Abstract
Abstract
Background
Transfusion transmissible infections (TTIs) remain a major public health problem in developing countries including Ethiopia. In Ethiopia, comprehensive information about sero-epidemiology of major TTIs is lacking at the national level. Therefore, this systematic review and meta-analysis was aimed at providing the pooled estimate of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis among blood donors in Ethiopia.
Methods
Relevant studies published until May 31, 2019 were searched through PubMed/Medline, EMBASE, SCOPUS, HINARI, Cochrane database library, Web of Science, Google Scholar and Google. The methodological quality of articles was assessed using Joanna Brigg’s Institute critical appraisal checklist for prevalence and analytical studies. The pooled sero-epidemiology of HIV, HBV, HCV and syphilis were determined using the random-effects model. Heterogeneity between the studies was assessed using the I2 statistics. Publication bias was assessed by visual inspection of the funnel plot and Egger's statistics.
Results
A total of 7921 articles were retrieved, and 7798 were screened for eligibility after duplicates removed. Forty-nine full-text articles were assessed for eligibility; of which 45 were eligible for qualitative and quantitative synthesis: categorized as 36, 34, 31 and 23 studies for estimations of HBV, HIV, HCV and syphilis, respectively. In the random-effects model, the pooled sero-epidemiology of HBV, HIV, HCV and syphilis was 5.20, 2.83, 0.93 and 1.50%, respectively. Moreover, being a male blood donor was significantly associated with HBV and syphilis infection, whereas being a replacement blood donor was significantly associated with a high burden of HIV, HBV and HCV infections.
Conclusion
The pooled sero-epidemiology of major TTIs among blood donors was high. Therefore, there is a need to design prevention and control strategies in a comprehensive approach to reduce the burden.
Publisher
Springer Science and Business Media LLC
Reference89 articles.
1. Musavi H, Rahimi H, Kooti W, Dorostkar R, Azami M, Sharghi M, Ashrafi-Zadeh H, Firoozbakht M, Taheri RA. Prevalence of human immunodeficiency virus in Iranian blood donors: a systematic review and meta-analysis. Arch Iran Med. 2018;21(6):260–7.
2. Patel PA, Patel SP, Oza HV. Seroprevalence of transfusion transmitted infections (TTIs) in blood donors at western Ahmedabad-A secondary care hospital based study. Int J Biol Med Res. 2012;3(2):1806–10.
3. Azerefegn E, Worku M, Hailemariam M. Transfusion-transmissible infections among blood donors at Hawassa Regional Blood Bank Center, South Ethiopia. IJRSMB. 2018;4(3):10–6.
4. WHO: Global Status Report on Blood Safety and Availability 2016, 2017. File:, WHO 2016.
5. Jayaraman S, Chalabi Z, Perel P, Guerriero C, Roberts I. The risk of transfusion-transmitted infections in sub-Saharan Africa. Transfusion. 2010;50(2):433–42.