Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study

Abstract Background Ethiopia is one of the top 10 countries in the world where 90% visceral leishmaniasis cases are reported. Metema-Humera lowlands are the most important foci in Ethiopia. Blood transfusion in visceral leishmaniasis endemic foci in Ethiopia does not consider screening of visceral l...

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Main Authors: Iyasu Melkie, Mulat Yimer, Getaneh Alemu, Banchamlak Tegegne
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-023-01082-7
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author Iyasu Melkie
Mulat Yimer
Getaneh Alemu
Banchamlak Tegegne
author_facet Iyasu Melkie
Mulat Yimer
Getaneh Alemu
Banchamlak Tegegne
author_sort Iyasu Melkie
collection DOAJ
description Abstract Background Ethiopia is one of the top 10 countries in the world where 90% visceral leishmaniasis cases are reported. Metema-Humera lowlands are the most important foci in Ethiopia. Blood transfusion in visceral leishmaniasis endemic foci in Ethiopia does not consider screening of visceral leishmaniasis during blood donation. The aim of this study is therefore, was to assess asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia. Methods A Health facility based cross-sectional study was conducted at Metema Blood Bank from February to March 2020. A total of 205 blood donors were eligible and participated in this study. Structured questionnaire were used to collect data on socio-demographic characteristics and perceived risk factors associated with asymptomatic visceral leishmaniasis among blood donors. Blood donors were screened using both rK39 and direct agglutination tests based on the manufactures’ instructions. Data were analyzed using SPSS version 20.0. Chi-square test was used to assess associations of Leishmania donovani infection with predisposing factors. Associations were considered statstically significant on P-value < 0.05 at 95% confidence level. Results Of the total 205 participants, 32(15.6%) were positive for asymptomatic Leishmania donovani infection at least by one of the diagnostic tests used. Eight (3.9%) and 30(14.6%) of the participants` were positive by the rK39 and direct agglutination tests, respectively. Six (2.9%) donors were tested positive by both diagnostic tests. Family history of visceral leishmaniasis (X²=11.334, P = 0.003) and having neighbors with history of visceral leishmaniasis (X²=5.923, P = 0.015) were significantly associated with asymptomatic Leishmania donovani infection among blood donors. Conclusions The prevalence of asymptomatic Leishmania donovani infection was 15.6%. Asymptomatic visceral leishmaniasis was significantly associated with donors’ family and neighbors’ history of infection. Therefore, laboratory screening of blood donors for visceral leishmaniasis in endemic areas will be mandatory. Moreover, this study will give base line information for future study in the country.
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spelling doaj.art-ad38f9d370274603bfb6851f8e4d12ca2023-04-23T11:10:07ZengBMCArchives of Public Health2049-32582023-04-018111610.1186/s13690-023-01082-7Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional studyIyasu Melkie0Mulat Yimer1Getaneh Alemu2Banchamlak Tegegne3Bahir Dar city administration Blood BankDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Medical Laboratory Science, College of Medicine and Health Sciences, Bahir Dar UniversityMedical Parasitology Department, Amhara Public Health InstituteAbstract Background Ethiopia is one of the top 10 countries in the world where 90% visceral leishmaniasis cases are reported. Metema-Humera lowlands are the most important foci in Ethiopia. Blood transfusion in visceral leishmaniasis endemic foci in Ethiopia does not consider screening of visceral leishmaniasis during blood donation. The aim of this study is therefore, was to assess asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia. Methods A Health facility based cross-sectional study was conducted at Metema Blood Bank from February to March 2020. A total of 205 blood donors were eligible and participated in this study. Structured questionnaire were used to collect data on socio-demographic characteristics and perceived risk factors associated with asymptomatic visceral leishmaniasis among blood donors. Blood donors were screened using both rK39 and direct agglutination tests based on the manufactures’ instructions. Data were analyzed using SPSS version 20.0. Chi-square test was used to assess associations of Leishmania donovani infection with predisposing factors. Associations were considered statstically significant on P-value < 0.05 at 95% confidence level. Results Of the total 205 participants, 32(15.6%) were positive for asymptomatic Leishmania donovani infection at least by one of the diagnostic tests used. Eight (3.9%) and 30(14.6%) of the participants` were positive by the rK39 and direct agglutination tests, respectively. Six (2.9%) donors were tested positive by both diagnostic tests. Family history of visceral leishmaniasis (X²=11.334, P = 0.003) and having neighbors with history of visceral leishmaniasis (X²=5.923, P = 0.015) were significantly associated with asymptomatic Leishmania donovani infection among blood donors. Conclusions The prevalence of asymptomatic Leishmania donovani infection was 15.6%. Asymptomatic visceral leishmaniasis was significantly associated with donors’ family and neighbors’ history of infection. Therefore, laboratory screening of blood donors for visceral leishmaniasis in endemic areas will be mandatory. Moreover, this study will give base line information for future study in the country.https://doi.org/10.1186/s13690-023-01082-7Asymptomatic Leishmania donovani infectionBlood donorsrK39 testDirect agglutination testEthiopia
spellingShingle Iyasu Melkie
Mulat Yimer
Getaneh Alemu
Banchamlak Tegegne
Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
Archives of Public Health
Asymptomatic Leishmania donovani infection
Blood donors
rK39 test
Direct agglutination test
Ethiopia
title Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
title_full Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
title_fullStr Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
title_full_unstemmed Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
title_short Asymptomatic Leishmania donovani infection and associated factors among blood donors attending at Metema district Blood Bank, Northwest Ethiopia: a cross- sectional study
title_sort asymptomatic leishmania donovani infection and associated factors among blood donors attending at metema district blood bank northwest ethiopia a cross sectional study
topic Asymptomatic Leishmania donovani infection
Blood donors
rK39 test
Direct agglutination test
Ethiopia
url https://doi.org/10.1186/s13690-023-01082-7
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AT mulatyimer asymptomaticleishmaniadonovaniinfectionandassociatedfactorsamongblooddonorsattendingatmetemadistrictbloodbanknorthwestethiopiaacrosssectionalstudy
AT getanehalemu asymptomaticleishmaniadonovaniinfectionandassociatedfactorsamongblooddonorsattendingatmetemadistrictbloodbanknorthwestethiopiaacrosssectionalstudy
AT banchamlaktegegne asymptomaticleishmaniadonovaniinfectionandassociatedfactorsamongblooddonorsattendingatmetemadistrictbloodbanknorthwestethiopiaacrosssectionalstudy