Leishmania infection in blood donors: A new challenge in leishmaniasis transmission?

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFRANCA, Adriana de Oliveira
dc.contributor.authorPOMPILIO, Mauricio Antonio
dc.contributor.authorPONTES, Elenir Rose Jardim Cury
dc.contributor.authorOLIVEIRA, Marcia Pereira de
dc.contributor.authorPEREIRA, Luiza Oliveira Ramos
dc.contributor.authorLIMA, Rosimar Baptista
dc.contributor.authorGOTO, Hiro
dc.contributor.authorSANCHEZ, Maria Carmen Arroyo
dc.contributor.authorFUJIMORI, Mahyumi
dc.contributor.authorLIMA-JUNIORS, Manoel Sebastiao da Costa
dc.contributor.authorMATOS, Maria de Fatima Cepa
dc.contributor.authorDORVAL, Maria Elizabeth Moraes Cavalheiros
dc.date.accessioned2018-09-13T15:26:02Z
dc.date.available2018-09-13T15:26:02Z
dc.date.issued2018
dc.description.abstractTransfusion-transmitted leishmaniasis has been a concern in regions endemic for the disease. Whether immediate or delayed, the risks posed by this mode of transmission call for careful assessment. The purpose of this study was to detect Leishmania infection in blood donors living in an endemic area and to investigate progression to the disease in these individuals. Immunofluorescent antibody test, enzyme-linked immunosorbent assay, leishmaniasis rapid test, and the polymerase chain reaction were applied to 430 donors in an initial evaluation. Of those donors with at least one positive test, 50 were reevaluated four years later by the same methods, as were 25 controls who had been negative on the same tests. In the first evaluation, Leishmania infection was detected in 41.4% (95% CI: 36.7-46.1) of donors (n = 430). None of the 75 reevaluated individuals had developed the disease, but retesting revealed positivity in at least one test in 36.0% (95% CI: 25.1-46.9) of donors. Of the 50 initially testing positive, 50% remained so on retesting. Of the 25 initially negative controls, two tested positive in the subsequent evaluation. The severity of the parasitosis and the risk of transfusion transmission warrant investigation of the potential inclusion of methods for Leishmania detection into blood banks for effective screening of infected donors.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Apoio ao Desenvolvimento do Ensino, Ciencia e Tecnologia do Estado de Mato Grosso do Sul (Fundect) [0191/12, SIAFEM:020919, 23/200.686/2012, 114/2014, SIAFEM:023670, 23/200.262/2014]
dc.identifier.citationPLOS ONE, v.13, n.6, article ID e0198199, 13p, 2018
dc.identifier.doi10.1371/journal.pone.0198199
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/28207
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCE
dc.relation.ispartofPlos One
dc.rightsopenAccess
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCE
dc.subject.otherasymptomatic visceral leishmaniasis
dc.subject.otheramerican tegumentary leishmaniasis
dc.subject.otherendemic area
dc.subject.otherkala-azar
dc.subject.otherdonovani infection
dc.subject.othernortheastern brazil
dc.subject.otherinfantum infection
dc.subject.otherdiagnostic methods
dc.subject.otherperipheral-blood
dc.subject.otherbalearic-islands
dc.subject.wosMultidisciplinary Sciences
dc.titleLeishmania infection in blood donors: A new challenge in leishmaniasis transmission?
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalFRANCA, Adriana de Oliveira:Univ Fed Mato Grosso do Sul, Grad Program Infect & Parasit Dis, Lab Clin Parasitol, Campo Grande, MS, Brazil
hcfmusp.author.externalPOMPILIO, Mauricio Antonio:Univ Fed Mato Grosso do Sul, Helio Mandetta Sch Med, Campo Grande, MS USA
hcfmusp.author.externalPONTES, Elenir Rose Jardim Cury:Univ Fed Mato Grosso do Sul, Grad Program Infect & Parasit Dis, Campo Grande, MS USA
hcfmusp.author.externalOLIVEIRA, Marcia Pereira de:Inst Oswaldo Cruz, Interdisciplinary Lab Med Res LIPMed, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalPEREIRA, Luiza Oliveira Ramos:Inst Oswaldo Cruz, Interdisciplinary Lab Med Res LIPMed, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalLIMA, Rosimar Baptista:Inst Oswaldo Cruz, Interdisciplinary Lab Med Res LIPMed, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalLIMA-JUNIORS, Manoel Sebastiao da Costa:Fundacao Oswaldo Cruz, Ageu Magalhaes Res Ctr CPqAM, Lab Immunopathol & Mol Biol, Recife, PE, Brazil
hcfmusp.author.externalMATOS, Maria de Fatima Cepa:Univ Fed Mato Grosso do Sul, Lab Mol Biol & Cell Culture, Campo Grande, MS, Brazil
hcfmusp.author.externalDORVAL, Maria Elizabeth Moraes Cavalheiros:Univ Fed Mato Grosso do Sul, Grad Program Infect & Parasit Dis, Lab Clin Parasitol, Campo Grande, MS, Brazil
hcfmusp.citation.scopus18
hcfmusp.contributor.author-fmusphcHIRO GOTO
hcfmusp.contributor.author-fmusphcMARIA CARMEN ARROYO SANCHEZ
hcfmusp.contributor.author-fmusphcMAHYUMI FUJIMORI
hcfmusp.description.articlenumbere0198199
hcfmusp.description.issue6
hcfmusp.description.volume13
hcfmusp.origemWOS
hcfmusp.origem.pubmed29902188
hcfmusp.origem.scopus2-s2.0-85057257368
hcfmusp.origem.wosWOS:000435424900015
hcfmusp.publisher.citySAN FRANCISCO
hcfmusp.publisher.countryUSA
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