TRANSFUSION TRANSMISSIBLE INFECTIONS AMONG BETA THALASSEMIA PATIENTS: CHALLENGES AND INSIGHTS

Main Article Content

Muhammad Usman
Ali Raza
Kiran Khadam
Muhammad Mudassar
Muhammad Akram

Keywords

Blood, Transfusion, Transmittable, Infections, Thalassemia

Abstract

The blood transfusion is the most common procedure in healthcare facilities which saves millions of lives every year. However, it is the main source of disease transmission among the people who undergo this procedure more frequently. The patients suffering from thalassemia are categorized among the most frequent blood recipients. Therefore, the chance of transmitting the transfusion-transmittable Infections (TTIs) such as hepatitis B, hepatitis C, acquired immunodeficiency syndrome, syphilis, and malaria are more common in these patients as compared to others. Due to increasing reports related to the improper pre-transfusion screenings and increasing number of hepatitis B and hepatitis C patients in Pakistan, it seems that the incidence of TTIs is also increasing especially among the patients experiencing multiple transfusions. Therefore, the present project was designed to study the prevalence of TTIs in patients suffering from thalassemia in Faisalabad Pakistan. The total 200 blood samples from beta-thalassemia patients were collected from the Faisalabad region of Pakistan. Male patients were 130 (65%) and females were 70 (35%). The blood group of O+ve has high frequency and rate of infection 47(33.09%) as compare to other ABO blood groups B+ve 40 (28.16%), A+ve 23 (16.19%), B-negative 13 (9.15%), AB+ve 10 (7.04%) and O-negative 07 (4.92%). Similarly, the prevalence rate of HCV was more detected as compare to other TTIs as 111(55.5%). HIV rate was 20 (10%). Malaria Parasites was 7(3.5%), Syphilis was 3 (1.5%) and HBsAg was 01 (0.5%) in beta-thalassemia patients. It also shows the high prevalence rate of infections in the age group of 6-10 years’ patients that have transfused blood 50-100 pints 93 (65.49%). So these rate of infections can be controlled by a proper screening of blood and educate people about thalassemia.


 

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References

1. Ahsan, T., Ali, H., Bkaht, S. F., Ahmad, N., Farooq, M. U., Shaheer, A., & Mahmood, T. (2008). Jaundice in falciparum malaria; changing trends in clinical presentation--a need for awareness. J Pak Med Assoc, 58(11), 616-621
2. Akide-Ndunge, O. B., Ayi, K., & Arese, P. (2003). The Haldane malaria hypothesis: facts, artifacts, and a prophecy. Redox Rep, 8(5), 311-316
3. Alavian, S. M., Ahmadzad-Asl, M., Lankarani, K. B., Shahbabaie, M. A., Ahmadi, A. B., & Kabir, A. (2009). Hepatitis C infection in the general population of Iran: a systematic review. Hepatitis Monthly, 9(3)
4. Alzahrani, F. M., Muzaheed, Shaikh, S. S., Alomar, A. I., Acharya, S., & Elhadi, N. (2019). Prevalence of Hepatitis B Virus (HBV) Among Blood Donors in Eastern Saudi Arabia: Results From a Five-Year Retrospective Study of HBV Seromarkers. Ann Lab Med, 39(1), 81-85
5. Ansari, S. H., Shamsi, T. S., Khan, M. T., Perveen, K., Farzana, T., Erum, S., & Ansari, I. (2012). Seropositivity of Hepatitis C, Hepatitis B and HIV in chronically transfused ββ-thalassaemia major patients. Journal of the College of Physicians and Surgeons Pakistan, 22(9), 610-611
6. Ataei, B., Hashemipour, M., Kassaian, N., Hassannejad, R., Nokhodian, Z., & Adibi, P. (2012). Prevalence of anti HCV infection in patients with Beta-thalassemia in isfahan-iran. International journal of preventive medicine, 3(Suppl1), S118
7. Awan, S. A., Junaid, A., & Sheikh, S. (2018). Transfusion Transmissible Infections: Maximizing Donor Surveillance. Cureus, 10(12)
8. Barbero, U., Longo, F., Destefanis, P., Gaglioti, C. M., Pozzi, R., & Piga, A. (2016). Worsening of myocardial performance index in beta-thalassemia patients despite permanently normal iron load at MRI: a simple and cheap index reflecting cardiovascular involvement? IJC Metabolic & Endocrine, 13, 41-44
9. Boateng, R., & Mutocheluh, M. (2019). Sero-prevalence of Hepatitis B and C viral co-infections among HIV-1 infected ART-naive individuals in Kumasi, Ghana. 14(4), e0215377
10. Bonifazi, F., Conte, R., Baiardi, P., Bonifazi, D., Felisi, M., Giordano, P., . . . Pepe, A. (2017). Pattern of complications and burden of disease in patients affected by beta thalassemia major. Current medical research and opinion, 33(8), 1525-1533
11. Boroujerdnia, M. G., Zadegan, M. A. A., Zandian, K. M., & Rodan, M. H. (2009). Prevalence of hepatitis-C virus (HCV) among thalassemia patients in Khuzestan Province, Southwest Iran. Pak J Med Sci Q, 25(1), 113-117
12. Desmonde, S., Tanser, F., Vreeman, R., Takassi, E., Edmonds, A., Lumbiganon, P., . . . Kariminia, A. (2018). Access to antiretroviral therapy in HIV-infected children aged 0–19 years in the International Epidemiology Databases to Evaluate AIDS (IeDEA) Global Cohort Consortium, 2004–2015: A prospective cohort study. PLoS medicine, 15(5), e1002565
13. Eboumbou Moukoko, C. E., Ngo Sack, F., Essangui Same, E. G., Mbangue, M., & Lehman, L. G. (2014). HIV, HBV, HCV and T. pallidum infections among blood donors and Transfusion-related complications among recipients at the Laquintinie hospital in Douala, Cameroon. BMC Hematol, 14(1), 5
14. Elizee, P. K., Alavian, S. M., Miri, S. M., Behnava, B., Alavian, S. H., Keshvari, M., . . . Shafiei, M. (2013). The seroprevalence of entrically transmitted viral hepatitis in hcv infected thalassemia and hemophilia patients in iran. Jundishapur Journal of Microbiology, 6(7)
15. Emmanuel, F., Thompson, L. H., Salim, M., Akhtar, N., Reza, T. E., Hafeez, H., . . . Blanchard, J. F. (2013). The size and distribution of key populations at greater risk of HIV in Pakistan: implications for resource allocation for scaling up HIV prevention programmes. Sex Transm Infect, 89(Suppl 2), ii11-ii17
16. Fiedler, S. A., Oberle, D., Chudy, M., Scheiblauer, H., Henseler, O., Halbauer, J., . . . Funk, M. (2019). Effectiveness of blood donor screening by HIV, HCV, HBV-NAT assays, as well as HBsAg and anti-HBc immunoassays in Germany (2008-2015).
17. Gordeuk, V. R., Delanghe, J. R., Langlois, M. R., & Boelaert, J. R. (2001). Iron status and the outcome of HIV infection: an overview. J Clin Virol, 20(3), 111-115
18. Hay, D., Hughes, J. R., Babbs, C., Davies, J. O., Graham, B. J., Hanssen, L. L., . . . Suciu, M. C. (2016). Genetic dissection of the α-globin super-enhancer in vivo. Nature genetics, 48(8), 895
19. Helmi, N., Bashir, M., Shireen, A., & Ahmed, I. M. (2017). Thalassemia review: features, dental considerations and management. Electronic physician, 9(3), 4003
20. Hossain, B., Khan, W., Tawfique, M., & Rahman, F. (2018). Prevalence of Hepatitis C Virus Infection in Multi-transfused Thalassaemia Patients in Bangladesh. Journal of Enam Medical College, 8(1), 16-19
21. Hussain, H., Iqbal, R., Khan, M. H., Iftikhar, B., Aziz, S., & Burki, F. K. (2008). Prevalence of hepatitis C in beta thalassaemia major. Gomal J Med Sci, 6(2), 87-90
22. Ilyas, M., Asad, S., Ali, L., Shah, M., Badar, S., Sarwar, M. T., & Sumrin, A. (2011). A situational analysis of HIV and AIDS in Pakistan. Virology journal, 8(1), 191
23. Jafroodi, M., Davoudi-Kiakalayeh, A., Mohtasham-Amiri, Z., Pourfathollah, A. A., & Haghbin, A. (2015). Trend in prevalence of hepatitis C virus infection among β-thalassemia major patients: 10 years of experience in Iran. International journal of preventive medicine, 6
24. Khalil, S., Khan, H. S., & Akhtar, P. (2016). Status of Hepatitis B and C in Beta Thalassemia Major Patients. Journal of Islamabad Medical & Dental College, 5(2), 71-73
25. Khan, M. R., Anwar, S., Faizan, M., & Nosheen, S. (2017). The Burden of Transfusion related Infections on Thalassemia Major Children. PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES, 11(3), 882-886
26. Khattak, A. A., Venkatesan, M., Nadeem, M. F., Satti, H. S., Yaqoob, A., Strauss, K., . . . Plowe, C. V. (2013). Prevalence and distribution of human Plasmodium infection in Pakistan. Malaria journal, 12(1), 297
27. Kidson‐Gerber, G. L., Francis, S., & Lindeman, R. (2008). Management and clinical outcomes of transfusion‐dependent thalassaemia major in an Australian tertiary referral clinic. Medical Journal of Australia, 188(2), 72-75
28. Korenromp, E. L., Mahiané, S. G., Nagelkerke, N., Taylor, M. M., Williams, R., Chico, R. M., . . . Rowley, J. (2018). Syphilis prevalence trends in adult women in 132 countries–estimations using the Spectrum Sexually Transmitted Infections model. Scientific reports, 8(1), 11503
29. Kumar, S., Agnihotri, S., Marwaha, R., & Sehgal, S. (1994). HIV infection in multi-transfused thalassemic children. Indian pediatrics, 31, 1438-1438
30. Lavanchy, D., & Kane, M. (2016). Global epidemiology of hepatitis B virus infection Hepatitis B virus in human diseases (pp. 187-203): Springer.
31. Lazarus, J. V., Palayew, A., van Damme, P., Hendrickx, G., Peck, R., & Colombo, M. (2019). Eliminating hepatitis C in Europe. Lancet Gastroenterol Hepatol, 4(5), 335-336
32. Lyon, A. R., Bossone, E., Schneider, B., Sechtem, U., Citro, R., Underwood, S. R., . . . Akashi, Y. J. (2016). Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. European journal of heart failure, 18(1), 8-27
33. Madmoli, M., Madmoli, Y., Rahmati, P., Adavi, A., Yousefi, N., Gheisari, Z., & Abbaszade Aliabad, M. (2017). Quality of Life and Some Related Factors in Patients with Beta Thalassemia Major in Southwest Iran. Journal of Client-Centered Nursing Care, 3(2), 139-146
34. Majid, A., Rehman, M., Ahmad, T., Ali, A., Ali, S., & Ali, S. (2016). Prevalence of malaria in human population of district Mardan, Pakistan. World J. Zool, 11, 63-66
35. Mansour, A. K., Aly, R. M., Abdelrazek, S. Y., Elghannam, D. M., Abdelaziz, S. M., Shahine, D. A., . . . Darwish, A. M. (2012). Prevalence of HBV and HCV infection among multi-transfused Egyptian thalassemic patients. Hematology/oncology and stem cell therapy, 5(1), 54-59
36. Minosse, C., Selleri, M., Giombini, E., Bartolini, B., Capobianchi, M. R., Cerilli, S., . . . McPhee, F. (2018). Clinical and virological properties of hepatitis C virus genotype 4 infection in patients treated with different direct-acting antiviral agents. Infection and drug resistance, 11, 2117
37. Moukoko, C. E. E., Sack, F. N., Same, E. G. E., Mbangue, M., & Lehman, L. G. (2014). HIV, HBV, HCV and T. pallidum infections among blood donors and Transfusion-related complications among recipients at the Laquintinie hospital in Douala, Cameroon. BMC hematology, 14(1), 5
38. Mukherjee, K., Bhattacharjee, D., & Chakraborti, G. (2017). Prevalence of hepatitis B and hepatitis C virus infection in repeatedly transfused thalassemics in a tertiary care hospital in eastern India. Internat J Res Med Sci, 5, 4558-4562
39. Nazir, S., Faraz, A., Shahzad, N., Ali, N., Khan, M. A., Iqbal, M., . . . Sabzwari, J. (2014). Prevalence of HCV in β-thalassemia major patients visiting tertiary care hospitals in Lahore–Pakistan. Advancements in Life Sciences, 1(4), 197-201
40. Nwankwo, E., Lawal, A., & Abba, M. (2016). Seroprevalence of Hepatitis C Virus (HCV) antibodies in pregnant women in Anyigba, Kogi State, North Central Nigeria. African Journal of Clinical and Experimental Microbiology, 17(3), 219-222
41. Origa, R. (2017). β-Thalassemia. Genetics in Medicine, 19(6), 609
42. Origa, R. (2018). Beta-thalassemia GeneReviews®[Internet]: University of Washington, Seattle.
43. Pitassi, L. H. U., de Paiva Diniz, P. P. V., Scorpio, D. G., Drummond, M. R., Lania, B. G., Barjas-Castro, M. L., . . . Breitschwerdt, E. B. (2015). Bartonella spp. bacteremia in blood donors from Campinas, Brazil. PLoS neglected tropical diseases, 9(1), e0003467
44. Raja, N. S., & Janjua, K. A. (2008). Epidemiology of hepatitis C virus infection in Pakistan. Journal of Microbiology Immunology and Infection, 41(1), 4
45. Rehman, H., Masood, J., Sheikh, S., & Mehboob, Q. (2019). Frequency of Hypothyroidism in Patients of Beta Thalassemia Major. Annals of Punjab Medical College, 13(1)
46. Sadia Sultan MBBS, F., Siddiqui, M., & Zaidi, S. M. H. (2016). Current trends of seroprevalence of transfusion transmitted infections in Pakistani [Beta]-thalassaemic patients. The Malaysian journal of pathology, 38(3), 251
47. Saeed, M., Hussain, S., Rasheed, F., Ahmad, M., Arif, M., & Hamid Rahmani, M. T. (2017a). Silent killers: Transfusion Transmissible Infections-TTI, among asymptomatic population of Pakistan. J Pak Med Assoc, 67(3), 369-374
48. Saeed, M., Hussain, S., Rasheed, F., Ahmad, M., Arif, M., & Rahmani, M. T. H. (2017b). Silent killers: Transfusion transmissible infections-TTI, among asymptomatic population of Pakistan. J Pak Med Assoc, 67(3), 369-374
49. Saeed, U., Waheed, Y., Ashraf, M., Waheed, U., Anjum, S., & Afzal, M. S. (2015). Estimation of hepatitis B virus, hepatitis C virus, and different clinical parameters in the thalassemic population of capital twin cities of Pakistan. Virology: research and TreaTmenT, 6, VRT. S31744
50. Sandhya, T. (2019). HIV Basics. Paripex-Indian Journal Of Research, 8(6)
51. Seyedifar, M., Dorkoosh, F. A., Hamidieh, A. A., Naderi, M., Karami, H., Karimi, M., . . . Ahmadian-Attari, M. M. (2016). Health-related quality of life and health utility values in beta thalassemia major patients receiving different types of iron chelators in Iran. International journal of hematology-oncology and stem cell research, 10(4), 224
52. Shah, N., Mishra, A., Chauhan, D., Vora, C., & Shah, N. (2010). Study on effectiveness of transfusion program in thalassemia major patients receiving multiple blood transfusions at a transfusion centre in Western India. Asian J Transfus Sci, 4(2), 94
53. Shaker, O., Ahmed, A., abdel Satar, I., El Ahl, H., Shousha, W., & Doss, W. (2012). Occult hepatitis B in Egyptian thalassemic children. The Journal of Infection in Developing Countries, 6(04), 340-346
54. Sifatullah, A. N. S., Rehman, N., Muhammad, W., Ullah, M. A., Haleem, N., & Faisal, S. (2017). Study of Anemia and its co-relation with Hematological parameters and aging in Peshawar, Pakistan.
55. Stoltey, J. E., & Cohen, S. E. (2015). Syphilis transmission: a review of the current evidence. Sexual health, 12(2), 103-109
56. Sultan, S., Irfan, S. M., Kakar, J., & Zeeshan, R. (2015). Effect of iron chelator desferrioxamine on serum zinc levels in patients with beta thalassemia major. The Malaysian journal of pathology, 37(1), 35
57. Tafesse, T. B., Gebru, A. A., Gobalee, S., Belay, G. D., Belew, M. T., Ataro, D., . . . Yimam, Y. (2017). Seroprevalence and diagnosis of HIV, HBV, HCV and syphilis infections among blood donors. Human antibodies, 25(1-2), 39-55
58. Tamaddoni, A., Mohammadzadeh, I., & Ziaei, O. (2007). Seroprevalence of HCV antibody among patients with β-thalassemia major in Amirkola Thalassemia center, Iran. Iranian Journal of Allergy, Asthma and Immunology, 42-44
59. Thein, S. L. (2017). Genetic Basis and Genetic Modifiers of beta-Thalassemia and Sickle Cell Disease. Adv Exp Med Biol, 1013, 27-57
60. Umar, M., tul Bushra, H., Ahmad, M., Ahmad, M., Khurram, M., Usman, S., . . . Arif, A. (2010). Hepatitis C in Pakistan: a review of available data. Hepatitis monthly, 10(3), 205
61. Urwin, P., Mackenzie, J., Llewelyn, C., Will, R., & Hewitt, P. (2016). Creutzfeldt–Jakob disease and blood transfusion: updated results of the UK Transfusion Medicine Epidemiology Review Study. Vox sanguinis, 110(4), 310-316
62. Valizadeh, N., Noroozi, M., Hejazi, S., Nateghi, S., & Hashemi, A. (2015). Seroprevalence of hepatitis B, hepatitis C and human immunodeficiency viruses among thalassemia patients in west north of Iran. Iranian journal of pediatric hematology and oncology, 5(3), 145
63. Vidja, P. J., Vachhani, J., Sheikh, S., & Santwani, P. (2011). Blood transfusion transmitted infections in multiple blood transfused patients of beta thalassaemia. Indian Journal of Hematology and Blood Transfusion, 27(2), 65-69
64. Yasinzai, M. I., & Kakarsulemankhel, J. K. (2009). Prevalence of human malaria infection in bordering areas of East Balochistan, adjoining with Punjab: Loralai and Musakhel. J Pak Med Assoc, 59(3), 132-135
65. Yasinzai, M. I., & Kakarsulemankhel, J. K. (2013). Prevalence of human malaria infection in Pakistani areas bordering with Iran. J Pak Med Assoc, 63(3), 313-316

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