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Recommendations for Deferral of Donors and Quarantine and Retrieval of Blood and Blood Products in Recent Recipients of Smallpox Vaccine (Vaccinia Virus) and Certain Contacts of Smallpox Vaccine Recipients: Guidance for Industry

FinalCenter for Biologics Evaluation and Research12/30/2002

Description

This guidance document provides the current recommendations of the Food and Drug Administration (FDA) for assessment of donor suitability and quarantine and retrieval of blood and blood products in cases of donors exposed to vaccinia virus, which is the virus used in smallpox vaccines. The presence of vaccinia virus in transfused blood or plasma could be harmful to some recipients. Although the presence of vaccinia virus in blood (viremia) has rarely been documented, this possibility has not been assessed using modern laboratory techniques. Therefore, the risk of transmission of vaccinia virus by blood and blood products is uncertain.

Scope & Applicability

Product Classes

5
Whole Blood

Blood component subject to the recommendations in this guidance

Source Plasma

Specific blood component with distinct testing recommendations; Recommendations for testing Source Plasma differ from whole blood.

Source Leukocytes

Blood component intended for further manufacture

Blood and Blood Products

Subject of donor eligibility recommendations

Pooled plasma

Products for further fractionation that need not be quarantined

Stakeholders

4
blood establishments

Entities that collect blood and blood components; Entities responsible for testing donations and complying with regulations.

donors

The data for a minimum of six donors should be used

Donor

Potential HCT/P donor screening

Medical directors

Responsible for considering record tracing and notification

Regulatory Context

Attributes

1
Deferral period

Revised to 3 months following treatment

Identified Hazards

Hazards

2
transmission of vaccinia virus

The risk of transmission by blood and blood products is uncertain.

Infectious skin disease

Risk of contamination of blood and plasma

Related CFR Sections (2)

See Also (8)

Recommendations for Deferral of Donors and Quarantine and Retrieval of Blood and Blood Products in Recent Recipients of Smallpox Vaccine (Vaccinia Virus) and Certain Contacts of Smallpox Vaccine Recipients: Guidance for Industry | Guideline Explorer | BioRegHub