Trends of Transfusion Transmissible Infections Among Blood Donors by Chemiluminescent Assay in a Tertiary Care Centre

  • V Sandhya Krupal NRI medical college, Chinnakakani, Guntur DT, AP, India
  • I V Renuka NRI medical college, Chinnakakani, Guntur DT, AP, India
  • Chitturi Ramya NRI medical college, Chinnakakani, Guntur DT, AP, India
  • R Vaishnavi NRI medical college, Chinnakakani, Guntur DT, AP, India
Keywords: tranfusion transmissible infections, seroprevalence, voluntary donors, replacement donors, chemiluminescent assay

Abstract

Background: Blood transfusion is an important, integral and life saving procedure but simultaneously, carries risk of transmitting Transfusion Transmissible Infections(TTIs). The present study was done to find out the seroprevalence and changing trends of various TTIs among blood donors. Methods: Blood donors who attended our blood bank during May 2014 to May 2019 and fulfilled uniform guidelines approved by National blood transfusion council were included. Data regarding type of donors, sex and screening test results were collected from the records. Result: Out of 32046 donors, voluntary donors(76.3%) were more in comparison to replacement donors(23.7%) and out of 32046, 31944(99.7%) were males and 102(0.3%) were females. Amongst TTIs, seroprevalence of HBV(1.3%) was highest in the blood donors followed by HCV(0.65%),HIV (0.29%),Syphilis (0.06%) and Malaria(0.006%). TTIs were more seroprevalent in replacement donors than voluntary donors. Conclusion: TTIs were more in replacement donors than voluntary donors. A decreasing trend in the seropositivity percentage of most of the TTIs was seen due to strict donor selection criteria and counselling of blood donors. Stringent screening, implementation of more sensitive tests like Nucleic acid amplification test/Chemiluminescent assay and public awareness programs are needed to improve the prevention of TTIs.

Author Biographies

V Sandhya Krupal, NRI medical college, Chinnakakani, Guntur DT, AP, India
Dept of Pathology
I V Renuka, NRI medical college, Chinnakakani, Guntur DT, AP, India
Dept of Pathology
Chitturi Ramya, NRI medical college, Chinnakakani, Guntur DT, AP, India
Dept of Pathology
R Vaishnavi, NRI medical college, Chinnakakani, Guntur DT, AP, India
Dept of Pathology

References

1.Saran R K. Transfusion Medicine Technical Manual. Directorate General of Health Services. Ministry of Health and Family Welfare. Government of India.2003.
2.Accreditation Standards on Blood Bank/Blood Centers and Transfusion Services. National Accreditation for Hospitals and HealthCare Providers. Quality Council of India. Third Edition.2016.
3.Sundaramurthy et al. Seroprevalence of transfusion transmissible infections among blood donors by chemiluminescent assay in tertiary care centre. J Infect DevCtries 2018;12(1):031-036.
4. Irshad M, Peter S. Spectrum of Viral hepatitis in thalassemic children receiving multiple blood transfusions. Indian J Gastroenterol .2002;21:183-184.
5.Chattoraj A, Behl R, Kataria V. Infectious disease markers in blood donors. Med J Armed Forces India.2008; 64:33-35.
6.Giri PA, Deshpande JD, Phalke DB, Karle LB. Seroprevalence of transfusion transmissible infections among voluntary blood donors at a tertiary care teaching hospital in rural area of India. J Fam Med Prim Care.2012; 1:48-51.
7.Pahuja S, Sharma M, Baitha B, Jain M. Prevalence and trends of markers of hepatitis C, hepatitis B virus and human immunodeficiency virus in Delhi blood donors: a hospital based study. Jpn J Infect Dis.2007 Nov;60(6):389-91.
8.Meena S. Maheshwari V, Gupta D. Seroprevalence and trends of transfusion transmissible infections among voluntary and replacement donors-an institutional retrospective study. Trop J Path Micro. 2018;4(4):330-335.
9.Kumar A, Sharma SM, Ingole NS, Gangane N. Seroprevalence of Transfusion transmissible infections (TTIs) among blood donors in a tertiary care hospital, central India: A prospective study. Muller J Med Sci Res 2014;5:113-116.
10.Garg S, Mathur DR, Garg DK(2001). Comparison of seropositivity of HIV, HBV, HCV and syphilis in replacement and voluntary blood donors in western India. Indian J Pathol Microbiol 44: 409-412.
10.Bhattacharya P, Chandra PK, Datta S, Banarjee A, Chakraborthy S, Rajendran K 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. World J Gastroenterol 13:3730-3733.
11.Fatima A, Begum F, Kumar K (2016). Seroprevalence on transfusion transmissible infections among blood donors in Nizamabad district of Telangana State. A six years study .IAIM 3:73-78.
12.Suresh B, Sreedhar Babu K V, Venkataramana B V, Chandra Mouli P (2016).Burden of transfusion transmissible viral infections among blood donors at a tertiary care referral teaching hospital in South India.J Clin Sci Res 5:160-163.
13.Arora D, Arora B, Khetarpal A (2010). Seroprevalence of HIV,HBV,HCV and Syphilis in blood donors in Southern Haryana.Indian J Pathol Microbiol 53:308.
14.Mandal R, Mondal K .Transfusion transmissible infections among blood donors from a sub –Himalayan rural tertiary care centre in Darjeeling ,India.J Tradit Complement Med 2016; 6:224-229.
15.Dobariya GH, Raja K, Unagar C, Pandya A, Patel J, Jarag M, Wadhwani SJ (2016). Prevalence and trends of transfusion transmitted infections among blood donors of blood banks attached to government hospital of south Gujarat ,India.Int J Res Med Sci 4:4123-4127.
16.Bhawani Y, Rao PR, Sudhakar V. Seroprevalence of transfusion transmissible infections among blood donors in a tertiary care hospital of Andhra Pradesh from. 2004-2009.Biology and Medicine 2010;2 (4):45-48.
17.Jasani J, Patel V, Bhuva K, Vachhani A, Patel H, Falleiro JJ. Seroprevalence of transfusion transmissible infections among blood donors in a tertiary care hospital.Int J Biol Med Res.2012;3(1):1423-1425.
Published
2020-06-02
Section
Original Article