Abstract

Background: Transfusion-transmissible infections are well-known global health challenges. The present study is proposed to investigate the seropositivity of anti-HIV1/2, anti-HCV, HBsAg, and anti-T.pallidum among volunteer blood donors of Kosti Obstetrics and Gynecology Hospital. Methods: Our study was conducted in a cross-sectional retrospective manner. The data of donors who attended Kosti Obstetrics and Gynecology Hospital throughout 2016 to 2018 were reviewed and retrieved manually from blood bank records. Results: Out of 8139 donors, 22.52% were seropositive for serological markers of TTIs and 1.67% were seropositive for at least two serological markers of TTIs. The overall seropositivity rate of anti-HIV1/2, HBsAg, anti-HCV, and anti-T.pallidum was 1.77%, 6.07%, 1.14%, and 11.87%, respectively (p < 0.000). Anti-T.pallidum was the most frequently detected (p < 0.05) marker across all study variables. TTIs seroprevalence was significantly (p < 0.05) varied according to the age, residence, occupations, and blood groups. Notably, there was a rising trend in the rate of anti-HIV1/2 and seropositivity for more than one marker with age (p < 0.000). Regionally, rural area residents had a higher rate of anti-HIV1/2 (2.20%), HBsAg (6.31%), anti-HCV (1.42%), anti-T.pallidum (18.38%), and multiple markers seropositivity (2.28%) compared to urban areas. Between occupations, the highest rate of anti-HIV1/2 (p = 0.483), HBsAg (p = 0.003), anti-HCV (p = 0.408), anti-T.pallidum (p < 0.000), and multiple markers seropositivity (p < 0.000) were detected in farmers. Regarding the screening, we also found that the frequency of anti-T.pallidum was significantly (p = 0.003) higher in donors who carry the AB+ve blood group, whereas anti-HCV (1.83%) was more frequent in donors carry O−ve blood group (p = 0.255). As seen, anti-T.pallidum+HBsAg was the most frequently (1.22%) co-occurring markers. In contrast, anti-T.pallidum+anti-HIV1/2+HBsAg was the lowest frequency one (p < 0.000). Conclusions: The study showed an alarming rate of TTIs, which suggests the requirement for comprehensive surveillance and health education programs.

Highlights

  • Human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV), and T.pallidum are potentially dangerous infectious pathogens that may be acquired through blood transfusion [1,2]

  • The current study intended to screen the seropositivity of anti-HIV1/2, anti-HCV, HBsAg, and anti-T.pallidum among blood donors of Kosti Obstetrics and Gynecology Hospital

  • Data of 8139 blood donors recruited in the blood bank of Kosti Obstetrics and Gynecology Hospital throughout 2016 to 2018 were checked and retrieved manually from records

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Summary

Introduction

Human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV), and T.pallidum are potentially dangerous infectious pathogens that may be acquired through blood transfusion [1,2]. More than 81 million blood units are collected globally every year, of which, 18 million units are not tested for transfusion-transmissible infections (TTIs) [8]. A huge number of the world population are at risk of exposure to chronic and life-threatening illnesses, such as HBV, HCV, or HIV infections, attributable to the transfusion of unsafe blood or its products [7]. The assessment and screening of the frequency of HCV, HBV, HIV, and T.pallidum infections among blood donors are valuable in understanding the epidemiology of TTIs, and it is a matter of concern to ensure safe blood transfusion. The current study intended to screen the seropositivity of anti-HIV1/2, anti-HCV, HBsAg, and anti-T.pallidum among blood donors of Kosti Obstetrics and Gynecology Hospital

Methods
Ethical Consideration
Study Subjects and Data
Statistical Analysis
Socio-Demographic Characteristics of Blood Donors
Discussion
Conclusions

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