Rationale against Preoperative Screening for HIV in Polish Hospitals: A Prevalence Study of Anti-HIV in Contrast to Anti-Hepatitis C Virus and Hepatitis B Surface Antigen

2009 ◽  
Vol 30 (12) ◽  
pp. 1227-1229 ◽  
Author(s):  
Maria Gańczak ◽  
Zbigniew Szych

We describe the prevalence of anti-human immunodeficiency virus (anti-HIV) among a sample of 1,652 surgical and gynecologic patients in Polish hospitals, contrasting it with the prevalence of hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (anti-HCV) to assess the rationale for preoperative testing. No anti-HIV-positive samples were found; the prevalence of anti-HCV was 0.9%, slightly higher than the prevalence of HBsAg of 0.6%. Universal preoperative screening of hospital patients for HIV is currently not warranted according to the Centers for Disease Control and Prevention guidelines. However, the seroprevalence of HIV should be reassessed periodically.

2017 ◽  
Vol 4 (3) ◽  
pp. 896
Author(s):  
Ashish Pradhan ◽  
Dheeraj Khatri ◽  
Luna Adhikari

Background: There is a high prevalence of HIV infection in adolescents of India, especially the north eastern states but awareness on blood borne viral infections among them is poor.Methods: Four hundred and ninety students aged thirteen to nineteen from seven schools and seven colleges of East Sikkim were interviewed on behavior related to transmission of blood borne viral infections and their blood was tested for Hepatitis B surface antigen, anti-Human Immunodeficiency virus and Hepatitis C virus antibodies.Results: None of the students tested positive for anti-Human Immunodeficiency virus and Hepatitis C virus antibodies and only one tested positive for Hepatitis B surface antigen. 6.7% of students gave history of heterosexual relationship.Conclusions: Despite the presence of behaviors associated with risk of acquiring blood borne viral infections in our adolescents we found a low prevalence of these infections, hence there is a need to do similar studies involving more and different cohort of adolescents.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Tulika Chandra ◽  
S. Nishat Fatima Rizvi ◽  
Devisha Agarwal

Transfusion transmitted infections are major problem associated with blood transfusion. Accurate estimates of risk of TTIs are essential for monitoring the safety of blood supply and evaluating the efficacy of currently employed screening procedures. The present study was carried out to assess the percentage of voluntary donors and replacement donors and to find out prevalence and changing trends of various TTIs blood donors in recent years. A study was carried out on blood units of voluntary and replacement donors which were collected from January 2008 to December 2012. On screening of 180,371 replacement units, seropositivity of transfusion transmitted disease in replacement donors was 0.15% in HIV, 1.67% in hepatitis B surface antigen, 0.49% in hepatitis C virus, 0.01% in VDRL, and 0.009% in malaria. Of 11,977 voluntary units, seropositivity of transfusion transmitted disease in voluntary donors was 0.08% in HIV, 0.24% in hepatitis B surface antigen, 0.001% in hepatitis C virus, 0.008% in VDRL (sexually transmitted disease), and 0.01% in malaria. From results it has been concluded that prevalence of transfusion transmitted infection (HIV, HBV, HCV, VDRL, and malaria) was more in replacement donors in comparison to voluntary donors. Extensive donor selection and screening procedures will help in improving the blood safety.


2016 ◽  
Vol 9 (1) ◽  
pp. 280 ◽  
Author(s):  
Maryam Dafei ◽  
Shiv K. Sarin ◽  
Anjur T. Kannan ◽  
Kamal Agrawal ◽  
Suneela Garg ◽  
...  

<p><strong>BACKGROUND &amp; AIM: </strong>Occupational exposure to blood-borne pathogens, mainly human immunodeficiency virus (HIV), hepatitis B (HBV) and hepatitis C (HCV), poses a serious risk to healthcare workers (HCWs), especially in developing countries, due to the high prevalence of these pathogens and fewer safety precautions. The aim of this study was to investigate the seroprevalence of HBV, HCV, and HIV infections and to measure the vaccination practices in HCWs at three tertiary care hospitals in Delhi, India.</p><p><strong>METHOD:</strong> In a descriptive (cross-sectional) study, the HCWs of three tertiary hospitals were selected by simple random sampling and divided into four different groups (nurses, laboratory and operational theater technicians, doctors and housekeeping workers). The participants were screened for the presence of hepatitis B surface antigen (HBs Ag), antibody to hepatitis B surface antigen (anti HBs), antibody to hepatitis C (anti HCV), and antibody to HIV (anti HIV). From June 2010 to April 2012, a structured questionnaire was administered to 850 HCWs after obtaining consent.</p><p><strong>RESULTS: </strong>Among 850 HCWs, 51.8% were nurses and 50.6% were female with a mean (SD) age of 34(8.7) years.  The overall seroprevalence of HBsAg, anti-HCV, and anti-HIV was 1.1%, 0.3%, and 0.1%, respectively. There was a high proportion of HBsAg positivity among housekeeping workers (4.9%) followed by nurses (3.3%). Out of 9 positive cases of HBsAg, 66% (6) were never vaccinated and out of a total of 11 positive subjects, 72 % (8) had previous exposure in the workplace. Complete HBV vaccination was done in 78.2% (605) of the HCWs and 11.3% (75) were partially vaccinated. Only 20.1% had checked their anti-HBs. Protective (&gt;10 IU/mL) anti-HBs was seen in 70.6% (600) of the participants, indicating that nearly one third of HCWs were not protected against HBV infection. The majority of the study subjects (63.6%) believed that they were immunized against hepatitis B and did not need to check the immunity titer.</p><p><strong>CONCLUSION: </strong>Not all HCWs were vaccinated and the majority of vaccinated subjects did not know their immunity level. Housekeeping workers had a high seropositivity rate of infections and a low rate of vaccination against HBV. Institutional policy and training were found to be of paramount importance to improve the quality of health in HCWs.</p>


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