Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases

Epidemiological screening combined with serological tests has become an important tool at blood banks for the characterization of donors with or without Trypanosoma cruzi infection. Thus, the objective of the present study was to describe the sociodemographic and epidemiological characteristics of b...

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Main Authors: Márcia M Ferreira-Silva, Gilberto A Pereira, Eliane Lages-Silva, Helio Moraes-Souza
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2010-09-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000600012
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author Márcia M Ferreira-Silva
Gilberto A Pereira
Eliane Lages-Silva
Helio Moraes-Souza
author_facet Márcia M Ferreira-Silva
Gilberto A Pereira
Eliane Lages-Silva
Helio Moraes-Souza
author_sort Márcia M Ferreira-Silva
collection DOAJ
description Epidemiological screening combined with serological tests has become an important tool at blood banks for the characterization of donors with or without Trypanosoma cruzi infection. Thus, the objective of the present study was to describe the sociodemographic and epidemiological characteristics of blood donors with non-negative serology for T. cruzito determine possible risk factors associated with serological ineligibility. Sociodemographic and epidemiological data were collected by analysis of patient histories and interviews. The data were analyzed descriptively using absolute and relative frequencies and odds ratio (OR) evaluation. The frequency of serological ineligibility was 0.28%, with a predominance of inconclusive reactions (52%) and seropositivity among first-time donors (OR = 607), donors older than 30 years (OR = 3.7), females (OR = 1.9), donors from risk areas (OR = 4) and subjects living in rural areas (OR = 1.7). The risk of seropositivity was higher among donors who had contact with the triatomine vector (OR = 11.7) and those with a family history of Chagas disease (OR = 4.8). The results demonstrate the value of detailed clinical-epidemiological screening as an auxiliary tool for serological definition that, together with more specific and more sensitive laboratory methods, will guarantee a higher efficacy in the selection of donors at blood centres.
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spelling doaj.art-49686caffc2b4196abcf82352e6f9ae92023-08-02T09:15:30ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602010-09-01105680080510.1590/S0074-02762010000600012Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive casesMárcia M Ferreira-SilvaGilberto A PereiraEliane Lages-SilvaHelio Moraes-SouzaEpidemiological screening combined with serological tests has become an important tool at blood banks for the characterization of donors with or without Trypanosoma cruzi infection. Thus, the objective of the present study was to describe the sociodemographic and epidemiological characteristics of blood donors with non-negative serology for T. cruzito determine possible risk factors associated with serological ineligibility. Sociodemographic and epidemiological data were collected by analysis of patient histories and interviews. The data were analyzed descriptively using absolute and relative frequencies and odds ratio (OR) evaluation. The frequency of serological ineligibility was 0.28%, with a predominance of inconclusive reactions (52%) and seropositivity among first-time donors (OR = 607), donors older than 30 years (OR = 3.7), females (OR = 1.9), donors from risk areas (OR = 4) and subjects living in rural areas (OR = 1.7). The risk of seropositivity was higher among donors who had contact with the triatomine vector (OR = 11.7) and those with a family history of Chagas disease (OR = 4.8). The results demonstrate the value of detailed clinical-epidemiological screening as an auxiliary tool for serological definition that, together with more specific and more sensitive laboratory methods, will guarantee a higher efficacy in the selection of donors at blood centres.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000600012blood donorsChagas diseaseserological ineligibilityinconclusive serologysocioepidemiological screening
spellingShingle Márcia M Ferreira-Silva
Gilberto A Pereira
Eliane Lages-Silva
Helio Moraes-Souza
Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
Memorias do Instituto Oswaldo Cruz
blood donors
Chagas disease
serological ineligibility
inconclusive serology
socioepidemiological screening
title Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
title_full Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
title_fullStr Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
title_full_unstemmed Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
title_short Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases
title_sort socioepidemiological screening of serologically ineligible blood donors due to chagas disease for the definition of inconclusive cases
topic blood donors
Chagas disease
serological ineligibility
inconclusive serology
socioepidemiological screening
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000600012
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