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BB Exam 4 - Transfusion Transmitted Disease & Donor Testing
Lecture 24
54
Biology
Undergraduate 3
03/14/2015

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Term
What is the risk of obtaining HIV by transfusion?
Definition
1:2,125,000
Term
In 1995, FDA recommended blood be screened for what AGN to detect HIV a week earlier?
Definition
HIV p24
Term
True or False:
The risk of transfusing ABO incompatible blood is GREATER than the combined risks of ALL transfusions associated viral infections
Definition
True
Term
Which types of Hepatitis are the biggest threat when looking at blood transfusions?
Definition
B & C
Term
Viruses that persist where pose the greatest problems?
Definition
Blood
Term
True or False:
There are only a few documented cases reported ever on viruses that persist in the blood
Definition
True
Term
______ causes disease only when prior or concomitant infection with HBV
Definition
HDV
Term
True or False:
There are NO reported cases of transfusion spread of HEV
Definition
True
Term
True or False:
HCV & HBV can be subclinical or overt with jaundice, fatigue, vomiting, and elevated liver enzymes
Definition
True
Term
Which is generally milder HBV or HCV?
Definition
HCV
Term
What can both HBV & HCV result in?
Definition
Cirrhosis
Eventually Hepatocellular Carcinoma
Term
______ is the first serologic test to become positive 2-6 weeks after exposure to Hepatitis
Definition
HBsAg
Term
Before testing for HCV, you should use _____ ____ such as ALT
Definition
Surrogate Markers
Term
AIDS is caused by ______
Definition
HIV-1
Term
Within a few year, over _____% of the hemophiliacs receiving clotting factor developed HIV
Definition
50%
Term
HIV-__ is endemic in W. Africa, but rarely seen elsewhere
Definition
2
Term
True or False:
All blood components can transmit HIV-1
Definition
True
Term
By the mid 1990s, over _____ cases of AIDS attributed to transfusion
Definition
7500
Term
By the mid 1990s, _____ cases of AIDS attributed to hemophiliacs receiving clotting factors
Definition
4200
Term
Now, the seronegative window for HIV is how many days?
Definition
22-25 days
Term
What electrophoresis should you run to confirm HIV screening test?
Definition
Western Blot
Term
"Look-Back" refers to what or whom?
Definition
ID of persons who received seronegative blood from a donor later found to be infected with HIV
Term
______ is associated with adult T-cell lymphoma
Definition
HTLV-1
Term
Leukemia is what percentage of the people who have the HTLV-1 virus?
Definition
2-4%
Term
Which Human T-cell Lymphotropic Virus is seen in Japan, sub-Saharan Africa, Caribbean, and Brazil?
Definition
HTLV-1
Term
Which Human T-cell Lymphotropic Virus is seen in Nation Americans and IV drug users in the U.S.A.?
Definition
HTLV-2
Term
True or False:
BOTH HTLV-1 & HTLV-2 persist for life and are transmitted sexually or by parenteral exposure to blood
Definition
True
Term
What type of Transfusion Transmitted Disease is common, usually benign, and the viral infection is seen in 50-70% of people?
Definition
CMV
Term
What illness is CMV like?
Definition
Mono-like illness
Term
CMV can be Very Serious in what type of patients?
Definition
Premature infants
Immunosuppressed
-Especially Transplant Patients
Term
What type of patients MUST be protected from getting CMV?
Definition
Low Birth Weight Infants
Inutero Transfusions
Seronegative bone marrow transplant patients
Term
What type of blood can you give to patients who must be protected from getting CMV?
Definition
Seronegative blood
Leukodepleted RBCs
Term
How often are the following passed through infected blood:
Epstein-Barr, parvovirus, Colorado Tick Fever
Definition
Rarely
Term
What is the name of the Fatal disease caused by proteinaceous material called prion?
Definition
Creutzfeldt-Jakob Disease
Term
How often does Creutzfeldt-Jakob Disease occur in the U.S.A.?
Definition
1:1,000,000
Term
Fatal cases of Creutzfeldt-Jakob Disease have been transmitted through what?
Definition
Growth hormone derived from human pituitary
Corneal transplants
Term
True or False:
There has never been a reported case of Creutzfeldt-Jakob Disease from blood transfusions
Definition
True
Term
How many cases of West Nile Virus occurred from transfusions in 2002?
Definition
23
Term
What percent of transfusion fatalities are usually from donor venipuncture or unapparent baceremia?
Definition
16%
Term
There is a ____% mortality rate in the recipient especially if the bacteria produce endotoxins
Definition
26%
Term
What is the #1 cause of Transfusion Transmitted Diseases due to bacteria?
Definition
Yersinia
Term
True or False:
There have been cases of autologous sepsis from bacteria growing during storage
Definition
True
Term
True or False:
CMV is NOT a FDA required test for volunteer donors
Definition
True
Term
What is the most common parasitic infection from blood in the U.S.A?
Definition
Malaria
Term
How common is Malaria from blood transfusion in the U.S.A?
Definition
0.25:1,000,000
Term
What is Babesia caused by?
Definition
Babesia microfti from infected deer tick
Term
True or False:
Transfusion transmitted cases of Babesia are usually Very Mild but in Rare Cases can produce chills, headache, and hemolysis in immunocompromised patients
Definition
True
Term
True or False:
There is NO Screening Test for Babesia
Definition
True
Term
Treponema pallidum cannot live for more than a few days at what temperature?
Definition
4 degrees Celsius
Term
Test for syphilis would not prevent because seroconversion occurs well after the phase of what?
Definition
Spirochetemia
Term
_____ is done to detect potentially high-risk behavior that makes transmission of organisms other than Treponema pallidum more likely
Definition
VDRL
Term
What is the cause of Chagas?
Definition
Trypanosoma cruzi endemic in South & Central America
Term
True or False:
There is no way atm to remove viruses from RBCs and Platelets in vitro
Definition
True
Term
What are the following considered:
Pasteurization
Cold ehtanol precipitation
organic solvents & detergents
Definition
Ways to prevent infectious diseases
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