SEROPOSITIVITY FOR HEPATITIS B AND C IN VOLUNTARY BLOOD DONORS
Abstract
Background: After the introduction of blood banks and better storage techniques blood is morewidely used in patients for various indications. In Pakistan more than 1.5 million pints of blood arecollected each year. Hepatitis B and C virus infections are known to occur in the general populationand due to their mode of transmission through blood and blood products, it has made safe bloodtransfusion difficult and screening of blood absolutely necessary. Objectives of this study were toestimate frequency of Hepatitis B and C in blood donors of local area and recommend measures forsafe blood transfusion. Methods: This retrospective cross-sectional study was conduced at the BloodBank, Department of Pathology, Khyber Teaching Hospital, Peshawar from 1st January 2007 to 31stDecember 2008. It was carried out on 32,042 voluntary, non-remunerated healthy blood donors.They were screened for Hepatitis B surface antigen (HBsAg) and anti-hepatitis C antibodies (antiHCV antibodies) by ELISA. The patients’ age ranged from 18–52 years. They were all males.Results: Out of 32,042 donors, 632 (1.97%) patients were positive for HBsAg, and 502 (1.57%)were positive for anti-HCV antibodies. Conclusion: Incidence of Hepatitis B and C is varying indifferent areas. It is recommended that properly screened blood only, using a reliable method likeELISA, be transfused to the patients.Keywords: HBsAg, HCV, ELISA, blood donors, blood transfusionReferences
Zafar N. Survey of blood transfusion practices. J Coll
Physicians Surg Pak 2000;10(3):90–2.
Asif N, Kokhar N, Ilahi F. Seroprevalence of HBV and HCV
and HIV infection among voluntary non remunerated and
replacement donors in Northern Pakistan. Pak J Med Sci
;20(1):24–8.
Mujeeb SA. Single unit blood transfusion, a bad clinical
practice. Transfus Today 1997;36:5–7.
Olokoba AB, Salau FK, Danburam A, Desalu OO, Olokoba
LB, Wahab KW, et al. Viral hepatitides in voluntary blood
donors. Eur J Sci Res 2009;31:329–34.
Waheed U, Abbas H, Naseem L, Hasan K. Study of Hepatitis
B and C virus seropositivity in healthy blood donors. Ann
Pak Inst Med Sci 2009;5:233–6.
Schreiber GB, Busch MP, Kleinman SH, Korelitz JJ. The risk
of transfusion transmitted viral infections. The retrovirus
epidemiology donor study. N Engl J Med 1996;334:1685–90.
Gashau W. Muhammad I. Hepatitis B virus markers in
Nigerian patients with primary liver cell carcinoma. Trop
Geogr Med 1991;43:64–7.
Isselbacher KJ, Wands JR. Neoplasm of the liver. In:
Harrison’s principles of internal medicine. Wilson JD,
Braunwald E, Isselbacher K et al (eds). 12th Ed. New York:
McGraw Hill; 1991.p.1350–2.
Bhattacharya P, Chandra PK, Datta S, Banerjee A, Chakraborty
S, Rajendran K et al, Significant increase in HBV,HCV,HIV and
Syphilis among blood donors in west Bengal, Eastern India.
World J Gastroenterol 2007;13:3730–3.
Maddava V, Burgess C, Drucker E, Epidemiology of chronic
hepatitis co-infection in sub-Saharan Africa. Lancet Infect
Dis 2002;2:293–302.
Lesi OA, Kehinde MO, Anomneza EE, Wali SS. Hepatitis C
infection and the risk of chronic liver disease in Lagos. Nig Q
J Hosp Med 2002;12:1–4.
Colquhon SD. Hepatitis C: A clinical update. Arch Surg
;131:18–23.
Chen DS. Hepatitis C virus in chronic liver disease and
hepatocellular carcinoma in Taiwan. Princess Takamatsu
Symp 1995;25:27–32.
Naseem L, Haq A. Predonation testing of the potential blood
donors- A pilot study at a tertiary care hospital. Int J Pathol
;7(1):25–30.
Olokoba AB, Olokoba LB, Salawu FK, Danburam A, Desalu
OO, Midala J, et al. Hepatitis C virus and Human
Immunodeficiency virus co-infection in North Eastern Niger
Res J Med Sci 2008;2:217–9.
Dipta TF, Md. Rahman T. Safe blood transfusion: past,
present and future. Bangladesh J Pathol 2009;24(1):1–2.
Butsashvili M, Tsertsvadze T, McNutt LA, Kamkamidze G,
Gvetadze R, Badridze N. Prevalence of hepatitis B, hepatitis
C, syphilis and HIV in Georgian blood donors. Eur J
Epidemiol 2001;17:693–5.
El-Hazmi MM. Prevalence of HBV, HIV–1, 2 and HTLV1/3
infections among blood donors in a tertiary hospital in the
central region of Saudi Arabia. Saudi Med J 2004;25:26‒33.
El-Gilany AH, El-Fidawy S. Blood born infections among
student voluntary blood in Mansoura University, Egypt. East
Mediterr Health J 2006;12:742‒8.
Afsar I, Gungor S, Sener Ag, Yurtsever SG. The prevalence
of HBV, HCV and HIV infections among blood donors in
Lzmir, Turkey, Indian J Med Microbiol 2008;26:288‒9.
Braga WS, Silva EB, Souza RA, Tosta CE. Seroprevalence
of hepatitis B and malaria infection in Labrea, Brazilian
western Amazon: estimates of coinfection rates. Rev Soc
Bras Med Trop 2005;38(3):218‒23.
Khattak MF, Salamat N, Bhatti FA, Qureshi TZ, Kh.
Seroprevalence of hepatitis B, Cand HIV in blood donors in
northern Pakistan. J Pak Med Assoc 2002;52(9):398‒402.
Mumtaz S, Rehman MU, Muzaffar M, Hassan MU, Iqbal W.
Frequency of seropositive blood donors for hepatitis B,C and
HIV viruses in Railway hospital Rawalpindi. Pak J Med Res
;41(2):51‒3.
Fayyaz KM, Ali S, Khan AA, Shafique M, Majeed S.
Hepatitis B carrier among volunteer blood donor students at
Quid-i-Azam Medical college Bahawalpur. Professional Med
J 2002;9(3):186‒90.
Ali N, Nadeem M, Qamar A, Qureshi AH, Ejaz A. Frequency
of hepatitis C virus antibodies in blood donors in Combined
Military Hospital Quetta. Pak J Med Sci 2003;19(1):41‒4.
Zaidi A, Tariq WUZ, Haider KA, Sattar A, Faqeer F,
Rehman SU. Seroprevalence of hepatitis B, C and HIV in
healthy blood donors in Northwest of Pakistan. Pak J Pathol
;15(1):11‒6.
Mehmood MA, Khawar S, Anjum H, Ahmad SM, Rafique S,
Nazir I. Prevalence of hepatitis B, C and HIV infection in
blood donors of Multan region. Ann King Edward Med Coll
;10(4):459‒61.
Asif N, Khokar N, Ilahi f. Seroprevalence of HBV, HCV and
HIV infection among voluntary non-remunerated and
replacement donors in Northern Pakistan, Pak J Med Sci
;20(1):24‒8.
Ahmad J, Taj AS, Rahim A, Shah A, Rehman M. Frequency
of Hepatitis B and Hepatitis C in healthy blood donors of
NWFP. A single center experience. J postgrad Med Inst
;18(3):343‒52.
Ahmed Z, Naeem MS, Shah WH, Hussain A Chohan RA.
Frequency of Hepatitis B, C and Human Immunodeficiency
Virus in blood donors at Sheikh Zayed Hospital, Lahore.
Proceeding Sheikh Zayed Postgrad Med Inst
;19(1):33‒6.
Ujjan ID, Memon RA, Butt AR, Sheikh IA, Khokar GN,
Yousafani GM, Farooq M. Seroprevalence of HBsAg and
anti-HCV in healthy blood donors Pak J Gastroenterol
;20(1):75‒7.
Aziz MS. Prevalence of anti Hepatitis C antibodies and
Hepatitis B surface antigen in healthy blood donors in
Baltistan. Pak Armed Forces Med J 2006;56(2):189‒91.
Azam M, Jamal N, Imtiaz F, Haque Z, Ayoob Z. Blood
donor screening for hepatitis and HIV. J Dow Univ Health
Sci 2007;1(2):82‒3.
Ijaz AU, Shafiq F, Toosi NA, Malik MN, Qadeer R.
Hepatitis B and Hepatitis C in blood donors: Analysis of 2-
years data. Ann king Edward Med Coll 2007;13(1):59‒61.
Chaudhary IA, Ullah S, Khan SS, Masood R, Sardar MA,
Malhi AA. Seroprevalence of Hepatitis B and C among the
healthy blood donors at Fauji Foundation hospital,
Rawalpindi. Pak J Med Sci 2007;23(1):64‒7.
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