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ORIGINAL ARTICLE
Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 45-51

Slump of trends in transfusion-transmissible infectious diseases: Is syphils alarming in Pakistan?


1 Department of Transfusion Medicine, Punjab Institute of Cardiology, Punjab, Pakistan
2 Department of Pathology and Transfusion Medicine, DHQ Hospital, Mandi Bahauddin, Pakistan
3 Department of Allied Health Professionals, Directorate of Medical Sciences, Government College University, Faisalabad, Pakistan
4 Safe Blood Transfusion Programme, Ministry of National Health Services, Government of Pakistan; Department of Pathology and Blood Bank, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
5 Department of Bioinformatics and Biotechnology, International Islamic University, Islamabad, Pakistan
6 Department of Microbiology and Molecular Genetics (MMG), University of Punjab, Pakistan
7 Department of Pathology, Allama Iqbal Medical College and Jinnah Hospital (AIMC and JHL) Lahore, Punjab, Pakistan

Correspondence Address:
Dr. Muhammad Saeed
Department of Pathology and Transfusion Medicine, DHQ Hospital, Mandi Bahauddin
Pakistan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GJTM.GJTM_46_18

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Aims: This study was planned to evaluate the trends of transfusion-transmissible infectious diseases (TTID). Setting and Design: This cross-sectional retrospective study was conducted on donor community attending Transfusion Medicine Department, Punjab Institute of Cardiology, Lahore, Pakistan from January 1, 2012, to December 31, 2016. Subject and Methods: A total of 79,774 blood donors were processed for HbsAg anti-HCV, anti-human immunodeficiency virus (HIV), syphilis, and malaria detection by rapid immune chromatographic technique. Statistical Analysis: The data analysis was done through SPSS 20.0. Chi-square test was employed. Results: Males and females were 91% and 9%, respectively. The mean age was 44 ± 10 years, the prevalence of TTID was 4.0%, and year-wise decreasing trends were observed as 4.4%, 4.2%, 3.7%, 3.9%, and 3.9%, respectively, in 2012–2016. Overall Co-infection was 0.36%, HBV+HCV co-infection was most common. The seroprevalence of HBV, HCV, syphilis, malaria, and HIV was 0.9%, 1.7%, 1.1%, 0.1%, and 0%, respectively. Year-wise seroprevalence of HCV was 2.1%, 1.8%, 1.7%, 1.7%, and 1.3%; HBV was 1.2%, 0.8%, 0.8%, 1.0%, and 1.0%, syphilis was 0.8%, 0.8%, 0.9%, 1.4%, and 1.5%, and malaria was 0.1%, 0.03%, 0.1%, 0.1%, and 0.05% in 2012–2016, respectively, and no single case of HIV was detected. Conclusion: Raising trends for syphilis among blood donors underscore the concern about growing infection of this disease in the community as these blood donors represent the highly selective community. The zero prevalence of HIV in Pakistani population supports the growing awareness of this life-threatening disease. HBV and HCV infections still continue to be a menace to the society because, in spite of decreasing trend, burden of the disease is still high in general community.


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