Chattoraj A, Behl R, Kataria V K
Classified Specialist (Pathology), Transfusion Centre (Eastern Command), Kolkata.
Commanding Officer, Transfusion Centre (Eastern Command), Kolkata.
Med J Armed Forces India. 2008 Jan;64(1):33-5. doi: 10.1016/S0377-1237(08)80142-6. Epub 2011 Jul 21.
The infectious disease markers for which blood donors are screened include anti-human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), rapid plasma reagin (RPR) card test for syphilis and malarial parasites.
A total of 6751 donors were screened over three years to assess the prevalence of infectious disease markers. Screening for anti-HIV I and II, HBsAg and anti-HCV was carried out by enzyme linked immunosorbent assay (ELISA). Syphilis was tested using RPR card test. Malarial parasite was tested by detection of genus specific plasmodium lactate dehydrogenase.
The overall seropositivity for anti-HIV I and II was nine (0.13%), for HBsAg 67 (0.99%), for anti-HCV 13 (0.19%) and for syphilis 42 (0.62%). No sample showed malarial parasites. There was no significant difference (p>0.05) in the seropositivity of various markers between voluntary and replacement donors. There was a significant decline (p<0.05) in the prevalence of seropositivity for HCV and syphilis, but not for HIV and HBsAg over the three year period of the study.
The prevalence of infectious disease markers was similar to that reported by other studies. However, no significant difference was seen in the marker positivity in voluntary and replacement donors, which is at variance from other studies.
对献血者进行筛查的传染病标志物包括抗人类免疫缺陷病毒(HIV)、乙型肝炎表面抗原(HBsAg)、抗丙型肝炎病毒(HCV)、梅毒快速血浆反应素环状卡片试验(RPR)和疟原虫。
在三年时间里共对6751名献血者进行了筛查,以评估传染病标志物的流行情况。采用酶联免疫吸附测定法(ELISA)筛查抗HIV I和II、HBsAg及抗HCV。使用RPR卡片试验检测梅毒。通过检测属特异性疟原虫乳酸脱氢酶来检测疟原虫。
抗HIV I和II的总体血清阳性率为9例(0.13%),HBsAg为67例(0.99%),抗HCV为13例(0.19%),梅毒为42例(0.62%)。没有样本显示存在疟原虫。自愿献血者和替代献血者之间各种标志物的血清阳性率没有显著差异(p>0.05)。在研究的三年期间,HCV和梅毒的血清阳性率显著下降(p<0.05),但HIV和HBsAg没有。
传染病标志物的流行情况与其他研究报告的相似。然而,自愿献血者和替代献血者在标志物阳性率方面没有显著差异,这与其他研究不同。