Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)

To increase blood safety Brazil introduced screening for anti-HBc among blood donors in 1993. There was a decrease in the hepatitis B virus (HBV) transmission, but this measure identified a great number of HBsAg-negative, anti-HBc-positive donors. Surveillance policy determines that contacts of HBV...

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Main Authors: Hildenete Monteiro Fortes, Luciano Corrêa Ribeiro, Gustavo Faria Perazolo, Francisco José Dutra Souto
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2006-03-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000200011
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author Hildenete Monteiro Fortes
Luciano Corrêa Ribeiro
Gustavo Faria Perazolo
Francisco José Dutra Souto
author_facet Hildenete Monteiro Fortes
Luciano Corrêa Ribeiro
Gustavo Faria Perazolo
Francisco José Dutra Souto
author_sort Hildenete Monteiro Fortes
collection DOAJ
description To increase blood safety Brazil introduced screening for anti-HBc among blood donors in 1993. There was a decrease in the hepatitis B virus (HBV) transmission, but this measure identified a great number of HBsAg-negative, anti-HBc-positive donors. Surveillance policy determines that contacts of HBV carriers should be screened to HBV markers, but there is no recommendation about how to guide contacts of HBsAg-negative, anti-HBc-positive donors. Aiming to evaluate whether the contacts of this group are at greater risk for HBV infection, a cross-sectional study was performed to compare prevalence of HBV infection between contacts of HBsAg-positive blood donors (group I) and contacts of HBsAg-negative, anti-HBc-positive donors (group II). Contacts were submitted to a questionnaire and blood tests for HBV markers. In group I (n = 143), 53 (37.1%) were anti-HBc-positive and 11 (7.7%) were HBsAg-positive. In group II (n = 111), there were 9 and 0.9%, respectively. HBV exposure was associated with group I, sexual activity, blood transfusion, being one of the donor's parents, and living for more than ten years with the donor. Regarding the families as sample units, it was more common to find at least one member with HBV markers (p < 0.05) among the families of group I compared to group II. Contacts of HBsAg-negative, anti-HBc-positive individuals presented a much lower risk of having already been exposed to HBV and there is no need to screen them for HBV in low to moderate prevalence populations.
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spelling doaj.art-543fcfe754d94fcf8b6aa91a2d119d3f2023-08-02T09:28:21ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602006-03-01101219519910.1590/S0074-02762006000200011Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)Hildenete Monteiro FortesLuciano Corrêa RibeiroGustavo Faria PerazoloFrancisco José Dutra SoutoTo increase blood safety Brazil introduced screening for anti-HBc among blood donors in 1993. There was a decrease in the hepatitis B virus (HBV) transmission, but this measure identified a great number of HBsAg-negative, anti-HBc-positive donors. Surveillance policy determines that contacts of HBV carriers should be screened to HBV markers, but there is no recommendation about how to guide contacts of HBsAg-negative, anti-HBc-positive donors. Aiming to evaluate whether the contacts of this group are at greater risk for HBV infection, a cross-sectional study was performed to compare prevalence of HBV infection between contacts of HBsAg-positive blood donors (group I) and contacts of HBsAg-negative, anti-HBc-positive donors (group II). Contacts were submitted to a questionnaire and blood tests for HBV markers. In group I (n = 143), 53 (37.1%) were anti-HBc-positive and 11 (7.7%) were HBsAg-positive. In group II (n = 111), there were 9 and 0.9%, respectively. HBV exposure was associated with group I, sexual activity, blood transfusion, being one of the donor's parents, and living for more than ten years with the donor. Regarding the families as sample units, it was more common to find at least one member with HBV markers (p < 0.05) among the families of group I compared to group II. Contacts of HBsAg-negative, anti-HBc-positive individuals presented a much lower risk of having already been exposed to HBV and there is no need to screen them for HBV in low to moderate prevalence populations.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000200011blood donor screeningcommunicable diseasesblood-borne pathogenshorizontal transmissionvertical transmissionBrazil
spellingShingle Hildenete Monteiro Fortes
Luciano Corrêa Ribeiro
Gustavo Faria Perazolo
Francisco José Dutra Souto
Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
Memorias do Instituto Oswaldo Cruz
blood donor screening
communicable diseases
blood-borne pathogens
horizontal transmission
vertical transmission
Brazil
title Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
title_full Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
title_fullStr Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
title_full_unstemmed Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
title_short Hepatitis B virus screening in contacts of blood donors with antibodies against core protein (anti-HBc), but without surface antigen (HBsAg)
title_sort hepatitis b virus screening in contacts of blood donors with antibodies against core protein anti hbc but without surface antigen hbsag
topic blood donor screening
communicable diseases
blood-borne pathogens
horizontal transmission
vertical transmission
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762006000200011
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AT gustavofariaperazolo hepatitisbvirusscreeningincontactsofblooddonorswithantibodiesagainstcoreproteinantihbcbutwithoutsurfaceantigenhbsag
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