Risk of transmission of severe acute respiratory syndrome coronavirus 2 by transfusion: A literature review

Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) is a novel human coronavirus responsible for coronavirus disease 2019 (COVID‐19). The emergence of this virus in Wuhan, China, at the end of 2019 and its worldwide spread to reach the pandemic stage has raised concerns about the possible r...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2020-12, Vol.60 (12), p.3046-3054
Hauptverfasser: Leblanc, Jean‐François, Germain, Marc, Delage, Gilles, OʼBrien, Sheila, Drews, Steven J., Lewin, Antoine
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container_end_page 3054
container_issue 12
container_start_page 3046
container_title Transfusion (Philadelphia, Pa.)
container_volume 60
creator Leblanc, Jean‐François
Germain, Marc
Delage, Gilles
OʼBrien, Sheila
Drews, Steven J.
Lewin, Antoine
description Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) is a novel human coronavirus responsible for coronavirus disease 2019 (COVID‐19). The emergence of this virus in Wuhan, China, at the end of 2019 and its worldwide spread to reach the pandemic stage has raised concerns about the possible risk that it might be transmissible by transfusion. This theoretical risk is further supported by reports of the detection of viral RNA in the blood of some infected individuals. To further address this risk, a thorough PubMed literature search was performed to systematically identify studies reporting data on the detection of SARS‐CoV‐2 RNA in blood or its components. Complementary searches were done to identify articles reporting data on the in vitro infectivity of blood components. At least 23 articles presenting data on the detection of SARS‐CoV‐2 RNA in blood, plasma, or serum were identified. Of these, three studies reported on blood donors with COVID‐19 infection identified after donation, and no cases of transfusion transmission were identified. A few studies mentioned results of in vitro infectivity assays of blood components in permissive cell lines, none of which were able to detect infectious virus in blood or its components. Complementary searches have identified reports demonstrating that the correlation between the presence of viral RNA in a biologic sample and infectivity requires a minimal RNA load, which is rarely, if ever, observed in blood components. Overall, the available evidence suggests that the risk of transmission of SARS‐CoV‐2 by transfusion remains theoretical.
doi_str_mv 10.1111/trf.16056
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The emergence of this virus in Wuhan, China, at the end of 2019 and its worldwide spread to reach the pandemic stage has raised concerns about the possible risk that it might be transmissible by transfusion. This theoretical risk is further supported by reports of the detection of viral RNA in the blood of some infected individuals. To further address this risk, a thorough PubMed literature search was performed to systematically identify studies reporting data on the detection of SARS‐CoV‐2 RNA in blood or its components. Complementary searches were done to identify articles reporting data on the in vitro infectivity of blood components. At least 23 articles presenting data on the detection of SARS‐CoV‐2 RNA in blood, plasma, or serum were identified. Of these, three studies reported on blood donors with COVID‐19 infection identified after donation, and no cases of transfusion transmission were identified. A few studies mentioned results of in vitro infectivity assays of blood components in permissive cell lines, none of which were able to detect infectious virus in blood or its components. Complementary searches have identified reports demonstrating that the correlation between the presence of viral RNA in a biologic sample and infectivity requires a minimal RNA load, which is rarely, if ever, observed in blood components. 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A few studies mentioned results of in vitro infectivity assays of blood components in permissive cell lines, none of which were able to detect infectious virus in blood or its components. Complementary searches have identified reports demonstrating that the correlation between the presence of viral RNA in a biologic sample and infectivity requires a minimal RNA load, which is rarely, if ever, observed in blood components. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Blood
Blood & organ donations
Blood Donors
Blood Transfusion
CD4-Positive T-Lymphocytes - virology
Cell Line
Cell lines
Coronaviridae
Coronaviruses
COVID-19
COVID-19 - blood
COVID-19 - epidemiology
COVID-19 - transmission
Disease transmission
Endothelial Cells - virology
Humans
Infectivity
Literature reviews
Pandemics
Respiratory diseases
Review
Ribonucleic acid
Risk
RNA
RNA, Viral - blood
RNAemia
SARS-CoV-2 - isolation & purification
SARS-CoV-2 - physiology
SARS‐CoV‐2
Searching
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Transfusion
Transfusion Reaction - epidemiology
Vero cell lines
Viral diseases
Viral Load
Viremia - blood
Viremia - epidemiology
Viremia - transmission
Virus Cultivation
Viruses
title Risk of transmission of severe acute respiratory syndrome coronavirus 2 by transfusion: A literature review
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