Failure and success of HIV tests for the prevention of HIV‐1 transmission by blood and tissue donations

French blood banks recently implemented nucleic acid testing (NAT) of all blood donations to reduce the risk of HIV transmission during the pre‐seroconversion period. For tissue donation, HIV infection screening relies on HIV p24 antigen and anti‐HIV1 and 2 antibody detection. In this report, two re...

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Veröffentlicht in:Journal of medical virology 2004-07, Vol.73 (3), p.347-349
Hauptverfasser: Najioullah, Fatiha, Barlet, Valérie, Renaudier, Philippe, Guitton, Cathy, Crova, Philippe, Guérin, Jean‐Claude, Peyramond, Dominique, Trabaud, Marie‐Anne, Coudurier, Nicole, Tardy, Jean‐Claude, André, Patrice
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container_end_page 349
container_issue 3
container_start_page 347
container_title Journal of medical virology
container_volume 73
creator Najioullah, Fatiha
Barlet, Valérie
Renaudier, Philippe
Guitton, Cathy
Crova, Philippe
Guérin, Jean‐Claude
Peyramond, Dominique
Trabaud, Marie‐Anne
Coudurier, Nicole
Tardy, Jean‐Claude
André, Patrice
description French blood banks recently implemented nucleic acid testing (NAT) of all blood donations to reduce the risk of HIV transmission during the pre‐seroconversion period. For tissue donation, HIV infection screening relies on HIV p24 antigen and anti‐HIV1 and 2 antibody detection. In this report, two related cases of infectious donations are described from a cornea donor during the preseroconversion window who was infected by an HIV antibody and NAT negative blood donor. After investigation, the blood donor was found to be herself in the preseroconversion window. Two months after donation, she was found to be HIV positive. The residual risk of HIV infectious blood donations since NAT has been introduced is estimated to be lower than one out of 2.5 millions. Individual NAT instead of minipool testing would not increase significantly the blood transfusion safety. In contrast, introduction of NAT should be considered to increase tissue donation safety as soon as such screening will be possible technically. J. Med. Virol. 73:347–349, 2004. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/jmv.20097
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For tissue donation, HIV infection screening relies on HIV p24 antigen and anti‐HIV1 and 2 antibody detection. In this report, two related cases of infectious donations are described from a cornea donor during the preseroconversion window who was infected by an HIV antibody and NAT negative blood donor. After investigation, the blood donor was found to be herself in the preseroconversion window. Two months after donation, she was found to be HIV positive. The residual risk of HIV infectious blood donations since NAT has been introduced is estimated to be lower than one out of 2.5 millions. Individual NAT instead of minipool testing would not increase significantly the blood transfusion safety. In contrast, introduction of NAT should be considered to increase tissue donation safety as soon as such screening will be possible technically. J. Med. Virol. 73:347–349, 2004. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15170627</pmid><doi>10.1002/jmv.20097</doi><tpages>3</tpages></addata></record>
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subjects Aged
Antibodies, Viral - blood
Base Sequence
Biological and medical sciences
Blood - virology
blood donor
Blood Donors
cornea donor
Female
Fundamental and applied biological sciences. Psychology
Genes, Viral
HIV Core Protein p24 - analysis
HIV Infections - diagnosis
HIV Infections - prevention & control
HIV Infections - transmission
HIV Protease - genetics
HIV Reverse Transcriptase - genetics
HIV transmission
HIV-1 - genetics
HIV-1 - immunology
HIV-1 - isolation & purification
Human immunodeficiency virus 1
Human viral diseases
Humans
Infectious diseases
Medical sciences
Microbiology
Miscellaneous
Molecular Sequence Data
nucleic acid testing
P24
RNA, Viral - blood
Sequence Alignment
Sequence Homology, Nucleic Acid
Tissue Donors
Transplants - virology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Virology
title Failure and success of HIV tests for the prevention of HIV‐1 transmission by blood and tissue donations
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