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Cytomegalovirus in Australian blood donors: Seroepidemiology and seronegative red blood cell component inventories
Journal article   Peer reviewed

Cytomegalovirus in Australian blood donors: Seroepidemiology and seronegative red blood cell component inventories

D V Lancini, Helen M Faddy, S Ismay, S Chesneau, C Hogan and R L Flower
Transfusion, Vol.56(6, Part 2), pp.1616-1621
2016
url
https://doi.org/10.1111/trf.13459View
Published Version

Abstract

Cardiovascular Medicine and Haematology Clinical Sciences Immunology
BACKGROUND: Cytomegalovirus (CMV) can lead to severe disease in high-risk subpopulations. To prevent transfusion-transmitted CMV in these patient groups, the Australian Red Cross Blood Service maintains inventories of CMV-seronegative fresh blood components. STUDY DESIGN AND METHODS: Donor demographic data and CMV seroscreening results for all blood donations and blood components issued in Australia between financial years (FYs) 2008/09 to 2012/13 inclusive were obtained. Population estimates were also extracted for the calculation of age-weighted seroprevalence estimates. Linear regression was used to model trends in red blood cell (RBC) component acquisition and demand. RESULTS: The estimated age-weighted seroprevalence of CMV in 20-to 69-year old Australians was 76.12±0.13%, with higher seroprevalence in females and older age groups. Seroprevalence decreased over the study period, while the demand for CMV-seronegative RBC components increased. It was predicted that component acquisition may be insufficient by FY 2017/18 if current trends persist. CONCLUSION: These findings represent an evaluation of CMV seroepidemiology in Australia and form a basis to predict the future status of CMV-seronegative RBC component inventories. The results will serve to guide Blood Service operations and inform current international debate on CMV-safe blood components.

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Hematology

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