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1172.e2  Transfusion Therapy and Collection Techniques for Blood Banking



            Recommendations for Screening of Canine Blood Donors for Blood-Borne Pathogens
  VetBooks.ir  Agent*         Optimal Standards*  Minimal Standards   Comments
            Vector-Borne Pathogens: Testing Recommended
            Anaplasma
                                                dogs are an acceptable
                                                                      may be difficult. Use of seropositive but PCR-negative dogs as donors is
            phagocytophilum   Seronegative and   PCR-negative dogs. Seronegative   In areas endemic for Ixodes spp, identification of seronegative donors
                              PCR-negative dogs
                                                alternative if serologic testing is   considered acceptable in this situation. Because seronegative dogs are
                                                more economical or yields more   rarely PCR positive, serologic testing alone can be considered if serologic
                                                rapid turnaround time than PCR.  testing is more economical or yields more rapid turnaround time than
                                                                      PCR.
            Anaplasma platys  Seronegative and   PCR-negative dogs. Seronegative   In areas endemic for Rhipicephalus tick spp, identification of seronegative
                              PCR-negative dogs  dogs are an acceptable   donors may be difficult. Use of seropositive but PCR-negative dogs as
                                                alternative if serologic testing is   donors is considered acceptable in this situation. Because seronegative
                                                more economical or yields more   dogs are rarely PCR positive, serologic testing alone can be considered
                                                rapid turnaround time than PCR.  if serologic testing is more economical or yields more rapid turnaround
                                                                      time than PCR. Because not all serologic assays are known to detect A.
                                                                      platys antibodies, the minimal standard is PCR.
            Babesia canis vogeli  Seronegative and PCR   PCR negative  High-risk dogs include greyhounds and those with a history of exposure
                              negative, especially in                 to Rhipicephalus ticks.
                              high-risk dogs
            Babesia gibsoni   Seronegative and PCR   PCR negative     High-risk dogs include pit bull terriers and donors with a history of
                              negative, especially in                 aggressive interactions with pit bull terriers.
                              high-risk dogs
            Other Babesia spp  PCR-negative dogs  PCR-negative dogs or no   Serology is not available; distribution is limited, so screening can be
                                                screening             considered optional.
            Bartonella henselae  Seronegative and BAPGM   PCR-negative dogs  Serology is negative in more than 50% of clinical cases and should not
                              culture–PCR-negative dogs               be used alone for screening. PCR without BAPGM culture enrichment
                                                                      is insensitive for detection of Bartonella bacteremia in dogs, but the
                                                                      overall prevalence of infection in dogs is low. When testing with BAPGM
                                                                      culture–PCR is not practical because of expense and/or turnaround time,
                                                                      serology combined with PCR or PCR alone can be considered.
            Bartonella vinsonii var   Seronegative and BAPGM   PCR-negative dogs  See Bartonella henselae
            berkhoffi         culture– PCR-negative dogs
            Other Bartonella spp  BAPGM culture–PCR-  No screening    Serologic assays are species specific and are not available for many
                              negative dogs                           species; most are not as prevalent as B. henselae or B. vinsonii, and
                                                                      their pathogenicity is less well established.
            Ehrlichia canis   Seronegative and   Seronegative dogs or PCR-  All donors should be screened. Seronegative dogs are rarely PCR
                              PCR-negative dogs  negative dogs        positive, and serologic testing alone can be considered if serologic testing
                                                                      is more economical or yields more rapid turnaround time than PCR. In
                                                                      contrast to A. phagocytophilum, seropositive dogs should not be used as
                                                                      donors because E. canis is a significant pathogen and PCR assays are
                                                                      insensitive for ruling out the infection in chronically infected dogs.
            Ehrlichia chaffeensis  Seronegative and   PCR-negative dogs in high-risk   High-risk areas are the southeastern United States and the mid-Atlantic
                              PCR-negative dogs  areas; no screening of low-risk   states. Not all serologic assays are known to detect antibodies to E.
                                                areas                 chaffeensis.
            Ehrlichia ewingii  Seronegative and   Seronegative dogs or PCR-  High-risk areas are those endemic for Amblyomma americanum ticks.
                              PCR-negative dogs  negative dogs in high-risk areas;   Not all serologic assays are known to detect antibodies to E. ewingii.
                                                no screening of low-risk areas
            Hepatozoon canis/  PCR-negative dogs  No screening        Serologic assays are not available for routine diagnosis in the United
            americanum                                                States. Testing using PCR is strongly recommended in endemic regions
                                                                      (southeastern and south central United States). Natural transmission
                                                                      requires ingestion of an infected tick; transmission by blood transfusion
                                                                      has not been documented.



















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