Publications by authors named "D A Leiby"

Article Synopsis
  • Tick-borne parasites like spp. can affect various vertebrate hosts, and climate change may alter their transmission patterns, raising concerns about transfusion-transmitted infections (TTB) in humans, particularly in North America.
  • TTB can lead to moderate-to-severe illness in patients, and while most cases are reported in the U.S., increased awareness and changing epidemiology could affect case numbers globally due to climate factors.
  • Microbiologists are crucial in minimizing TTB risks by developing blood donor screening methods, investigating cases, and creating guidelines, particularly in both endemic and non-endemic regions as the landscape of transmission evolves.
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Background And Objectives: Chagas disease, caused by Trypanosoma cruzi, is endemic to Mexico, Central and South America. While initially limited to the Americas, emigration of infected persons triggered geographically broader blood safety challenges. To mitigate transfusion-transmitted Chagas (TTC), transfusion services implemented approaches including risk factor questions and serologic testing.

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Tick-borne agents of disease continue to emerge and subsequently expand their geographic distribution. The threat to blood safety by tick-borne agents is ever increasing and requires constant surveillance concomitant with implementation of appropriate intervention methods. In April 2017, the Food and Drug Administration organized a public workshop on emerging tick-borne pathogens (excluding Babesia microti and Lyme disease) designed to provide updates on the current understanding of emerging tick-borne diseases, thereby allowing for extended discussions to determine if decisions regarding mitigation strategies need to be made proactively.

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Despite measures to mitigate risk of transfusion-transmitted infections, emerging agents contribute to morbidity and mortality. We outline the epidemiology, risk mitigation strategies, and impact on patients for Zika virus, bacteria, Babesia, and cytomegalovirus. Nucleic acid testing of blood has reduced risk of Zika infection and reduced transfusion-transmitted risk of Babesia.

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