2016
DOI: 10.1016/j.tracli.2015.12.001
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Infection with human T-lymphotropic virus types-1 and -2 (HTLV-1 and -2): Implications for blood transfusion safety

Abstract: Many countries currently perform antibody screening for HTLV-1 infection in blood donors, and this intervention is likely cost-effective in preventing HTLV-1 related diseases in high prevalence countries. However, a number of high-income countries with low prevalence of HTLV-1 infection also perform universal HTLV-1 screening and debate has arisen regarding the cost-effectiveness of these strategies. Filter-based leukoreduction is likely to substantially reduce HTLV-1 transmission by removing infected lymphocy… Show more

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Cited by 72 publications
(64 citation statements)
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“…Although HTLV-1 was discovered in 1979, there is no recommendation for systematic screening worldwide. In particular, HTLV-1 prevalence is still poorly understood in several areas of East and North Africa and most parts of Asia, due mainly to a lack of solid data (Murphy, 2016). Furthermore, HTLV-1 and simian T-lymphotropic virus type 1 (STLV-1) can be considered as a single virus infecting and inducing diseases in two different species (Enose-Akahata et al, 2016).…”
Section: Research Priorities and Open Questionsmentioning
confidence: 99%
See 1 more Smart Citation
“…Although HTLV-1 was discovered in 1979, there is no recommendation for systematic screening worldwide. In particular, HTLV-1 prevalence is still poorly understood in several areas of East and North Africa and most parts of Asia, due mainly to a lack of solid data (Murphy, 2016). Furthermore, HTLV-1 and simian T-lymphotropic virus type 1 (STLV-1) can be considered as a single virus infecting and inducing diseases in two different species (Enose-Akahata et al, 2016).…”
Section: Research Priorities and Open Questionsmentioning
confidence: 99%
“…This article presents the consensus views of taskforce members regarding unsolved or controversial issues that hamper further understanding of HTLV-1 and the development of new approaches for diagnosis, prevention and therapy. For additional information on the molecular mechanisms of pathogenesis, immunological aspects, epidemiology and currently available therapies for HTLV-1 infection, readers are referred to a number of excellent review articles (Bangham et al, 2015;Matsuoka and Jeang, 2007;Pique and Jones, 2012;Murphy, 2016;Gessain and Cassar, 2012;Kato and Akashi, 2015).…”
Section: Introduction: the Global Burden Of Htlv-1 Infectionmentioning
confidence: 99%
“…This has been achieved by a combination of community education, non-remunerated voluntary blood donations, pre-donation donor questionnaires designed to elicit risk behaviors, universal donor screening, pathogen inactivation procedures incorporated into the production of plasma-derived products and the availability of pathogen reduction technologies for fresh blood components [2,[4][5][6][7]. Additionally, most countries perform serological screening for Treponema pallidum (syphilis) [8], while a number also screen for antibodies to human T-cell lymphotropic virus types 1 and 2 (anti-HTLV-1/2) [9,10] and bacterial contamination of platelet components [11].…”
mentioning
confidence: 99%
“…Therefore, laboratory screening assays for HTLV‐I/II in blood donors have been extensively implemented in developed countries and regions with high prevalence rate . Screening test for HTLV‐I/II has not been considered until a case of HTLV infection due to blood transfusion was identified for the first time in 2006 in Korea; anti‐HTLV‐I/II screening test using chemiluminescent microparticle immunoassay (CMIA) for blood donors was implemented in 2008.…”
Section: Introductionmentioning
confidence: 99%
“…7 Therefore, laboratory screening assays for HTLV-I/II in blood donors have been extensively implemented in developed countries and regions with high prevalence rate. 8 Screening test for HTLV-I/II has not been considered until a case of HTLV infection due to blood transfusion was identified for the first time in Conformité Européenne -marked Elecsys HTLV-I/II assay (Roche Diagnostics) has launched recently in Asian area. However, no clinical study using Korean specimens has been performed in terms of sensitivity and specificity so far.…”
mentioning
confidence: 99%