A study-screening of blood donors for blood transmissible diseases.

Indian J Hematol Blood Transfus

B.Y.L Nair charitable hospital and T. N. Medical college, Mumbai, India ; Haji Ali Doctor's Quarters Haji Ali, Bldg 1, Flat 27, Mahalaxmi, Mumbai, 400 034 India.

Published: December 2007

Aims: Blood donors are of voluntary and replacement type. All donors, especially voluntary, are considered as slow risk for seropositive status for Hepatitis B and C, HIV and syphilis. The present study endeavors to screen blood donors-a slow risk group and evaluate the resultant data.

Methodology: We screened 23,068 donors serologically over 2 years for the above blood transmissible diseases. Serum alanine aminotranferase (ALT) and bilirubin were evaluated as surrogate markers in hepatitis B and C positive donors.

Results: Seroprevalence rates were found to be HIV (1.96 %), syphilis (2.15 %), hepatitis B (1.98 %) and hepatitis C (0.9 %). Majority donors were voluntary (70.37 %) and male (96.2 %). However seroprevalence rates showed no significant difference: voluntary (7.02 %), replacement (6.67 %) male (6.85 %) and female (6.95 %). HCV and HIV showed highest (29.6 %) while HBV and HCV (2.5 %) showed lowest concomitance. Serum ALT and bilirubin were not effective surrogate markers. No demographic or behavioral variable was found as a significant risk factor.

Conclusion: Thus, all donors need adequate privacy, information, counseling and motivation in order to reduce the seropositive rates in donors. Advent of sensitive tests renders surrogate markers redundant.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3453123PMC
http://dx.doi.org/10.1007/s12288-008-0006-yDOI Listing

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