Transfusion-Transmitted Malaria Prevention Strategies

Summary

Transfusion-transmitted malaria is a rare but serious risk in both endemic and non-endemic regions, arising when Plasmodium spp. in donated blood bypasses pre-erythrocytic host defences. Prevention strategies combine rigorous donor selection, refined deferral policies and advanced diagnostic screening to balance safety with blood availability. In non-endemic settings, donor questionnaires, serological assays and nucleic acid tests are used to identify low-level infections in travellers or migrants. Endemic areas contend with high rates of asymptomatic parasitaemia, where rapid diagnostic tests and microscopy often lack sensitivity, prompting adoption of molecular and isothermal amplification methods. Pathogen reduction technologies and routine recipient prophylaxis further mitigate risk. Global collaboration on evidence-based policies and scalable diagnostics is pivotal to safeguarding transfusion safety while maintaining an adequate supply.

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Transfusion-Transmitted Malaria Prevention Strategies publication trend

The graph below shows the total number of articles in transfusion-transmitted malaria prevention strategies across all publications each year (not limited to Nature Index journals).

Technical terms

Asymptomatic parasitaemia: Presence of malaria parasites in the bloodstream without clinical symptoms.

Polymerase chain reaction (PCR): A molecular technique that amplifies DNA sequences to detect low-density infections.

Loop-mediated isothermal amplification (LAMP): A rapid nucleic acid amplification method performed at a constant temperature for pathogen detection.

Serological screening: Assessment of blood for antibodies to identify past or ongoing infections.

Deferral period: The mandated interval during which individuals are excluded from donating blood following potential malaria exposure.

References

  1. A systematic review of transfusion-transmitted malaria in non-endemic areas. Malaria Journal (2018).
  2. What is the best strategy for the prevention of transfusion-transmitted malaria in sub-Saharan African countries where malaria is endemic?. Malaria Journal (2013).
  3. Screening blood donors for malaria, can we increase the number of eligible donors? An observational retrospective study. Malaria Journal (2024).
  4. Evaluating 18s-rRNA LAMP and selective whole genome amplification (sWGA) assay in detecting asymptomatic Plasmodium falciparum infections in blood donors. Malaria Journal (2019).
  5. Still Searching for a Suitable Molecular Test to Detect Hidden Plasmodium Infection: A Proposal for Blood Donor Screening in Brazil. PLOS ONE (2016).

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