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BB guy testing
blood donor testing
Question | Answer |
---|---|
Number one cause of fatal HTR’s | clerical error |
Type and screen must be repeated every___ hours following a transfusion | 72 hours |
Type and cross specimens are held for __ days after a transfusion | 7 days |
The FDA requires type and screen panels to include these antigens | Antigens represented required by FDA: i) D, C, c, E, e, Fya, Fyb, Jka, Jkb, K, k, Lea, Leb, M, N, P1, S, s |
What is the risk of acute hemolytic reaction? | 1 in 25,000 transfusions |
What is the risk of HIV-1 infection from a transfusion? | 1 in 1,467,000 |
What is the risk of Hepatitis B infection from a transfusion? | 1 in 282,000-1,000,000 (highest risk of major viruses) |
What is the risk of Hepatitis C infection from a transfusion? | 1 in 1,149,000 |
What is the risk of HTLV1/2 from a transfusion? | 1 in 4,364,000 |
What is the risk of WNV infection from a transfusion? | remote |
What is the risk of syphilis from a transfusion? | remote |
What is the risk of HIV-2 from a transfusion? | remote |
What is the risk of T. cruzi from a transfusion? | remote |
What is the risk of bacterial infection from a transfusion? | platelets: 1 in 75000; RBC: 1 in 500,000 |
Genetic material of Hepatitis B virus | DNA virus (Hepadnavirus) |
Most likely of the major viruses to be transmitted via transfusion | HBV is currently the most likely of the major viruses to be transmitted via transfusion! |
#1 reason for hepatic transplant in the US | Hepatitis C |
Genetic material of Hepatitis C virus | RNA |
Window period for NAT test for HCV | about 7 days |
Genetic material of HIV | RNA |
NAT window period for HIV | window period 9-10 days |
HTLV-I disease associations | HTLV-I disease associations 1) Adult T-cell leukemia/lymphoma (ATLL) 2) HTLV-associated myelopathy (HAM; formerly called “tropical spastic paraparesis”) |
HTLV-II disease associations | no clear-cut disease associations |
WNV symptomatic infections result in this length of deferral | Confirmed/suspected WNV infection: 28 days from symptom onset or 14 days after symptoms resolved |
A donor has a positive NAT test for West Nile Virus. He is asymptomatic. How long should he be deferred from blood donation? | 120 days from test date |
What is the vector for Chaga's disease? | Transmitted through bite of reduviid bug (“kissing bug”) in Central/South America |
What are the testing requirements for Chaga's disease for blood donors? | one time per lifetime of donor |
Strategies to reduce the risk of transfusion transmitted CMV | seronegative donors and leukocyte reduced products |
Parvovirus B19 causes these diseases | “Fifth disease” in children, red cell aplasia in adults |
Parvovirus B19 enters RBCs through this antigen | P antigen |
Are donors tested for babesia? | in northeast and Midwest states; 14 states and D.C. |