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Indian J Hematol Blood Transfus. 2014 Jun;30(2):105-10. doi: 10.1007/s12288-012-0213-4. Epub 2012 Dec 21.

Rate of seroconversion in repeat blood donors at the national blood centre, kuala lumpur.

Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion

A Nafishah, M Nor Asiah, A T Nur Syimah, T H Mohd Zahari, A Yasmin, M Normi, E Anza, M Shahnaz, M Y Narazah

Affiliations

  1. Advanced Medical and Dental Institute (AMDI), University of Science, 13200 Kepala Batas, Pulau Pinang Malaysia.
  2. Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia.
  3. National Blood Centre, Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia.

PMID: 24839364 PMCID: PMC4022912 DOI: 10.1007/s12288-012-0213-4

Abstract

The World Health Organization (WHO) recommend that all donated blood are to be screened for at least three viral infections [human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV)]. The National Blood Centre, Kuala Lumpur (NBCKL) aims to reduce transfusion transmitted infections (TTI) as it still remains as one of the major risk for blood transfusion. A cross sectional study was conducted at the National Blood Centre, Kuala Lumpur from 1st January 2009 to 31st June 2010. Data from 581,020 donors were analyzed from year 2004 to 2008. All data were retrieved from NBCKL Blood Bank Information System (BBIS). A total of 201 repeat donors were included in the study based on the inclusion criteria but only 132 repeat donors agreed to participate. Information on sociodemographic, risk factors, knowledge of donors and high risk behavior were extracted from standardize questionnaire. Data were analyzed using SPSS version 14.0. The aim of this study was to determine the predictors of the seropositive infectivity among repeat blood donors at the NBCKL. The results showed Syphilis accounts for the highest and increasing seroconversion rate among other infections from 20.83 % in year 2004 to 44.6 % in year in year 2008. HIV and HCV infection also showed increasing seroconversion rate in 5 years' time from 6.41 % in year 2004 to 17.54 % in year 2008 and 4.8 % in year 2004 to 5.94 % in year 2008 respectively. However, HBV infection alone showed a decreasing seroconversion rate from 20.83 % in year 2004 to 10.4 % in year 2008. Level of donors' awareness regarding high risk factors (activities or behaviour) can lead to higher risk of TTI with significant p value in this predictors model(p < 0.05). Repeat blood donors with high risk activities are more likely to have seropositive results for HBV, HIV and Syphilis. This study found that the frequency of HCV seropositivity is higher among lapsed donor. Socio demographic factors such as male and working in the private sector predominates in all TTI markers. Majority of the respondents were aware about relation of high risk activities and risk of TTI.

Keywords: Hepatitis B; Hepatitis C; Human immunodeficiency virus (HIV); Repeat blood donor; Seropositivity; Syphilis

References

  1. JAMA. 2000 Jul 12;284(2):229-35 - PubMed
  2. East Afr Med J. 2002 Feb;79(2):88-91 - PubMed
  3. Transfus Med. 2008 Feb;18(1):49-54 - PubMed
  4. CMAJ. 2003 Oct 14;169(8):767-73 - PubMed
  5. Transfusion. 2003 Jun;43(6):696-704 - PubMed
  6. BMC Public Health. 2002 Nov 22;2:26 - PubMed
  7. Indian J Med Res. 2005 Sep;122(3):234-6 - PubMed
  8. Am J Surg. 1995 Dec;170(6A Suppl):21S-26S - PubMed
  9. Transfusion. 1998 Apr;38(4):359-67 - PubMed
  10. Southeast Asian J Trop Med Public Health. 2007 Jul;38(4):674-9 - PubMed
  11. N Engl J Med. 2004 Aug 19;351(8):760-8 - PubMed
  12. Vox Sang. 2002 Nov;83(4):285-93 - PubMed
  13. BMC Infect Dis. 2008 Apr 10;8:43 - PubMed
  14. Southeast Asian J Trop Med Public Health. 2004 Mar;35(1):147-54 - PubMed
  15. N Engl J Med. 1996 Jun 27;334(26):1685-90 - PubMed
  16. BMC Infect Dis. 2010 May 10;10:111 - PubMed
  17. N Engl J Med. 1996 Jun 27;334(26):1691-6 - PubMed

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