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vol.35 issue1Post-transfusional hepatitis in the city of Campinas, SP, Brazil: I. Incidence, etiological agents and clinical-epidemiological aspects of hepatitis C virusTriatoma delpontei Romaña & Abalos, 1947 (Hemiptera, Triatominae) in Rio Grande do Sul State, Brasil author indexsubject indexarticles search
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Revista do Instituto de Medicina Tropical de São Paulo

On-line version ISSN 1678-9946

Rev. Inst. Med. trop. S. Paulo vol.35 no.1 São Paulo Jan./Feb. 1993

http://dx.doi.org/10.1590/S0036-46651993000100009 

EPIDEMIOLOGIA

 

Hepatites pós-transfusionais na cidade de Campinas, SP, Brasil. II. Presença dos anticorpos anti-HBc e anti-HCV em candidatos a doadores de sangue e ocorrência de hepatites pós-transfusionais pelo vírus C nos receptores de sangue ou derivados

 

Post-transfusional hepatitis in the city of Campinas, SP, Brazil. II- Presence of anti-HBc and anti-HCV antibodies in blood donors and occurrence of post-transfusional hepatitis C virus in recipients of blood or derivates

 

 

Fernando Lopes Gonçales JúniorI; Rogério de Jesus PedroI; Luiz Jacintho da SilvaI; Raquel Silveira Bello Stucchi BoccatoI; Neiva Sellan Lopes GonçalesII

IDisciplina de Doenças Transmissíveis da Faculdade de Ciências Médicas - UNICAMP - Campinas, São Paulo, Brasil
IIHemocentro-Campinas - UNICAMP - Campinas, São Paulo, Brasil

Endereço para correspondência

 

 


RESUMO

Pesquisamos os anticorpos anti-HBc e anti-HCV em amostras de soros provenientes de 799 candidatos a doadores, que tiveram suas unidades de sangue ou derivados transfundidas a 111 receptores. O anti-HBc e o anti-HCV foram reagentes, em respectivamente 9 e 2,1% dos doadores testados.
Observamos que entre os 111 receptores, 44 haviam recebido pelo menos uma unidade anti-HBc positiva e 67 haviam sido transfundidos somente com unidades anti-HBc negativas. Houve um risco 4,5 vezes maior de aquisição de hepatite por vírus C pelos receptores que receberam pelo menos uma unidade anti-HBc positiva Se a pesquisa do anti-HBc fosse realizada na triagem sorológica dos doadores de sangue, cerca de 56% dos casos de HVC nos receptores saiam evitados.
A população de receptores que recebeu pelo menos uma unidade anti-HCV reagente, apresentou um risco 29 vezes maior de adquirir esta hepatite, quando comparada aos receptores transfundidos com todas as unidades anti-HCV negativas. A realização do teste para a pesquisa do anti-HCV na triagem dos doadores de sangue, preveniria 79% dos casos de HVC pós-transfusionais.
Os candidatos a doadores brasileiros parecem ser acometidos simultânea ou sequencialmente, pelos vírus B e C das hepatites, pois, 44,4% dos doadores anti-HCV positivos, também foram anti-HBc positivos.
A realização dos testes para as pesquisas dos anticorpos anti-HBc e anti-HCV, nas triagens hemoterápicas, está indicada para prevenir a transmissão de hepatites pós-transfusionais, em nosso meio.

Unitermos: Hepatite por vírus C; Anti-HBc; Anti-HCV; Hepatites pós-transfusionais; Hepatite por vírus B.


SUMMARY

We have analysed anti-HBc and anti-HCV antibodies in serum samples from 799 donors which had their blood or derivates transfused to 111 recipients. Anti-HBc and anti-HCV were reactive in respectively 9 and 2.1% of the donors tested.
We have observed that among the 111 recipients, 44 had received at least one positive anti-HBc unit and 67 had been transfused only with negative anti-HBc, units. The risk of developing hepatitis C virus was 4.5 times higher for the recipients who received at least one positive anti-HBc unit. If the test for anti-HBc had been made for the blood donors in the serological screening, about 56% of the HCV cases in the recipients could have been avoided.
The population of recipients who received at least one reacting unit of anti-HCV, presented a risk 29 times higher of developing this hepatitis, as compared to the transfused recipients with all anti-HCV negative units. Testing blood from donors for anti-HCV would avoid 79% of the post-transfusional HCV cases.
Brazilian candidates to blood donors seem to be carriers either simultaneously or sequentially to hepatitis virus B and C, since 44.4% of the positive anti-HCV were also positive for anti-HBc.
Testing for anti-HBc and anti-HCV in blood screening must be indicated in order to prevent post-transfusional hepatitis transmission in our community.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

AGRADECIMENTOS

Agradecemos às enfermeiras Maria Sílvia Kroll Lazarini e Cláudia Maria Wolf, pela preciosa ajuda no seguimento dos doentes e à bióloga Giane Cristina Zen, pela realização dos testes sorológicos.

 

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Endereço para correspondência:
Prof. Dr. Fernando Lopes Gonçales Junior
Disciplina de Doenças Transmissíveis da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP)
Caixa Postal 1170
CEP 13081. Campinas, São Paulo, Brasil

Recebido para publicação em 6/4/1992
Aceito para publicação em 12/11/1992

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