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Clinical and epidemiological profile of female blood donors with positive serology for viral hepatitis B.

Abstract：

INTRODUCTION:Since women are frequently the minority among blood donors worldwide, studies evaluating this population usually reflect male features. We assessed the features of female blood donors with positive serology for HBV and compared them with those of men.METHODS The study comprised consecutive blood donors referred to a specialized liver disease center to be evaluated due to HBsAg- and/or anti-HBc-positive tests. RESULTS:The study encompassed 1,273 individuals, 219 (17.2%) of whom were referred due to positive HBsAg test and 1,054 (82.8%) due to reactive anti-HBc test. Subjects' mean age was 36.8±10.9 years, and 28.7% were women. Female blood donors referred for positive HBsAg screening tests demonstrated higher prevalence of healthcare workers (9.3% vs 2.5%) and lower prevalence of sexual risk behaviors (15.1% vs 41.1%) and alcohol abuse (1.9% vs 19.8%) compared to men. Women had lower ALT (0.6 vs 0.8×ULN), AST (0.6 vs 0.8×ULN), direct bilirubin (0.2 vs 0.3mg/dL), and alkaline phosphatase (0.5 vs 0.6×ULN) levels and higher platelet count (223,380±50,293 vs 195,020±53,060/mm3). Women also had a higher prevalence of false-positive results (29.6% vs 17.0%). No differences were observed with respect to liver biopsies. Female blood donors referenced for reactive anti-HBc screening tests presented similar clinical, epidemiological, and biochemical characteristics to those reported for positive HBsAg screening tests and similarly had a higher prevalence of false-reactive results. CONCLUSIONS:Compared to men, female blood donors with positive HBsAg and/or anti-HBc screening tests demonstrated higher prevalence of professional risk and false-positive results and reduced alteration of liver chemistry.

journal_name

Rev Soc Bras Med Trop

journal_title

Revista da Sociedade Brasileira de Medicina Tropical

authors

Narciso-Schiavon JL,Schiavon Lde L,Carvalho-Filho RJ,Emori CT,Maryia FA,Bordin JO,Silva AE,Ferraz ML

doi

10.1590/0037-8682-0157-2015

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

524-31

issue

eissn

0037-8682

issn

1678-9849

pii

S0037-86822015000500524

journal_volume

pub_type

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Clinical and epidemiological profile of female blood donors with positive serology for viral hepatitis B.