Hepatitis E virus infection among blood donors in Hangzhou

[Objective] To investigate the infection and characteristics of hepatitis E virus among blood donors in Hangzhou. [Methods] A total of 5 075 blood samples of blood donors from Zhejiang Provincial Blood Center from September to November 2023 were collected, including 5 037 samples with normal ALT and...

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Main Authors: DU Ziyun, DENG Wenjun, WU Danxiao, LIU Jinhui, DONG Jie
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2025-01-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.004&lang=en
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author DU Ziyun
DENG Wenjun
WU Danxiao
LIU Jinhui
DONG Jie
author_facet DU Ziyun
DENG Wenjun
WU Danxiao
LIU Jinhui
DONG Jie
author_sort DU Ziyun
collection DOAJ
description [Objective] To investigate the infection and characteristics of hepatitis E virus among blood donors in Hangzhou. [Methods] A total of 5 075 blood samples of blood donors from Zhejiang Provincial Blood Center from September to November 2023 were collected, including 5 037 samples with normal ALT and 38 samples with elevated ALT (>50 U/L). Enzyme-linked immunosorbent assay (ELISA) was used to detect anti-HEV IgM, anti-HEV IgG and HEV-Ag. The Fisher test and Chi-square test were used to evaluate the difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among different levels of ALT. The distribution characteristics of HEV screening in blood donors were analyzed. Univariate and multivariate logistic regression were used to analyze the susceptibility factors of anti-HEV IgM and anti-HEV IgG seropositivity, and the anti-HEV IgM-reactive blood donors were followed up by telephone. [Results] The reactivity rates of anti-HEV IgM, anti-HEV IgG and HEV-Ag in 5 075 blood samples were 0.45%, 22.98% and 0%, respectively. There was no difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among different levels of ALT (P>0.05), and the results of univariate and multivariate logistic regression analysis showed that age was a risk factor for anti-HEV IgM and anti-HEV IgG reactivity in blood donors (P<0.05), while no difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among blood donors was noticed in gender, occupation and education level (P>0.05). [Conclusion] There is a potential risk of transfusion-transmitted HEV (TT-HEV) in Hangzhou, and a cost-effective HEV screening strategy needs to be established to continue regular HEV surveillance in Hangzhou to assess the risk of infection.
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spelling doaj-art-712947d63174462486590565e7c4d64d2025-01-27T01:46:11ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2025-01-01381192510.13303/j.cjbt.issn.1004-549x.2025.01.0041004-549X(2025)1-0019-07Hepatitis E virus infection among blood donors in HangzhouDU Ziyun0DENG Wenjun1WU Danxiao2LIU Jinhui3DONG Jie4Blood Center of Zhejiang Province, Hangzhou 310000, ChinaBlood Center of Zhejiang Province, Hangzhou 310000, ChinaBlood Center of Zhejiang Province, Hangzhou 310000, ChinaBlood Center of Zhejiang Province, Hangzhou 310000, ChinaBlood Center of Zhejiang Province, Hangzhou 310000, China[Objective] To investigate the infection and characteristics of hepatitis E virus among blood donors in Hangzhou. [Methods] A total of 5 075 blood samples of blood donors from Zhejiang Provincial Blood Center from September to November 2023 were collected, including 5 037 samples with normal ALT and 38 samples with elevated ALT (>50 U/L). Enzyme-linked immunosorbent assay (ELISA) was used to detect anti-HEV IgM, anti-HEV IgG and HEV-Ag. The Fisher test and Chi-square test were used to evaluate the difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among different levels of ALT. The distribution characteristics of HEV screening in blood donors were analyzed. Univariate and multivariate logistic regression were used to analyze the susceptibility factors of anti-HEV IgM and anti-HEV IgG seropositivity, and the anti-HEV IgM-reactive blood donors were followed up by telephone. [Results] The reactivity rates of anti-HEV IgM, anti-HEV IgG and HEV-Ag in 5 075 blood samples were 0.45%, 22.98% and 0%, respectively. There was no difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among different levels of ALT (P>0.05), and the results of univariate and multivariate logistic regression analysis showed that age was a risk factor for anti-HEV IgM and anti-HEV IgG reactivity in blood donors (P<0.05), while no difference in the reactivity rates of anti-HEV IgM and anti-HEV IgG among blood donors was noticed in gender, occupation and education level (P>0.05). [Conclusion] There is a potential risk of transfusion-transmitted HEV (TT-HEV) in Hangzhou, and a cost-effective HEV screening strategy needs to be established to continue regular HEV surveillance in Hangzhou to assess the risk of infection.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.004&lang=enhepatitis e virus (hev)blood donorsblood screening
spellingShingle DU Ziyun
DENG Wenjun
WU Danxiao
LIU Jinhui
DONG Jie
Hepatitis E virus infection among blood donors in Hangzhou
Zhongguo shuxue zazhi
hepatitis e virus (hev)
blood donors
blood screening
title Hepatitis E virus infection among blood donors in Hangzhou
title_full Hepatitis E virus infection among blood donors in Hangzhou
title_fullStr Hepatitis E virus infection among blood donors in Hangzhou
title_full_unstemmed Hepatitis E virus infection among blood donors in Hangzhou
title_short Hepatitis E virus infection among blood donors in Hangzhou
title_sort hepatitis e virus infection among blood donors in hangzhou
topic hepatitis e virus (hev)
blood donors
blood screening
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.01.004&lang=en
work_keys_str_mv AT duziyun hepatitisevirusinfectionamongblooddonorsinhangzhou
AT dengwenjun hepatitisevirusinfectionamongblooddonorsinhangzhou
AT wudanxiao hepatitisevirusinfectionamongblooddonorsinhangzhou
AT liujinhui hepatitisevirusinfectionamongblooddonorsinhangzhou
AT dongjie hepatitisevirusinfectionamongblooddonorsinhangzhou