Record number:
583
Adverse Occurrence type:
MPHO Type:
Alerting signals, symptoms, evidence of occurrence:
12 recipients had bone allografts from a HIV-infected donor, 4 became HIV-positive. The donor was not been tested before the grafts were harvested, as HIV-antibody detection was not possible at the time (October 1984); no HIV-antibody kits had yet been developed. Subsequent testing of the archived serum for HIV antibodies gave a positive result.
Demonstration of imputability or root cause:
Proven by archive serum testing.
Imputability grade:
3 Definite/Certain/Proven
Keywords:
Suggest references:
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