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[Post-transfusion hepatitis iin Chile: the reference parameters].

H Ibarra1, S Riedemann, J C Gómez

  • 1Instituto de Medicina, Facultad de Medicina, Universidad Austral de Chile.

Revista Medica De Chile
|February 1, 1990
PubMed
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This study evaluated alanine aminotransferase (ALT) levels and hepatitis B markers in blood donors to assess post-transfusion hepatitis risk. Elevated ALT levels were common, but their link to non-A non-B hepatitis requires further investigation with specific markers.

Area of Science:

  • Hepatology
  • Virology
  • Transfusion Medicine

Background:

  • Post-transfusion hepatitis is often caused by non-A non-B viruses.
  • Indirect tests like alanine aminotransferase (ALT) elevation and anti-hepatitis B core (anti-HBc) titers are used for detection.
  • Specific viral markers for non-A non-B hepatitis are lacking.

Purpose of the Study:

  • To screen blood donors and health personnel for hepatitis markers.
  • To evaluate alanine aminotransferase (ALT) serum levels in relation to hepatitis B markers and alcohol intake.
  • To assess the potential risk of post-transfusion hepatitis.

Main Methods:

  • Screening of 692 individuals (blood donors and health personnel).
  • Measurement of anti-hepatitis B core (anti-HBc) antibodies in 572 subjects.

Related Experiment Videos

  • Measurement of hepatitis B surface antigen (HBsAg) in 340 subjects.
  • Assay of alanine aminotransferase (ALT) serum levels in 190 subjects.

    • Main Results:

    • 1.7% of subjects tested positive for anti-HBc; 0% tested positive for HBsAg.
    • Mean ALT levels were 25 +/- 12 u/l in males and 18 +/- 14 u/l in females (p < 0.01).
    • 6% of subjects had ALT levels above 45 u/l.
    • ALT levels did not correlate with anti-HBc positivity or alcohol consumption.

    Conclusions:

    • Hepatitis B markers were low in the screened population.
    • Elevated ALT levels were observed in a subset of subjects.
    • Further research using specific non-A non-B hepatitis markers is needed to clarify the risk associated with elevated ALT levels in post-transfusion hepatitis.