Rudra S, Chakrabarty P, Hossain M A, Akhter H, Bhuiyan M R
Professor Shikha Rudra, Professor, Department of Blood Transfusion, Mymensingh Medical College, Mymensingh, Bangladesh.
Mymensingh Med J. 2010 Oct;19(4):515-9.
To determine changes (Trends) in infection rates of Hepatitis B surface antigen (HBsAg), Hepatitis C virus (HCV) and Human immunodeficiency virus (HIV) in blood donors of Khulna Population. Specimens of 34953 voluntary blood donors & party or relative donors in Transfusion Medicine Department of Khulna Medical College Hospital from 2007 to 2009 were screened for HBsAg, anti-HCV, anti-HIV 1 & 2 reactivity in a cross-sectional survey by rapid test method. Reactive samples were verified using a recognized confirmatory test which consisted of a second generation enzyme immune assay (HBsAg), anti-HCV antibodies by anti-HCV EIA & for HIV by western Blot, respectively. The seroprevalence of HBsAg, Anti-HCV, HIV antibody 1 & 2 was 1.4%, 0.09% & 0.03% respectively in all blood donors. Prevalence of confirmed positivity was 0.62% for HBsAg, 0.04 % for Anti-HCV, 0.02% for HIV Western Blot. Between 2007 to 2009 a decreasing trend was observed in HBsAg frequency, HCV frequency decreased in 2009 compared to 2007. One HIV positivity found in 2009. Although the frequency of transfusion transmitted infections is low, party or relative donors have some risk factors than voluntary blood donors. Through more scrutiny in donor selection, improved serological test & reevaluation of infections routes in donor, infection reduction can be achieved.
为确定库尔纳地区献血者中乙型肝炎表面抗原(HBsAg)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)感染率的变化(趋势)。在一项横断面调查中,采用快速检测方法对库尔纳医学院医院输血医学科2007年至2009年的34953名自愿献血者以及亲友献血者的样本进行了HBsAg、抗HCV、抗HIV 1和2反应性筛查。反应性样本通过公认的确证试验进行验证,确证试验分别包括第二代酶免疫测定法(检测HBsAg)、抗HCV酶免疫测定法检测抗HCV抗体以及蛋白质印迹法检测HIV。所有献血者中HBsAg、抗HCV、HIV抗体1和2的血清阳性率分别为1.4%、0.09%和0.03%。HBsAg确诊阳性率为0.62%,抗HCV为0.04%,HIV蛋白质印迹法为0.02%。2007年至2009年期间,观察到HBsAg频率呈下降趋势,2009年HCV频率与2007年相比有所下降。2009年发现1例HIV阳性。虽然输血传播感染的频率较低,但亲友献血者比自愿献血者存在一些危险因素。通过在献血者选择中进行更严格的审查、改进血清学检测以及重新评估献血者的感染途径,可以实现感染率的降低。