scholarly journals A retrospective analysis of trends of HIV and syphilis among blood donors in north India

Author(s):  
P. K. Sehgal ◽  
Dinesh Garg

Background: In India, it is mandatory to screen blood donors for HIV, hepatitis B, hepatitis C, syphilis and malaria. The donor screening strategies include taking the elaborate medical history, performing preliminary clinical examination and screening for infectious markers. The infectious markers include anti-HIV (1 and 2) antibodies, hepatitis B surface antigen (HBsAg), anti-hepatitis C virus antibodies, and malaria antigens, such as histidine rich protein (HRP) and pan-aldolase. National adult (15-49 years) HIV prevalence is estimated at 0.26% (0.22%-0.32%) in 20155 (0.30% among males and 0.22% among females). The objective of this study was to be carried out with the aim to find out the seroprevalence of HIV infection and its trend among the blood donors a hospital based blood transfusion service set up in north India over a period of six years.Methods: It was record based retrospective study from 2010 to 2015. Before donation "blood donation form" had been filled by every donor and this form had particulars about age, gender, address, and occupation, date of previous donation, any illness and medical treatment taken. The donor blood samples were collected at the time of blood donation from the primary bag and tested for the presence of HIV using enzyme linked immunosorbent assay (ELISA). All donors were subjected to a pre-test counselling which was done by qualified staff trained to screen donors for blood donation.Results: A prevalence of 0.21% of HIV was seen among the donors from the period 2010-2015. The trend of HIV prevalence among donors has been fluctuating while ranging from 0.13% to 0.34%.Conclusions: HIV remains the major threat for transfusion transmitted infections in India. For a safe blood service in our country, where comprehensive laboratory tests are neither possible nor pragmatic, it is best to switch over to 100% voluntary donations, as it is now established that only voluntary non-remunerated regular donation is the safest. Thus, one of our key strategies to enhance blood safety is to focus on motivating non-remunerated blood donors and phasing out even replacement donors.

2000 ◽  
Vol 6 (5-6) ◽  
pp. 1114-1116 ◽  
Author(s):  
A. A. Ghavanini ◽  
M. R. Sabri

We determined the prevalence rate of hepatitis B surface antigen [HBsAg] and anti-hepatitis C virus antibodies [anti-HCV] among 7897 healthy voluntary blood donors in Shiraz, Islamic Republic of Iran. Sera were examined for HBsAg and anti-HCV antibodies using a second-generation enzyme-linked immunosorbent assay. Positive sera for HBsAg were found in 85 [1.07%] of the individuals and anti-HCV antibodies were found in 47 [0.59%]. We compared our results with those of other studies and conclude that the prevalence rate of HBsAg in our area has decreased in the last 2 decades; from being an area of high prevalence, it is now one with moderate-to-low prevalence. Since there are few reports on the seroepidemiology of hepatitis C in the Islamic Republic of Iran, we could not assess the changes in prevalence of hepatitis C.


2021 ◽  
Vol 7 (3) ◽  
pp. 313-321
Author(s):  
M Kundra ◽  
S Sood ◽  
SP Gulia ◽  
N Sharma

Background: The knowledge of the incidence of blood Transfusion Transmissible Infections (TTIs) such as Hepatitis B, Hepatitis C, Human Immunodeficiency Virus infection, malaria and syphilis is essential for monitoring the safety of blood supply. Objective: To describe the prevalence of TTIs for monitoring blood supply safety and evaluating the efficacy of screening procedures. Methods: A five-year retrospective study spanning January 2016 to December 2020 was carried out on voluntary blood donors at blood donation camps organised by Adesh Medical College and Hospital, Kurukshetra, Haryana, India, and from donors at the hospital’s blood bank. The donated blood was tested for Hepatitis-B, Hepatitis-C, Human Immunodeficiency Virus (HIV), malaria and syphilis. Results: There were a total of 10,468 voluntary blood donors during the period of study. Out of all the donors, 0.4% tested positive for at least one of the TTIs, including 0.06% testing positive for HIV, 0.21% for Hepatitis-B virus (HBV) infection (Hepatitis-B Surface Antigen) and 0.13% for Hepatitis-C virus (HCV) infection (Anti HCV Antibodies). None of the voluntary donors was positive for malaria or syphilis. There were no co-infections. Conclusions: The prevalence of TTIs among voluntary blood donors was low hence the advocation for blood from this group of donors. Donated blood specimens should be more effectively screened, and blood should be rationally used.


2021 ◽  
Vol 8 (07) ◽  
pp. 379-383
Author(s):  
Jagjeewan Ram ◽  
Namrata Nigam ◽  
Aparna Singh ◽  
Lubna Khan

BACKGROUND The primary aspect of blood transfusion lies in the availability of blood and blood components which are tested and reported negative for transfusion transmitted infections (TTI’s). The increased seroprevalence of TTI’s indicate their prevalence in general public. The study was conducted to analyse the increasing seroprevalence of hepatitis C virus (HCV) over a period of 3 years. The objectives of the study determine the seroprevalence of hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) among the voluntary blood donors at a tertiary care hospital & associated blood bank. METHODS This cross-sectional study was done at the Department of Transfusion Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, over a period of 3 years from July 2017 to June 2020. The samples collected were screened by enzyme-linked immunosorbent assay (ELISA) tests. RESULTS A total of 69561 blood units were collected during this 3-year study from July 2017 to June 2020. Of all the blood bags screened, the highest prevalence was seen for HBV followed by HCV and HIV. 949 (1.4 %) were reactive for HBV, 75 (0.1 %) were reactive for HIV and 332 (0.5 %) were reactive for HCV. The results show a remarkable increase in the seropositivity for hepatitis C infection. CONCLUSIONS The seroprevalence of HCV has seen an increase in case load over the years as compared to HBV and HIV. This increase in case volume is indicative of impending liver diseases progressing to chronic stage over the years. Thus, it is imperative to create awareness in the general population to help reduce the risk factors responsible for HCV infection. KEYWORDS Blood Transfusion, Voluntary Donors, HCV, HBV, HIV, Seroprevalence, Transfusion Transmitted Infections (TTI’s)


1969 ◽  
Vol 3 (2) ◽  
pp. 299-302
Author(s):  
IMRAN UD DIN KHATTAK ◽  
MUKAMIL SHAH ◽  
IMTIAZ AHMED ◽  
AMIR REHMAN ◽  
MOHAMMAD SAJID

BACKGROUND: Beta thalassaemia major is the commonest inherited as autosomal recessive disorder inPakistan. Almost all patients beta thalassaemia major require blood transfusion within the first two years oflife to prevent severe anaemia and its physical consequences. Due to repeated blood transfusions hepatitis Band hepatitis C infections can occur in these patients. To document the prevalence and frequency of hepatitisB & hepatitis C in multi transfused beta Thalassemia major patients in our set up.STUDY DESIGN:Aprospective descriptive study.PLACE AND DURATION OF STUDY: The study was conducted in thalassaemia care center A1 FajarFoundation Blood Transfusion ServicesSwat from 1-1-2012 to 31-12-2012.PATIENTS AND METHODS: Study was carried on 170 multi transfused thalassaemia major patientswho were registered with A1 Fajar Foundation Swat, irrespective of age, sex, time of diagnosis. Only thosepatients were included in the study who had received so far more than 10 transfusions. They were screenedfor hepatitis B and C by Enzyme Linked Immunosorbent Assay (ELISA). The subjects were in the agesrange of 2-15 year,with 94 (55.29%) male and 76 (94:71%) female.RESULTS: Out of these 10 patients (5.88%) were found to have hepatitis B surface antigen (HBsAg)positive and 37 patients (21.76%) hepatitis C virus(HCV) antibody positive.CONCLUSION: In spite of the fact that screened blood is used for transfusions, still a large number ofpatients have been found infected with hepatitis B and C. It has been recommended that properly screenedbloods using a reliable and accurate method are used for screening of blood to prevent transfusiontransmitted diseases. It can be avoided by giving screened safe blood.KEYWORDS: Hepatitis B, Hepatitis C,Thalassaemia Major,Transfusion


2016 ◽  
Vol 15 (1) ◽  
pp. 66-69
Author(s):  
Kashfia Islam ◽  
Mazharul Hoque ◽  
Samsun Nahar ◽  
Syed Dawood Md. Taimur ◽  
Zeenat Farzana Rahman ◽  
...  

Background & Objective: Transfusion associated hepatitis B virus (TAHBV) infection continues to be a major problem despite mandatory screening for hepatitis B surface antigen (HBsAg). This is because HBsAg is not detected during the window period of the infection. This study was designed to assess the frequency of anti HBc antibody among HBsAg negative donor and also to determine the demographic profile of healthy blood donors.Material & Method: This cross sectional observational study was carried out in the Department of Transfusion Medicine, BSMMU, Dhaka during the period of May 2014 to April 2015. A total number of 100 consecutive healthy blood donors who were clinically and physically healthy and serologically found to be free from HBsAg, HCV and HIV by rapid chromographic test were included in this study.Results: Within the 100 patients among them history of jaundice was found in 17(17.0%). There all (100.0%) subjects had negative HBsAg and 14(14.0%) subjects had positive anti HBc-Ab. Anti HBc-Ab was statistically significant (p<0.001) in Z-test.Conclusion: This study was undertaken to assess the prevalence of anti HBc antibody among healthy blood donors with HBsAg negative in rapid chromatography method. The prevalence of anti HBc antibody was about 14 (14.0%) among 100 HBsAg negative blood donors. History of blood donation was found in almost two third 65 (65.0%). So, anti HBc antibody screening is an useful tool for estimating the risk of transfusion transmitted HBV infection.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.66-69


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Muhammad Khurram ◽  
Asma Irshad ◽  
Muhammad Alamgir ◽  
Usman Ayub ◽  
Haleema Sadia

Both hepatitis C and hepatitis B are part of the major health-related issues all over the globe. Both of these are viral infections that can be disseminated via sexual contact, blood or by the use of blood products, and through methods of intra-familial transmission. Collection of blood samples of factory workers was done aseptically at KBK electronics. Overall, 272 samples of blood were taken of a variety of individuals and economically accessible ELISA (i.e. enzyme linked Immunosorbent Assay) was used to screen the individuals for Hepatitis B surface Antigen (HBsAg) and also for anti- HCV antibodies. The screening test was done as directed by the instructions of the manufacturer. Names, gender and age group date of each person was collected. Overall, 271 examinees were inspected to check the the presence of HCV and/or HBV. The ages of all the examinees ranged from a minimum of 19 years to a maximum of 50 years of age. The complete overall pervasiveness of both HCV and as well as HBV determined as 18.4% (50/271). In contrast to HBV, HCV has a much higher ubiquity i.e. 16.17% (44/271). On the other hand, that of HBV was only 2.2% (6/271). The individuals revealed a higher percentage of positive results in hepatitis C. HBV occurrence in Lahore is much more than its neighboring areas such as Gujrat with only 0.8% prevalence, Sheikhupura with 1.6%, Narowal with 2.1%, and Hafiz Abad with 2.2% prevalence (PMRC, 2007 to 2009). The results from this study and previous literature highlight the pressing need to also conduct such kinds of experiments in even more populations because by doing so, the areas with a stronger occurrence rate of HCV and HBV can be specified and pointed out and then various methods for treating and even precluding both of these infections, can be implemented effectively.


Author(s):  
B. A. Abeni ◽  
N. Frank- Peterside ◽  
O. E. Agbagwa ◽  
S. A. Adewuyi ◽  
T. I. Cookey ◽  
...  

Aims: Provision of constant and safe blood has been a public health challenge in Sub-Saharan Africa with a high prevalence of transfusion-transmissible infections (TTIs). This study aimed at determining the seroprevalence of the Human Immunodeficiency Virus (HIV) among prospective blood donors at two Hospitals (government and private-owned) in Rivers State, and also to relate some demographic studies to the screening results. Study Design:  Cross-sectional study. Place and Duration of Study: Two Hospitals (a government-owned and private-owned) in Rivers State, Nigeria, between January 2018 and April 2019. Methodology: Two hundred and eighty-two (185 males and 97 females) blood donors were recruited for this study. Sera samples were screened for antibodies to HIV-1 and -2 using enzyme-linked immunosorbent assay (ELISA) based kits following the manufacturer’s description. Results: Of the 282 screened prospective donors (males and females) in this study, the overall prevalence of HIV from both hospitals was 6.0% with a seronegativity of 94.0%. There was a significant relationship (p <0.05) between the overall seroprevalence of HIV concerning gender (p-0.006) all other demographics had no significant association with HIV. Age group 21-30 had the highest prevalence of HIV (53.80%). Donors with tertiary education had the highest prevalence rate (52.90%) of HIV. About marital status, the unmarried donors had higher HIV prevalence (64.70%) when compared with the married donors (35.30%). However, family donors had the highest prevalence of HIV (52.90%). Finally, concerning occupation, students had a higher HIV prevalence (47.10%). Conclusion: The seroprevalence of HIV in Port Harcourt, Rivers State, Nigeria was high. This shows that HIV remains a threat to safe blood transfusion and public health in Nigeria. Strict adherence to selection criteria and algorithm of donor screening is hereby advocated.


Pulse ◽  
2014 ◽  
Vol 6 (1-2) ◽  
pp. 27-32 ◽  
Author(s):  
KM Huda ◽  
TA Nasir

Transfusion transmitted infection (TTIs) is still a concern associated with blood transfusion as hepatitis B and hepatitis C remains a major public health problem in a country like Bangladesh. The trends of the prevalence of HBsAg and HCV infection among the healthy blood donors even in a tertiary level hospital could be a guide for planning and implementing programs for preventive measures. All samples of a total 18,381 unit of blood were screened for hepatitis B surface antigen and anti-hepatitis C virus antibodies at Apollo Hospitals Dhaka over a period of 5 years (2007-2011). The prevalence of HBV and HCV infection was calculated by year to demonstrate the trends. The overall sero prevalence rate of HBV and HCV among all blood donors at Apollo Hospitals, Dhaka during 2007 to 2011 was 1.42% and 0.10% respectively. There was decreasing trend observed in sero prevalence of HBV (1.77% vs 1.64%) and HCV (0.13% vs 0.02%) over five years of time, although this change was not statistically significant (p=0.16 for HBV and p=0.20 for HCV). However, a significant decreasing trend was observed in the sero prevalence of HBV among blood donors aged 30 years and above, which was 1.04% in 2011 against 1.73% in 2007 (p=0.04). The decreasing trend in the prevalence of HBV and HCV infection might be the result of improvement in donor recruitment and selection, replacement donation exclusion in transfusion services, and possibly decreasing HBV infection prevalence in general population. DOI: http://dx.doi.org/10.3329/pulse.v6i1-2.20330 Pulse Vol.6 January-December 2013 p.27-32


Author(s):  
Nadia Shafi Chickan ◽  
Altaf Hussain Mir ◽  
Masaratt-ul Gani ◽  
Shazia Handoo ◽  
Farooq Ahmad Ganie

Introduction: Blood transfusion plays an vital role in patients management and is live saving in my instances. it plays a pivotal role as a specialized modality of treatment and saves millions of lives worldwide each year and reduces morbidity. Stringent screening of blood not only ensure safe supply of blood and blood products, but also gives us idea about prevalence of ttis among general population Objective: to determine the serroperavalance of tti among blood donors in lalded hospital Materials and methods: A retrospective study was carried out over a period of 3 years from January 2017 to December 2019.serum samples were screened for hepatitis B surface antigen ,antibodies to human immunodeficiency virus Type 1 and 2 ,hepatitis c virus and syphilis in department of transfusion medicine was carried out Result: The result shows that 55 (3.72%) of the blood donors had TTIs. The prevalence of Hepatitis B, Hepatitis C, Malaria, Syphilis and Human immunodeficiency viruses (HIV), was found to be 31(0.21%), 23 (0.15%), 01 (0.0.006%), 01 (0.006%) and 02 (0.0.23%) respectively. None were positive for malaria. Conclusion: Transfusion Transmittable Infections pose a threat to patients admitted in any health care facility and if not carefully screened for will cause significant morbidity. Careful screening of all donor blood units in the blood bank of a hospital is absolutely necessary to prevent any untoward incidence of TTI in patients admitted to a health care facility Keywords: Transfusion, Sero-Prevalence, Donors, Transfusion Transmissible Infections.


Author(s):  
Khaneta Parveen ◽  
Abdul Faheem Khan ◽  
Abdul Salim Khan

Background: The high seroprevalence of transfusion-transmitted infectious (TTI) diseases such as HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis in India affects the safety of blood for recipients. This study was undertaken with the aim to screen the blood donor’s demographic profile and to estimate seroprevalence of HIV, HBV, HCV and VDRL transmissible by blood transfusion in voluntary and replacement male and female blood donors during the last 5 year period.Methods: The present study was conducted over a period of 5 years (2001-2005) and involved 1,53,020 blood donors including both (voluntary, replacement males and females) who were thoroughly screened and selected for blood donation in blood bank at Departments of Pathology, Seth GS Medical College and KEM hospital, Mumbai, Maharashtra, India.Results: Total five years seropositivity for all four disease marker in all blood donors was 9150 (5.97%). The incidence of HIV seropositivity was 1995 (1.30%), the seroprevalence of HBV in total blood donor was 4673 (3.05%), HCV consist of 1599 (1.04%), and VDRL seropositivity was least, i.e. 883 (0.57%). Out of total 9150 (5.97%) seropositive blood donors, 24 (0.26%) blood donors showed concomitant seropositivity for more than one of the blood transmissible diseases.Conclusions: Seroprevalence rate of all the four blood transmissible diseases was higher in replacement donors, and lower in voluntary group of donors. Therefore, it has been evaluated that the voluntary blood donation is safer and promoted for safe blood donation in comparison to replacement blood donation.


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