NAT testing has become an integral part in the safety programs of both plas
ma fractionators and transfusion services. NAT testing for HCV RNA is now m
andatory for plasma fractionators in Europe and for transfusion services in
Germany and Austria. Before NAT testing of plasma could become mandatory,
a defined environment had to be created to allow comparison of different NA
T procedures. To create such an environment, international virus standards,
as well as guidelines for validation, assessment of robustness, and qualit
y assurance of NAT have been released. This paper is a critical review of c
urrently available standards and national reference preparations, detection
limits, and national regulations of NAT in view of the specific nature of
NAT. (C) 1999 The International Association for Biologicals.