Decline in human T‐cell lymphotropic virus seroprevalence in blood donors from Minas Gerais, Brazil over a 12‐year period (2006–2017)

To investigate a 12‐year historical series (2006–2017) of human T‐cell lymphotropic virus (HTLV)‐positive blood donations from Fundação Hemominas, Minas Gerais, Brazil, an observational retrospective study was performed to evaluate data of blood donor candidates who were screened for HTLV‐1/2 by enz...

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Veröffentlicht in:Journal of medical virology 2022-11, Vol.94 (11), p.5535-5542
Hauptverfasser: Silva Malta, Maria Clara Fernandes, Silva, Sônia Mara Nunes, Oliveira, Milena Batista, Ribeiro, Maisa Aparecida, Martins, Marina Lobato
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container_issue 11
container_start_page 5535
container_title Journal of medical virology
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creator Silva Malta, Maria Clara Fernandes
Silva, Sônia Mara Nunes
Oliveira, Milena Batista
Ribeiro, Maisa Aparecida
Martins, Marina Lobato
description To investigate a 12‐year historical series (2006–2017) of human T‐cell lymphotropic virus (HTLV)‐positive blood donations from Fundação Hemominas, Minas Gerais, Brazil, an observational retrospective study was performed to evaluate data of blood donor candidates who were screened for HTLV‐1/2 by enzyme‐linked immunosorbent assay or chemiluminescence assays and confirmed by Western blot. We analyzed 3 309 716 blood donations covering 2006–2017 that were extracted from the institutional database. In a total of 3 308 738 donations that have complete algorithm tests, the global frequency of HTLV‐positive donations was 0.012%. The seroprevalence in first‐time blood donors was 28.82/100 000 donors; 0.95/100 000 donations were HTLV‐positive in repeat blood donors. The frequency of HTLV‐seropositive females was significantly higher than males (odds ratio = 1.85, p 
doi_str_mv 10.1002/jmv.28010
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We analyzed 3 309 716 blood donations covering 2006–2017 that were extracted from the institutional database. In a total of 3 308 738 donations that have complete algorithm tests, the global frequency of HTLV‐positive donations was 0.012%. The seroprevalence in first‐time blood donors was 28.82/100 000 donors; 0.95/100 000 donations were HTLV‐positive in repeat blood donors. The frequency of HTLV‐seropositive females was significantly higher than males (odds ratio = 1.85, p &lt; 0.001) in first‐time donors. The median age of HTLV‐positive first‐time and repeat donors was similar (36 and 32 years, respectively). First‐time donors ≥41 years had higher odds to be infected. There was a clear tendency of decline in the HTLV‐positive donations in the period analyzed, going from 19.26/100 000 donations to 8.50/100 000 donations. The increase in the proportion of repeat donors over the period analyzed (from 23% in 2006 to 67% in 2017) must be the principal factor that contributed to this drop. Our results showed a continuous decline in the frequency of HTLV‐positive donations from Minas Gerais, Brazil throughout 12 years and emphasize the importance of having a high rate of repeat donors in blood centers to reduce the residual risk of transfusion‐transmitted infections.</description><identifier>ISSN: 0146-6615</identifier><identifier>EISSN: 1096-9071</identifier><identifier>DOI: 10.1002/jmv.28010</identifier><identifier>PMID: 35855523</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Algorithms ; Blood ; Blood &amp; organ donations ; Blood Donors ; Blood transfusion ; Brazil - epidemiology ; Brazilian ; Chemiluminescence ; Female ; Health risks ; HTLV ; HTLV-I Infections - epidemiology ; HTLV-II Infections - epidemiology ; Human T-lymphotropic virus 1 ; Human T-lymphotropic virus 2 ; Humans ; Male ; Retrospective Studies ; Seroepidemiologic Studies ; Serology ; seroprevalence ; T-Lymphocytes ; Transfusion ; Virology ; Viruses</subject><ispartof>Journal of medical virology, 2022-11, Vol.94 (11), p.5535-5542</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2830-ce127b643174c38c782d4c5b7494251251107856b9ba46674dc62791af0c149e3</citedby><cites>FETCH-LOGICAL-c2830-ce127b643174c38c782d4c5b7494251251107856b9ba46674dc62791af0c149e3</cites><orcidid>0000-0003-2506-8450</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmv.28010$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmv.28010$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35855523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva Malta, Maria Clara Fernandes</creatorcontrib><creatorcontrib>Silva, Sônia Mara Nunes</creatorcontrib><creatorcontrib>Oliveira, Milena Batista</creatorcontrib><creatorcontrib>Ribeiro, Maisa Aparecida</creatorcontrib><creatorcontrib>Martins, Marina Lobato</creatorcontrib><title>Decline in human T‐cell lymphotropic virus seroprevalence in blood donors from Minas Gerais, Brazil over a 12‐year period (2006–2017)</title><title>Journal of medical virology</title><addtitle>J Med Virol</addtitle><description>To investigate a 12‐year historical series (2006–2017) of human T‐cell lymphotropic virus (HTLV)‐positive blood donations from Fundação Hemominas, Minas Gerais, Brazil, an observational retrospective study was performed to evaluate data of blood donor candidates who were screened for HTLV‐1/2 by enzyme‐linked immunosorbent assay or chemiluminescence assays and confirmed by Western blot. We analyzed 3 309 716 blood donations covering 2006–2017 that were extracted from the institutional database. In a total of 3 308 738 donations that have complete algorithm tests, the global frequency of HTLV‐positive donations was 0.012%. The seroprevalence in first‐time blood donors was 28.82/100 000 donors; 0.95/100 000 donations were HTLV‐positive in repeat blood donors. The frequency of HTLV‐seropositive females was significantly higher than males (odds ratio = 1.85, p &lt; 0.001) in first‐time donors. The median age of HTLV‐positive first‐time and repeat donors was similar (36 and 32 years, respectively). First‐time donors ≥41 years had higher odds to be infected. There was a clear tendency of decline in the HTLV‐positive donations in the period analyzed, going from 19.26/100 000 donations to 8.50/100 000 donations. The increase in the proportion of repeat donors over the period analyzed (from 23% in 2006 to 67% in 2017) must be the principal factor that contributed to this drop. 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We analyzed 3 309 716 blood donations covering 2006–2017 that were extracted from the institutional database. In a total of 3 308 738 donations that have complete algorithm tests, the global frequency of HTLV‐positive donations was 0.012%. The seroprevalence in first‐time blood donors was 28.82/100 000 donors; 0.95/100 000 donations were HTLV‐positive in repeat blood donors. The frequency of HTLV‐seropositive females was significantly higher than males (odds ratio = 1.85, p &lt; 0.001) in first‐time donors. The median age of HTLV‐positive first‐time and repeat donors was similar (36 and 32 years, respectively). First‐time donors ≥41 years had higher odds to be infected. There was a clear tendency of decline in the HTLV‐positive donations in the period analyzed, going from 19.26/100 000 donations to 8.50/100 000 donations. The increase in the proportion of repeat donors over the period analyzed (from 23% in 2006 to 67% in 2017) must be the principal factor that contributed to this drop. Our results showed a continuous decline in the frequency of HTLV‐positive donations from Minas Gerais, Brazil throughout 12 years and emphasize the importance of having a high rate of repeat donors in blood centers to reduce the residual risk of transfusion‐transmitted infections.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35855523</pmid><doi>10.1002/jmv.28010</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2506-8450</orcidid></addata></record>
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subjects Algorithms
Blood
Blood & organ donations
Blood Donors
Blood transfusion
Brazil - epidemiology
Brazilian
Chemiluminescence
Female
Health risks
HTLV
HTLV-I Infections - epidemiology
HTLV-II Infections - epidemiology
Human T-lymphotropic virus 1
Human T-lymphotropic virus 2
Humans
Male
Retrospective Studies
Seroepidemiologic Studies
Serology
seroprevalence
T-Lymphocytes
Transfusion
Virology
Viruses
title Decline in human T‐cell lymphotropic virus seroprevalence in blood donors from Minas Gerais, Brazil over a 12‐year period (2006–2017)
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