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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-10-17
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pubmed:abstractText |
The aim of this study was to determine if using hepatitis C antibody (anti-HCV) enzyme immunoassay version 2.0 (EIA2) in addition to version 1.0 (EIA1) increased the safety of the blood supply. Blood non-reactive by anti-HCV EIA1 was transfused in 1990-92. Stored samples from 40098 units, donated prior to 13 March 1992 were later tested by EIA2. For donor units reactive for anti-HCV by EIA2, a recombinant immunoblot assay (RIBA2) was also carried out. In 63 cases, recipients of transfusions which were EIA2 negative or EIA2 reactive were tested for anti-HCV and elevated alanine aminotransferase (ALT) levels 9-12 months after transfusion; pretransfusion anti-HCV status of recipients was unknown. Among these multitransfused patients receiving units that were negative by both EIA1 and EIA2, 1/26 (4%) had anti-HCV. Among transfusion recipients of units negative by EIA1, but who received at least one unit reactive by EIA2, 4/37 recipients (11%) were anti-HCV reactive (P = 0.59). For the recipients of EIA2 reactive blood, when the donor unit was RIBA2 non-reactive, 0/23 recipients were reactive by anti-HCV. Among the recipients of a RIBA2 indeterminate unit, 1/10 recipients had anti-HCV, but for patients who received at least one RIBA2 reactive unit, 3/4 recipients had anti-HCV (P = 0.03). Hence, second-generation anti-HCV testing detected additional units capable of transmitting hepatitis C that were not detected by first-generation testing. However, RIBA2 is a more specific method than EIA2 for determining units capable of transmitting HCV.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1352-0504
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
73-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8790562-Aged,
pubmed-meshheading:8790562-Blood Donors,
pubmed-meshheading:8790562-Blood Transfusion,
pubmed-meshheading:8790562-Female,
pubmed-meshheading:8790562-Hepatitis C,
pubmed-meshheading:8790562-Hepatitis C Antibodies,
pubmed-meshheading:8790562-Humans,
pubmed-meshheading:8790562-Immunoenzyme Techniques,
pubmed-meshheading:8790562-Male,
pubmed-meshheading:8790562-Middle Aged
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pubmed:year |
1994
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pubmed:articleTitle |
Evidence that use of a second-generation hepatitis C antibody assay prevents additional cases of transfusion-transmitted hepatitis.
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pubmed:affiliation |
Sacramento Medical Foundation Blood Center, CA 95816, USA.
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pubmed:publicationType |
Journal Article
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