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[Post-transfusion hepatitis]

I Serban, V Gorgan, C Onesciuc

    Revista De Igiena, Bacteriologie, Virusologie, Parazitologie, Epidemiologie, Pneumoftiziologie. Bacteriologia, Virusologia, Parazitologia, Epidemiologia
    |July 1, 1981
    PubMed
    Summary
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    Preventing post-transfusion hepatitis (PTH) through careful donor screening and transfusion practices significantly reduced its incidence. Early detection of Hepatitis B carriers is crucial for preventing PTH type B, which is costly to treat.

    Area of Science:

    • Hepatology
    • Transfusion Medicine
    • Virology

    Background:

    • Post-transfusion hepatitis (PTH) posed a significant challenge in acute viral hepatitis management.
    • Hepatitis B virus (HBV) was identified as a major contributor to PTH.
    • The economic burden of PTH treatment exceeded that of general acute viral hepatitis.

    Purpose of the Study:

    • To investigate the incidence, etiology, evolution, prognosis, and treatment of PTH.
    • To evaluate the impact of transfusion practices and HBV carrier screening on PTH frequency.
    • To determine the proportion of PTH attributed to Hepatitis B and advocate for improved detection methods.

    Main Methods:

    • Retrospective analysis of 253 PTH cases among 7224 acute viral hepatitis patients (1973-1979).

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  • Implementation of rational transfusion protocols and HBV carrier elimination strategies.
  • Donor screening using contra-immunoelectrophoresis to detect Hepatitis B surface antigen (HBs Ag).
  • Main Results:

    • A three-fold decrease in PTH incidence was observed following improved transfusion practices and HBV carrier control.
    • Hepatitis B accounted for at least 26.8% of all PTH cases.
    • PTH treatment was complex, requiring prolonged hospitalization and incurring higher costs than general acute viral hepatitis.

    Conclusions:

    • Rational transfusion and HBV carrier elimination are effective in reducing PTH incidence.
    • More sensitive HBs Ag detection methods are necessary to eliminate PTH type B.
    • Investment in PTH prevention is cost-effective due to the high treatment expenses.