Trends of Transfusion Transmissible Infections among Predominantly Male Blood Donors in Rawalpindi: A Five-Year Retrospective Study

Trends of Transfusion Transmissible Infections among Predominantly Male Blood Donors in Rawalpindi: A Five-Year Retrospective Study

Authors

  • Muhammad Ali Rathore Armed Forces Institute of Transfusion (AFIT), Rawalpindi
  • Anum Javed Abbasi Armed Forces Institute of Transfusion (AFIT), Rawalpindi
  • Imdad Ali Khuskh Pakistan Medical & Dental Council, Islamabad
  • Tahir Ghafoor Armed Forces Institute of Transfusion (AFIT), Rawalpindi
  • Nagis Sabir Armed Forces Institute of Transfusion (AFIT), Rawalpindi
  • Mommana Ali Rathore Army Medical College Rawalpindi, Pakistan

DOI:

https://doi.org/10.21649/akemu.v30i3.5456

Keywords:

Blood donors, HBV, HCV, Syphilis, Transfusion-transmitted infections

Abstract

Background: Blood transfusion carry an inherent risk of transfusion transmissible infections (TTIs). Monitoring trends and prevalence of TTIs may reveal crucial information regarding safety of blood supply and donor recruitment strategies.

Objective: To evaluate the critical indicators of blood safety including seroprevalence and temporal trends of hepatitis B virus, hepatitis C virus, human immunodeficiency virus and syphilis among blood donors in Rawalpindi.

Methods: The study was conducted in Armed Forces Institute of Transfusion. The data of 2,78,774 blood donors from 2016-2020 was retrospectively analyzed. Donors’ demographics, type of donation, donation frequency and serological results of TTIs were retrieved and analyzed.

Results: Of the 2,78,774 blood donations, 3.6% (n=10,091) blood donors were positive for one or more TTIs. Among these, the most prevalent was HCV (1.5%) and the least prevalent was HIV (0.08%). The seroprevalence of TTIs illustrated a declining trend from 4.2 to 3.4% over the period under study. Regarding trend of each TTI with respect to year, HBV, HCV and HIV depicted fluctuating trend while decreasing trend was observed for syphilis from 2016-2020.

Conclusion: The seroprevalence of four major TTIs was evaluated between the year 2016 and 2020. A decreasing trend in the seroprevalence from 4.2 % to 3.6 % was observed over a five-year period. The HCV remained highest throughout the period whereas a gradual increase in HIV and a decrease in syphilis was observed.

References

Saeed M, Hussain S, Rasheed F, Ahmad M, Arif M, Hamid Rahmani MT. Silent killers: Transfusion Transmissible Infections-TTI, among asymptomatic population of Pakistan. J Pak Med Assoc. 2017;67(3):369-374.

Ehsan H, Wahab A, Shafqat MA, Sana MK, Khalid F, Abdullah SM, et al. A Systematic Review of Transfusion-Transmissible Infections Among Blood Donors and Associated Safety Challenges in Pakistan. J Blood Med. 2020; 11:405-420.

Steele WR, Dodd RY, Notari EP, Xu M, Nelson D, Kessler DA, et al. Transfusion-Transmissible Infections Monitoring System (TTIMS). Prevalence of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus in United States blood donations, 2015 to 2019: The Transfusion-Transmissible Infections Monitoring System (TTIMS). Transfusion. 2020;60(10):2327-2339.

Haass KA, Sapiano MRP, Savinkina A, Kuehnert MJ, Basavaraju SV. Transfusion-Transmitted Infections Reported to the National Healthcare Safety Network Hemovigilance Module. Transfus Med Rev. 2019;33(2):84-91.

Charles KS, Friday M, Lall D, Harrichan K, De Four M, Guy K, et al. A university - Led initiative to promote voluntary non-remunerated blood donation in a developing country. Transfus Apher Sci. 2019 ;58(5):674-679.

Zahoor S, Khan A, Asif S, Tabraiz SA, Mustafa H, Ansar S, et al. Past and Future Perspectives for Hepatitis B and C in Pakistan. Cureus. 2021;13(8): e17521.

Niazi SK, Mahmood A, Alam M, Ghani E. Seroprevalence of transfusion transmissible infections in blood donors: A three-year experience. Pak Armed Forces Med J. 2016; 66:190-93.

Irfan SM, Uddin J, Zaheer HA, Sultan S, Baig A. Trends in transfusion transmitted infections among replacement blood donors in karachi, pakistan. Turk J Haematol. 2013 ;30(2):163-7

Kumari S. Prevalence and trends of hepatitis B virus, Hepatitis C virus, Human immunodeficiency virus 1, 2 and syphilis infections among blood donors in a regional transfusion center in Punjab, India: A 3 years study. Indian J Sex Transm Dis AIDS. 2020 ;41(1):22-29.

Uzun B, Güngör S, Demirci M. Seroprevalence of transfusion transmissible infections among blood donors in western part of Turkey: a six-year study. Transfus Apher Sci. 2013 ;49(3):511-515.

Xu T, Yi ZM, Luo JM, Yu HL, Fan YH, Lu H, et al. Prevalence and trends of transfusion-transmittable infections among blood donors in Southwest China. J Public Health (Oxf). 2019;41(1):55-61.

Farshadpour F, Taherkhani R, Tajbakhsh S, Gholizadeh Tangestani M, Hajiani G, Sharifi N, et al. Prevalence and Trends of Transfusion-Transmissible Viral Infections among Blood Donors in South of Iran: An Eleven-Year Retrospective Study. PLoS One. 2016 ;11(6):e0157615.

Rivera NS, Tiongco REG, Salita CL, Kawano RL. Seroprevalence of selected transfusion transmissible infections among blood donors in Region 3, Philippines: A 5-year retrospective study. Trop Biomed. 2019;36(4):993-1002.

Shiferaw E, Tadilo W, Melkie I, Shiferaw M. Sero-prevalence and trends of transfusion-transmissible infections among blood donors at Bahir Dar district blood bank, northwest Ethiopia: A four-year retrospective study. PLoS One. 2019;14(4):e0214755.

Okoroiwu HU, Okafor IM, Asemota EA, Okpokam DC. Seroprevalence of transfusion-transmissible infections (HBV, HCV, syphilis and HIV) among prospective blood donors in a tertiary health care facility in Calabar, Nigeria; an eleven years evaluation. BMC Public Health. 2018 ;18(1):645.

Qureshi H, Bile KM, Jooma R, Alam SE, Afridi HU. Prevalence of hepatitis B and C viral infections in Pakistan: findings of a national survey appealing for effective prevention and control measures. East Mediterr Health J. 2010;16 Suppl: S15-23.

Al Kanaani Z, Mahmud S, Kouyoumjian SP, Abu-Raddad LJ. The epidemiology of hepatitis C virus in Pakistan: systematic review and meta-analyses. R Soc Open Sci. 2018 ;5(4):180257.

Ahmed A, Hashmi FK, Khan GM. HIV outbreaks in Pakistan. Lancet HIV. 2019 ;6(7):e418.

Ghani E, Rathore MA, Khan SA. Trends in human immunodeficiency virus seroprevalence in blood donors in northern Pakistan. Public Health. 2016; 131:71-74.

Rathore MA, Rashid Z, Khushk IA, Mashhadi F, Rathore MA, Barnes S. Exploring health seeking behaviour among incidentally diagnosed HIV cases in Rawalpindi, Pakistan: A qualitative perspective. J Pak Med Assoc. 2022 ;72(12):2453-2458.

Fu L, Sun Y, Han M, Wang B, Xiao F, Zhou Y, et al. Incidence Trends of Five Common Sexually Transmitted Infections Excluding HIV From 1990 to 2019 at the Global, Regional, and National Levels: Results from the Global Burden of Disease Study 2019. Front Med (Lausanne). 2022; 9:851635.

Arshad A, Borhany M, Anwar N, Naseer I, Ansari R, Boota S, et al. Prevalence of transfusion transmissible infections in blood donors of Pakistan. BMC Hematol. 2016 ;16:27.

Carver A, Chell K, Davison TE, Masser BM. What motivates men to donate blood? A systematic review of the evidence. Vox Sang. 2018 ;113(3):205-219.

Keshvari M, Sharafi H, Alavian SM, Mehrabadi H, Zolfaghari S. Prevalence and trends of transfusion-transmitted infections among blood donors in Tehran, Iran from 2008 to 2013. Transfus Apher Sci. 2015 ;53(1):38-47.

Dhiman Y, Patidar GK, Hazarika A. Consecutive reactive results in screening of transfusion transmitted infections: Family history of blood donors is also important. Transfus Apher Sci. 2019 ;58(4):464-467

Published

09/27/2024

How to Cite

Rathore, M. A., Abbasi, A. J., Khuskh, I. A., Ghafoor, T., Sabir, N., & Rathore, M. A. (2024). Trends of Transfusion Transmissible Infections among Predominantly Male Blood Donors in Rawalpindi: A Five-Year Retrospective Study. Annals of King Edward Medical University, 30(3). https://doi.org/10.21649/akemu.v30i3.5456

Issue

Section

Research Articles

Most read articles by the same author(s)

Loading...