2.Evaluation of the effectiveness of quick test for screening HbsAg in blood donors
Journal of Practical Medicine 2004;481(6):64-65
In 2.504 blood donors, Abbott Determine test was used to promptly detect HbsAg. By the quick test HbsAg was detected on 7.51% of donors. 25.49% of donors gave their blood though they had knew his infection of HBV. By rapid screening test for HbsAg in the donors, the percentage of cencelling tranfusion reduced from 11.1% to 0.52%. Previous screening by rapid test for HbsAg, it was prevented from using the blood of HBV infected donors. Each year a sum of billion VND was saving for cancelling transfused blood.
Hepatitis B Surface Antigens
;
Blood
;
Tissue Donors
4.Rate of HBsAg and anti-HCV carriers among blood donors at Thua Thien Hue province during 5 years 1997 - 2001
Journal of Practical Medicine 2002;435(11):12-14
The rate of HBsAg carriers among blood donors at at Thua Thien Hue province during 5 years (1997 - 2001) is relative high, with 13.57% on average. At the same time, the incidence of HCV infection is lower than other areas (with mean 0.64%). The rate of HBsAg carrier is higher in rural than in Hue city (14.72% vs. 12.27%). The young adults in precincts have higher HBsAg incidence than in other groups.
Blood Donors
;
Hepatitis B Surface Antigens
;
Hepatitis C Antibodies
5.Relation of HIV, HCV and HBsAg between patients and blood donors
Journal of Practical Medicine 2002;430(9):58-60
In 1997, the Blood Bank in ViÖt §øc hospital discovered 14 cases of HIV1 positive: 1 case was not enough serum to make further test, 1 was regular donor with HIV positive, Anti HCV negative, HBsAg negative. The incidence of Anti HCV (Hepatitis C) was 12/13 positive (92.3%). The incidence of heroin users was 12/13 (92.3%). The incidence of HBsAg (Hepatitis B) was: 1/13 positive (7.8%).
HIV
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Hepatitis C virus
;
Hepatitis B Surface Antigens
;
Blood Donors
7.Serum HBsAg concentration and HBV replication level in hepatitis B patients with positive serum HBsAg and HBeAg.
Jian-hua LEI ; Xu YANG ; Hong-Yu LUO ; Wen-long WANG ; Li HUANG
Journal of Central South University(Medical Sciences) 2006;31(4):548-551
OBJECTIVE:
To analyze the relationship between serum HBsAg concentration and HBV replication level in hepatitis B patients with positive serum HBsAg and HBeAg, and to explore the possibility of using serum HBsAg concentration as a marker of HBV replication level in hepatitis B patients with positive serum HBeAg.
METHODS:
HBV DNA level and serum HBeAg, HBsAg concentration of 296 patients with positive serum HBsAg and HBeAg were quantitatively detected by real-time fluorescence quantitative PCR (FQ-PCR) and time-resolved fluoroimmunoassay (TRIFA) respectively. HBsAg concentrations were compared among patients with different HBV DNA levels, and HBV DNA levels were compared among patients with different HBsAg concentrations. The correlation between serum HBsAg concentration and DNA replication level were analyzed. The positive, negative predictive values and coincidence rates were speculated by various HBsAg concentrations.
RESULTS:
If HBV DNA positive was defined as HBV DNA levels no less than 10(5) copy/mL, then 228(77.03%) patients were classified as HBV DNA positive. HBsAg concentration was positively correlated with HBV DNA replication level, but among groups with various DNA replication levels, HBsAg concentration showed no significant statistical difference (P>0.05). If the patients were divided into 2 groups, HBsAg concentration (180 microg/L) was served as the cutoff level, the DNA positive rate of the group with HBsAg concentration no less than 180 microg/L was significantly higher than that with HBsAg concentration less than 180 microg/L (chi(2)=3.998, P<0.05). DNA positive rates and average DNA levels showed no significant statistical differences between the 2 groups, if HBsAg concentrations other than 180 microg/L were used as the cutoff level. Positive predictive values, negative predictive values and the coincidence rates speculated by various HBsAg concentrations as cutoff values did not show any significant statistical difference in estimating HBV replication levels.
CONCLUSION
To some extent, serum HBsAg concentration is related to HBV DNA replication level in hepatitis B patients with positive serum HBsAg and HBeAg, but it is not feasible to use HBsAg concentration to monitor their HBV replication levels.
DNA, Viral
;
blood
;
Hepatitis B Surface Antigens
;
blood
;
Hepatitis B e Antigens
;
blood
;
Hepatitis B, Chronic
;
virology
;
Humans
;
Virus Replication
8.Qualitative detection of hepatitis C virus core antigen in the serum in patients with chronic hepatitis C.
Yi OUYANG ; De-ming TAN ; Tie-gang LI ; Hui ZHOU ; Chang TAN
Journal of Central South University(Medical Sciences) 2006;31(6):894-905
OBJECTIVE:
To evaluate the clinical significance of serum hepatitis C virus (HCV) core antigen detected by enzyme linked immunosorbent assay (ELISA).
METHODS:
The serum HCV core antigen, which was taken from 149 patients with chronic hepatitis C, 20 patients of chronic hepatitis B and 20 health volunteers, was detected by ELISA. Meanwhile, the serum HCV RNA was detected by RT-PCR, and anti-HCV was detected by ELISA.
RESULTS:
The qualitative HCV core antigen in the serum, which was take from 20 patients of chronic hepatitis B and 20 health volunteers, was negative.The positive percentage of HCV core antigen was 49.66% in the 149 sera of patients with chronic hepatitis C. The coincidence of detective results of HCV RNA and HCV core antigen was 54.36%, without significant difference (P>0.05). The positive percentage of HCV RNA and HCV core antigen in the 149 anti-HCV antibody positive sera samples were 55.03% (82/149) and 49.66% (74/149), respectively, and there was no significant difference (P>0.05).
CONCLUSION
The qualitative HCV core antigen detected by ELISA has a high specificity. The positive percentage of HCV core antigen in the serum of patients with chronic hepatitis C is 49.66%. HCV core antigen is related to HCV RNA. HCV core antigen may be a useful serum marker which could show HCV viraemia like HCV RNA.
Hepatitis C Antigens
;
blood
;
Hepatitis C, Chronic
;
blood
;
Humans
;
RNA, Viral
;
blood
;
Viral Core Proteins
;
blood
10.Analysis on Reentry Situation of HBsAg Single Reagent Reactive Blood Donors in Anhui Province.
Fei-Fei JIANG ; Rong LYU ; Yang ZHAO ; Su-Ping LI ; Chao WANG ; Zhong LIU ; Miao LIU
Journal of Experimental Hematology 2020;28(4):1391-1396
OBJECTIVE:
To analyze the reentry situation of HBsAg single reagent reactive blood donors in Anhui province, and to verify the rationality and effectiveness of reentry strategy of blood donors in Anhui province.
METHODS:
Shielded blood donors who were HBsAg single reagent reactive might voluntarily apply for returning to the team of blood donors after the shield of 6 months. Blood bankstaff that shielded those donors should draw blood and conduct screening tests. Samples from donors who were HBsAg negative should be delivered to Anhui Blood Center to conduct the reentry detections. Shielded blood donors were allowed to return to the team if the results of HBsAg test, neutralization test, HBcAb test and nucleic acid test were negative.
RESULTS:
109 person-portions of samples for returning to team from September 2013 to December 2016 were delivered to Anhui Blood Center. After reentry tests, 60 of them were negative, 8 cases were positive, while 41 cases were undetermined, and the qualified rate was 55.05%.25 negative donors were from Hefei, 20 of them donated blood again and were negative.
CONCLUSION
The shielding and reentry strategy of blood donors with HBsAg single reagent reactive in Anhui province is rational and effective. However, there are still some deficiencies in trace of donors and information transmission, which needs to be further improved.
Blood Donors
;
DNA, Viral
;
Hepatitis B
;
Hepatitis B Surface Antigens
;
Hepatitis B virus
;
Humans