Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.

<h4>Introduction</h4>Hepatitis E virus is one of new threats to blood safety which was usually considered to be transmitted via fecal-oral route. China is one of the hyperendemic regions where frequent outbreaks of hepatitis E are noted. However, the overall prevalence of HEV infection a...

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Main Authors: Meiyu Wang, Ping Fu, Yonghua Yin, Miao He, Yu Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0161089&type=printable
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author Meiyu Wang
Ping Fu
Yonghua Yin
Miao He
Yu Liu
author_facet Meiyu Wang
Ping Fu
Yonghua Yin
Miao He
Yu Liu
author_sort Meiyu Wang
collection DOAJ
description <h4>Introduction</h4>Hepatitis E virus is one of new threats to blood safety which was usually considered to be transmitted via fecal-oral route. China is one of the hyperendemic regions where frequent outbreaks of hepatitis E are noted. However, the overall prevalence of HEV infection among mainland Chinese blood donors is not clear until now.<h4>Method</h4>The peer-reviewed literatures reporting the prevalence of HEV in Chinese blood donors were identified by systematic searching of five electronic databases. The systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement issued in 2009. Data manipulation and statistical analyses were performed by Stata 12.0.<h4>Results</h4>Fourteen eligible articles involving 22 independent studies were included. Pooled prevalence of HEV infection biomarkers (anti-HEV IgG, anti-HEV IgM, RNA and antigen) among mainland Chinese blood donors were 29.2%, 1.1%, 0.1% and 0.1%, respectively which were higher than the data reported in other countries. The analysis of HEV genotypes indicated that the most prevalent strains in Chinese blood donors were genotype 1 and 4.<h4>Conclusions</h4>Mainland China is indicated with a relatively higher risk of transmission of hepatitis E through transfusion and the screening of blood donors for HEV RNA, especially in HEV-endemic areas, might reduce the potential risk of HEV infection via transfusion.
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spelling doaj-art-562a79aaa7a64805a434ddef77e3a5fb2025-08-20T03:32:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01119e016108910.1371/journal.pone.0161089Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.Meiyu WangPing FuYonghua YinMiao HeYu Liu<h4>Introduction</h4>Hepatitis E virus is one of new threats to blood safety which was usually considered to be transmitted via fecal-oral route. China is one of the hyperendemic regions where frequent outbreaks of hepatitis E are noted. However, the overall prevalence of HEV infection among mainland Chinese blood donors is not clear until now.<h4>Method</h4>The peer-reviewed literatures reporting the prevalence of HEV in Chinese blood donors were identified by systematic searching of five electronic databases. The systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement issued in 2009. Data manipulation and statistical analyses were performed by Stata 12.0.<h4>Results</h4>Fourteen eligible articles involving 22 independent studies were included. Pooled prevalence of HEV infection biomarkers (anti-HEV IgG, anti-HEV IgM, RNA and antigen) among mainland Chinese blood donors were 29.2%, 1.1%, 0.1% and 0.1%, respectively which were higher than the data reported in other countries. The analysis of HEV genotypes indicated that the most prevalent strains in Chinese blood donors were genotype 1 and 4.<h4>Conclusions</h4>Mainland China is indicated with a relatively higher risk of transmission of hepatitis E through transfusion and the screening of blood donors for HEV RNA, especially in HEV-endemic areas, might reduce the potential risk of HEV infection via transfusion.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0161089&type=printable
spellingShingle Meiyu Wang
Ping Fu
Yonghua Yin
Miao He
Yu Liu
Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
PLoS ONE
title Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
title_full Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
title_fullStr Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
title_full_unstemmed Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
title_short Acute, Recent and Past HEV Infection among Voluntary Blood Donors in China: A Systematic Review and Meta-Analysis.
title_sort acute recent and past hev infection among voluntary blood donors in china a systematic review and meta analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0161089&type=printable
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AT yonghuayin acuterecentandpasthevinfectionamongvoluntaryblooddonorsinchinaasystematicreviewandmetaanalysis
AT miaohe acuterecentandpasthevinfectionamongvoluntaryblooddonorsinchinaasystematicreviewandmetaanalysis
AT yuliu acuterecentandpasthevinfectionamongvoluntaryblooddonorsinchinaasystematicreviewandmetaanalysis