Evidence map›Paper›PMID 28488962›Full record

ArticleBlood transfusion = Trasfusione del sangue2018

Strategies for reducing the risk of transfusion-transmitted leishmaniasis in an area endemic for Leishmania infantum: a patient- and donor-targeted approach.

Teresa Jimenez-Marco, Cristina Riera, Enrique Girona-Llobera, Carmen Guillen, Laura Iniesta, Magdalena Alcover, Diana Berenguer, Alba Pujol, Miriam Tomás-Pérez, Beatriz Cancino-Faure and 4 more

Open access · greenAbstract read
In one paragraph

Article in Blood transfusion = Trasfusione del sangue, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Commentary on the Issue ofVeterinary sciences · 2025
    Article
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  3. Assessment of Risk of Exposure toPathogens (Basel, Switzerland) · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Teresa Jimenez-MarcoBlood and Tissue Bank Foundation of the Balearic Islands, Majorca, Spain.
Cristina RieraParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Enrique Girona-LloberaBlood and Tissue Bank Foundation of the Balearic Islands, Majorca, Spain.
Carmen GuillenParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Laura IniestaParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Magdalena AlcoverParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Diana BerenguerParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Alba PujolParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Miriam Tomás-PérezParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Beatriz Cancino-FaureParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Teresa SerraUniversity Institute for Research in Clinical Sciences (IUNICS), Majorca, Spain.
Martín MascaróSon Llàtzer Hospital, Majorca, Spain.
Joan GascóSon Espases University Hospital, Majorca, Spain.
Roser FisaParasitology Laboratory, Faculty of Pharmacology, University of Barcelona, Barcelona, Spain.
Hospital Son Llatzer · ESHospital Universitario Son Espases · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the Balearic Islands, as in other areas of the Mediterranean basin, there is a significant proportion of asymptomatic Leishmania (L.) infantum-infected blood donors, who may represent an important threat to transfusion safety. The Balearic Islands blood bank, located in an area endemic for L. infantum, carried out a study of donors and patients to investigate the impact of this infectious disease on blood safety in the region. MATERIALS AND

methodsTwenty asymptomatic Leishmania-infected blood donors were followed-up between 2008 and 2011 to investigate the evolution of Leishmania infection in asymptomatic carriers. Their blood was periodically tested for anti-Leishmania antibodies by western blot and for Leishmania DNA by quantitative polymerase chain reaction (qPCR). Additionally, the prevalence of L. infantum infection was investigated in a group of 68 multiply transfused patients to ascertain the risk of transfusion-transmitted leishmaniasis (TTL) in the region, taking into account regular blood component production practices such as pre-storage leucodepletion and pathogen reduction technology.

resultsAll 20 donors remained asymptomatic over the study period (2008-2011). Most donors had repeatedly positive qPCR results, either persistently or intermittently, but showed no symptoms of Leishmaniasis. Levels of parasitaemia were remarkably low in asymptomatic donors, with values ≤1 parasite/mL. Despite multiple transfusions received over 15 years, no transfused patient studied was infected with L. infantum. DISCUSSION: L. infantum-infected donors can remain asymptomatic for at least 3 years. In our region, no cases of TTL were detected, despite an active search in multiply transfused patients. This seems to be related to two independent variables: (i) a low concentration of the parasite in the peripheral blood of asymptomatic carriers and (ii) the application of methods with proven efficacy against TTL, such as leucodepletion and pathogen reduction technology.

Indexed as

Blood BanksBlood DonorsBlood TransfusionDonor SelectionLeishmania infantumLeishmaniasis, VisceralAdultDNA, ProtozoanEndemic DiseasesFemaleHumansMaleMiddle AgedReal-Time Polymerase Chain ReactionSpainDNA, Protozoan

Identifiers

PMID28488962
PMCPMC5839609
OpenAlexW2626770894

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.