Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma

Hepatitis E has emerged as a major transfusion-transmitted infectious risk. Two recipients of plasma from 2 lots (A and B) of pooled solvent/detergent–treated plasma were found to be infected by hepatitis E virus (HEV) that was determined to have been transmitted by the solvent/detergent–treated pla...

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Main Authors: Pierre Gallian, Sébastien Lhomme, Pascal Morel, Sylvie Gross, Carole Mantovani, Lisette Hauser, Xavier Tinard, Elodie Pouchol, Rachid Djoudi, Azzedine Assal, Florence Abravanel, Jacques Izopet, Pierre Tiberghien
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2020-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/26/12/19-1482_article
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author Pierre Gallian
Sébastien Lhomme
Pascal Morel
Sylvie Gross
Carole Mantovani
Lisette Hauser
Xavier Tinard
Elodie Pouchol
Rachid Djoudi
Azzedine Assal
Florence Abravanel
Jacques Izopet
Pierre Tiberghien
author_facet Pierre Gallian
Sébastien Lhomme
Pascal Morel
Sylvie Gross
Carole Mantovani
Lisette Hauser
Xavier Tinard
Elodie Pouchol
Rachid Djoudi
Azzedine Assal
Florence Abravanel
Jacques Izopet
Pierre Tiberghien
author_sort Pierre Gallian
collection DOAJ
description Hepatitis E has emerged as a major transfusion-transmitted infectious risk. Two recipients of plasma from 2 lots (A and B) of pooled solvent/detergent–treated plasma were found to be infected by hepatitis E virus (HEV) that was determined to have been transmitted by the solvent/detergent–treated plasma. HEV RNA viral loads were 433 IU in lot A and 55 IU in lot B. Retrospective studies found that 100% (13/13) of evaluable lot A recipients versus 18% (3/17) of evaluable lot B recipients had been infected by HEV (p<0.001), albeit not necessarily at time of transfusion. Among evaluable recipients, 86% with a transfused HEV RNA load >50,000 IU were infected, most likely by the HEV-containing solvent/detergent–treated plasma, versus only 7% with a transfused HEV RNA load <50,000 IU (p<0.001). Overall, solvent/detergent–treated plasma might harbor HEV. Such an occurrence might result in a dose-dependent risk for transfusion-transmitted hepatitis E.
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spelling doaj.art-f72c671610904ac899a0d84e9c7f5a3d2022-12-22T00:56:40ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-12-0126122881288610.3201/eid2612.191482Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated PlasmaPierre GallianSébastien LhommePascal MorelSylvie GrossCarole MantovaniLisette HauserXavier TinardElodie PoucholRachid DjoudiAzzedine AssalFlorence AbravanelJacques IzopetPierre TiberghienHepatitis E has emerged as a major transfusion-transmitted infectious risk. Two recipients of plasma from 2 lots (A and B) of pooled solvent/detergent–treated plasma were found to be infected by hepatitis E virus (HEV) that was determined to have been transmitted by the solvent/detergent–treated plasma. HEV RNA viral loads were 433 IU in lot A and 55 IU in lot B. Retrospective studies found that 100% (13/13) of evaluable lot A recipients versus 18% (3/17) of evaluable lot B recipients had been infected by HEV (p<0.001), albeit not necessarily at time of transfusion. Among evaluable recipients, 86% with a transfused HEV RNA load >50,000 IU were infected, most likely by the HEV-containing solvent/detergent–treated plasma, versus only 7% with a transfused HEV RNA load <50,000 IU (p<0.001). Overall, solvent/detergent–treated plasma might harbor HEV. Such an occurrence might result in a dose-dependent risk for transfusion-transmitted hepatitis E.https://wwwnc.cdc.gov/eid/article/26/12/19-1482_articlehepatitis E virusHEVvirusestransmissionsolvent/detergent–treated plasmaplasma
spellingShingle Pierre Gallian
Sébastien Lhomme
Pascal Morel
Sylvie Gross
Carole Mantovani
Lisette Hauser
Xavier Tinard
Elodie Pouchol
Rachid Djoudi
Azzedine Assal
Florence Abravanel
Jacques Izopet
Pierre Tiberghien
Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
Emerging Infectious Diseases
hepatitis E virus
HEV
viruses
transmission
solvent/detergent–treated plasma
plasma
title Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
title_full Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
title_fullStr Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
title_full_unstemmed Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
title_short Risk for Hepatitis E Virus Transmission by Solvent/Detergent–Treated Plasma
title_sort risk for hepatitis e virus transmission by solvent detergent treated plasma
topic hepatitis E virus
HEV
viruses
transmission
solvent/detergent–treated plasma
plasma
url https://wwwnc.cdc.gov/eid/article/26/12/19-1482_article
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