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Significant increase in HBV, HCV, HIV and syphilis infections among blood donors in West Bengal, Eastern India 2004-2005: Exploratory screening reveals high frequency of occult HBV infection

查看全文 作  者:Prasun [1]Bhattacharya;Partha Kumar [2]Chandra;Sibnarayan [2]Datta;Arup [2]Banerjee;Subhashish [1]Chakraborty;Krishnan [3]Rajendran;Subir Kumar [1]Basu;Sujit Kumar [3]Bhattacharya;Runu [2]Chakravarty 高影响力作者 机构地区:[1]Institute of Blood Transfusion Medicine and Immunohematology, Kolkata, India;[2]ICMR Virus Unit, Kolkata, India;[3]National Institute of Cholera and Enteric Diseases, Kolkata, India高影响力机构 出  处:《World Journal of Gastroenterology》索引2007年第13卷第27期,共4页高影响力期刊 基  金:grants partly from West Bengal State AIDS Prevention & Control Society, Kolkata and partly by Indian Council of Medical Research, New Delhi. Partha Kumar Chandra received a research associateship from West Bengal State AIDS Prevention & Control Society, Kolkata. Arup Banerjee received a senior research fellowship from Indian Council of Medical Research New Delhi; Sibnarayan Datta received a senior research fellowship from University Grants Commission, New Delhi 摘  要:AIM: To evaluate the prevalence of markers of hepatitis B virus (HBV) and hepatitis C virus (HCV) and human immunodeficiency virus (HIV) among blood donors in Kolkata, Eastern India for two consecutive years and to conduct a pilot study to explore the presence of HBV DNA among hepatitis B surface antigen (HBsAg) negative but anti-HBc positive blood donors. METHODS: Seroprevalence of HBsAg, anti-HCV and anti-HIV was studied among 113 051 and 106 695 voluntary blood donors screened in 2004 and 2005, respectively. Moreover, a pilot study on 1027 HBsAg negative donors was carried out for evaluating the presence of HBV DNA by PCR on HBsAg negative/anti- HBc positive donors. RESULTS: A statistically significant increase in the prevalence of HBV (1448 vs 1768, P < 0.001), HIV (262 vs 374, P < 0.001), HCV (314 vs 372, P = 0.003) and syphilis (772 vs 853, P = 0.001) infections was noted among blood donors of Kolkata West Bengal in 2005 as compared to 2004. Moreover, the exploratory study on 1027 HBsAg negative donors revealed that 188 (18.3%)of them were anti-HBc positive out of which 21% were positive for HBV DNA. CONCLUSION: The findings of this study underscore the significantly increasing endemicity of hepatitis viruses, syphilis and HIV among the voluntary blood donors of our community. The pilot study indicates a high rate of prevalence of HBV DNA among HBsAg negative/anti-HBc positive donors and thus emphasizes the need for a more sensitive and stringent screening algorithm for blood donations. 关 键 词:乙肝病毒 人体免疫缺陷病毒 丙肝病毒 血液捐赠 病毒感染
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