A report on transmissible spongiform encephalopathies and transfusion safety

被引:12
作者
Coste, J. [1 ]
Prowse, C. [2 ]
Eglin, R. [3 ]
Fang, C. [4 ]
机构
[1] Etab Francais Sang Pyrenees Mediterranee, F-34094 Montpellier 5, France
[2] Scottish Natl Blood Transfus Serv, Edinburgh, Midlothian, Scotland
[3] Colindale Ctr, Natl Hlth Serv Blood & Tissues, Natl Transfus Microbiol Lab, London, England
[4] Amer Red Cross, Transmissible Dis Dept, Biomed Res & Dev, Rockville, MD USA
关键词
Prion; transmissible spongiform encephalopathies; transfusion safety; prion detection; prion removal; CREUTZFELDT-JAKOB-DISEASE; BLOOD-TRANSFUSION; PRION PROTEIN; EXPERIMENTAL-MODEL; HAMSTER BLOOD; VARIANT; SCRAPIE; VCJD; INFECTIVITY; AMPLIFICATION;
D O I
10.1111/j.1423-0410.2009.01161.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of BSE in Europe is in continued decline. At present, iatrogenic transmission from person to person is considered a serious threat to public health. This report of the International Society of Blood Transfusion Working Party on Transmissible Spongiform Encephalopathy will focus on the state of the art in relation to blood components and plasma safety. Latest information on the pathogenicity of the infectious agent, the frequency and dynamics of infection in blood and transfusion transmissibility will be documented. Preventive measures including donor deferral policies, technologies for prion removal from labile blood components and for prion detection in plasma, the absence of a sensitive and rapid reference assay able to confirm the positive results from any putative blood screening assay will be updated. At last, as many uncertainties remain and a number of assumptions await confirmation, the areas to continue to explore are listed.
引用
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页码:284 / 291
页数:8
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