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Discordant human T-lymphotropic virus screening with Western blot confirmation: evaluation of the dual-test algorithm for US blood donations
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---3July 20242023/2024A+
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creening for human T-lymphotropic virus (HTLV) 
antibodies in the United States was mandated by 
the Food and Drug Administration (FDA) in 1988 
(first for HTLV-1 followed by HTLV-2 in 1998).1 
In 
the United States, HTLV prevalence is relatively low at 3.37 
per 100,000 donations collected from 2011 to 2012.2 HTLV 
screening has used a dual-testing algorithm beginning 
with either a chemiluminescent immunoassay or an 
enzyme-linked immunosorbent screening assay (ELISA). 
Before the availabil...
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