Publications by authors named "V Scalia"

Hepatitis E virus (HEV) is the most common cause of acute hepatitis worldwide including large water-borne outbreaks, zoonotic infections and transfusion transmissions. Several countries have initiated or are considering blood donor screening in response to high HEV-RNA donation prevalence leading to transfusion-transmission risk. Because HEV transmission is more common through food sources, the efficacy of blood donor screening alone may be limited.

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Background: We assessed donor return rates, donation frequency, and factors related to the evolution of ferritin levels 2 years after entering donors into a large operational study of ferritin testing.

Study Design And Methods: Ferritin testing was done on donors from representative clinics (n = 12,595). Low-ferritin donors (<25 μg/L) were informed and not called for 6 months to book a donation.

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Assignment of CMV infection status in infants awaiting SOT is challenging as passive maternal antibody can lead to false-positive serology. Since 2000, our protocol has recommended sending throat and urine samples for CMV viral detection, culture, or NAAT, for CMV-seropositive infants <18 months awaiting SOT. We reviewed pretransplant CMV serology for 152 infants and, for CMV seropositives, examined relationships between CMV IgG OD values, age, and CMV viral detection to explore time to clearance of maternal CMV IgG and evaluate viral detection in assignment of pretransplant CMV infection status.

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Article Synopsis
  • Hepatitis E virus (HEV) is becoming a significant concern in transfusion medicine, with studies showing its higher prevalence among blood donors than previously thought, posing risks to vulnerable recipients.
  • A study of 13,993 Canadian blood donors utilized PCR and antibody testing, finding no PCR-positive cases but a seroprevalence of 5.9%, with male sex and older age linked to higher positivity rates.
  • The research indicates low lifetime exposure to HEV in Canada and suggests that instances of infectious blood donations are quite rare.
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