Prevalence of Seropositive Blood Donors for Hepatitis B, C and HIV Viruses at Federal Medical Centre, Ido-Ekiti, Nigeria

Abstract

A high burden of Hepatitis B and C (HBV and HCV) and Human Immunodeficiency Virus (HIV) infections exists in developing countries including Nigeria with wide variability in the prevalence of co-infection and clinical syndromes in various regions. The aim of this study is to determine the prevalence rate of these infections and coinfections among the blood donors at the Federal Medical Centre, Ido-Ekiti and to determine the more vulnerable age-group in this region. From July 2007 to July 2009, 662 donors were studied. Blood samples taken from the donors were screened for HIV and HCV antibodies by double ELISA technique, and for HbsAg by ELISA technique. Data entry and processing were done using EPI-INFO version 6 and SPSS version 15. Data were compared using 2-tailed Chi-square test and Yates correction or Fisher exact test when applicable. Probability value less than 0.05 was considered significant. Overall, 7.9% of the donors were sero-positive for HbsAg, 7.3% for HCV antibody and 5% for HIV antibody. Co-infection rate of HIV/HCV was 1.1%, HIV/HBV was 1.2%, HBV/HCV was 2.1% and HIV/HBV/HCV was 0.6%. The age-group 20-30 years had the highest prevalence for HCV (17.9%), HBV/HCV co-infection (2.4%) and HIV/HBV/HCV infection (1.2%). Up to 57.6% of HIV infected blood donors have co-infection with either HBV or HCV or both. This study detected a high prevalence rate of HBV, HCV and HIV infections among blood donors in Ido Ekiti. All co-infections were detected at lower rates compared to single infections. The age-group 20-30 years were the most vulnerable group to these infections. A high percentage of HIV sero-positive donors had other co-infections. Adequate screening of blood donors and widespread awareness programmes on these infections especially among the youth as well as immunization against HBV are important in curtailing these infections. Follow-up incidence study in this field is recommended.