002801

Improving blood donor screening by nucleic acid technology (NAT)

Auteurs : M. Schmidt [Allemagne] ; E. Seifried [Allemagne]

Source :

RBID : ISTEX:7BB5C1781856EF8162D19C495D98D9D524DCD0C3

English descriptors

Abstract

The description of the ABO blood group system by Landsteiner and coworkers marked a sea change in making blood transfusions feasible and safe for a broad range of indications. Nevertheless, with an increase in blood transfusions, side‐effects such as transfusion‐transmitted infections (TTIs) became more and more important. A major challenge in transfusion medicine was (and is) to develop screening assays with maximum analytical sensitivity and analytical specificity to reduce the diagnostic window period as much as possible. Until the late 1990s, blood screening for TTIs depended entirely on serological assays. Except for HBV, where the virus can be detected using HBs‐antigen assays, tests for the detection of other TTIs relied almost exclusively on antibody detection. These tests, however, are associated with a relatively long diagnostic window period because they detect the response of the immune system to an infection.

Url:
DOI: 10.1111/j.1751-2824.2010.01410.x


Affiliations:


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Le document en format XML

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<term>Apheresis platelets</term>
<term>Assay</term>
<term>Bacterial concentration</term>
<term>Bacterial contamination</term>
<term>Bacterial detection</term>
<term>Bacterial screening</term>
<term>Blood banks</term>
<term>Blood collections</term>
<term>Blood components</term>
<term>Blood donation</term>
<term>Blood donations</term>
<term>Blood donor screening</term>
<term>Blood donor screening programmes</term>
<term>Blood donors</term>
<term>Blood products</term>
<term>Blood safety</term>
<term>Blood transfusion</term>
<term>Blood transfusions</term>
<term>Broad range</term>
<term>Chikungunya virus</term>
<term>Clin</term>
<term>Clin microbiol</term>
<term>Clinical symptoms</term>
<term>Combo test</term>
<term>Culture methods</term>
<term>Detection systems</term>
<term>Diagnostic window period</term>
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<term>Donation</term>
<term>Donor</term>
<term>Early infection period</term>
<term>Enrichment centrifugation</term>
<term>Ethidium bromide</term>
<term>Extraction method</term>
<term>General screening</term>
<term>Hepatitis</term>
<term>Higher risk</term>
<term>Human virus</term>
<term>Human virus type</term>
<term>Hybridization probes</term>
<term>Immune system</term>
<term>Inactivation</term>
<term>Indian ocean</term>
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<term>Individual donations</term>
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<term>International society</term>
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<term>Isbt science series</term>
<term>Johann wolfgang goethe university</term>
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<term>Maximum pool size</term>
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<term>Molecular beacon</term>
<term>Molecular beacons</term>
<term>Negative screening results</term>
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<term>Nucleic acid technology</term>
<term>Nucleic acid testing</term>
<term>Other hand</term>
<term>Pathogen</term>
<term>Pathogen inactivation</term>
<term>Pathogen reduction</term>
<term>Plasma products</term>
<term>Platelet</term>
<term>Platelet products</term>
<term>Polymerase</term>
<term>Polymerase chain reaction</term>
<term>Pool size</term>
<term>Primer</term>
<term>Probe</term>
<term>Probe binding regions</term>
<term>Rapid detection</term>
<term>Residual</term>
<term>Residual risk</term>
<term>Respiratory syndrome coronavirus</term>
<term>Reunion island</term>
<term>Roth</term>
<term>Sample tubes</term>
<term>Schmidt</term>
<term>Screening</term>
<term>Screening assays</term>
<term>Screening systems</term>
<term>Seifried</term>
<term>Serological systems</term>
<term>Special circumstances</term>
<term>Special risks</term>
<term>Special situation</term>
<term>Tigris ultrio</term>
<term>Transfus</term>
<term>Transfus apher</term>
<term>Transfusion</term>
<term>Transfusion medicine</term>
<term>Ttis</term>
<term>Ultraviolet light</term>
<term>Uorescence</term>
<term>Virol methods</term>
<term>Virus</term>
<term>Virus infections hepatitis</term>
<term>Virus load</term>
<term>West africa</term>
<term>West nile virus</term>
<term>Whole blood</term>
<term>Window period</term>
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<div type="abstract" xml:lang="en">The description of the ABO blood group system by Landsteiner and coworkers marked a sea change in making blood transfusions feasible and safe for a broad range of indications. Nevertheless, with an increase in blood transfusions, side‐effects such as transfusion‐transmitted infections (TTIs) became more and more important. A major challenge in transfusion medicine was (and is) to develop screening assays with maximum analytical sensitivity and analytical specificity to reduce the diagnostic window period as much as possible. Until the late 1990s, blood screening for TTIs depended entirely on serological assays. Except for HBV, where the virus can be detected using HBs‐antigen assays, tests for the detection of other TTIs relied almost exclusively on antibody detection. These tests, however, are associated with a relatively long diagnostic window period because they detect the response of the immune system to an infection.</div>
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