CONFIRMATORY TESTING RESULTS OF HEPATITIS B VIRUS INFECTION AMONG BLOOD DONORS WITH REACTIVE SCREENING RESULTS AT THE NATIONAL INSTITUTE OF HEMATOLOGY AND BLOOD TRANSFUSION OVER A 5-YEAR PERIOD (2020–2024)
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Abstract
Background: Confirmatory testing accurately determines HBV infection status in blood donors with reactive screening results, enhancing transfusion safety and donor management. Standardizing procedures and post-donation counseling are essential to minimize transmission risk and protect donor rights.
Objective: To determine the true prevalence of HBV infection among blood donors with reactive HBsAg and/or HBV-DNA screening results at the National Institute of Hematology and Blood Transfusion (2020–2024).
Method: A cross-sectional study.
Subjects: 1,922 blood donors with reactive HBV screening results (1,489 HBsAg-reactive, 433 HBV-DNA-reactive) who returned for confirmatory testing after 6 months.
Results: From 2020–2024, among 6,765 donors with reactive HBV screening, 1,922 (28.4%) returned for confirmation. 1,017 (53.0%) were confirmed HBV-infected, including 855 (44.5%) HBsAg-positive and 164 (8.5%) with occult hepatitis B infection (OBI). 697 (36.3%) were HBV-negative, and 206 (10.7%) had indeterminate results requiring follow-up.
Conclusion: Confirmatory testing is crucial to differentiate true infection from false-reactive results, ensuring transfusion safety and supporting appropriate donor counseling and management.
Keywords
HBV, blood donors, confirmatory testing, HBsAg, HBV-DNA
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References
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