Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study

Abstract Background Nonenveloped viruses, such as hepatitis A virus (HAV) and parvovirus B19 (B19V), are not inactivated by detergents and solvents commonly used to manufacture plasma derivatives. Cases of transfusion-transmitted HAV and B19V have already been described in several countries. This st...

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Main Authors: Arthur Daniel Rocha Alves, Mariana Magaldi, Ana Carolina Sathler de Menezes, Josiane Iole França Lopes, Carlos Alexandre da Costa Silva, Jaqueline Mendes de Oliveira, Camila Mattos, Leonardo Bastos, Luiz de Melo Amorim Filho, Marcelo Alves Pinto, Luciane Almeida Amado
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Language:English
Published: BMC 2025-01-01
Series:Virology Journal
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Online Access:https://doi.org/10.1186/s12985-025-02627-8
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author Arthur Daniel Rocha Alves
Mariana Magaldi
Ana Carolina Sathler de Menezes
Josiane Iole França Lopes
Carlos Alexandre da Costa Silva
Jaqueline Mendes de Oliveira
Camila Mattos
Leonardo Bastos
Luiz de Melo Amorim Filho
Marcelo Alves Pinto
Luciane Almeida Amado
author_facet Arthur Daniel Rocha Alves
Mariana Magaldi
Ana Carolina Sathler de Menezes
Josiane Iole França Lopes
Carlos Alexandre da Costa Silva
Jaqueline Mendes de Oliveira
Camila Mattos
Leonardo Bastos
Luiz de Melo Amorim Filho
Marcelo Alves Pinto
Luciane Almeida Amado
author_sort Arthur Daniel Rocha Alves
collection DOAJ
description Abstract Background Nonenveloped viruses, such as hepatitis A virus (HAV) and parvovirus B19 (B19V), are not inactivated by detergents and solvents commonly used to manufacture plasma derivatives. Cases of transfusion-transmitted HAV and B19V have already been described in several countries. This study aimed to determine the incidence of HAV and B19V asymptomatic infections in blood donors from Rio de Janeiro and evaluate the residual risk of transmission to blood derivative recipients. Methods From 2018 to 2019, 1,204 plasma samples were tested by PCR and real-time PCR. HAV and B19V genotypes were determined through sequencing and phylogenetic analysis. The risk of transfusion transmission was determined using a Bayesian statistical approach. Results HAV-RNA and B19V-DNA were detected in 1.66 (95% CI 0.26–5.48) and 3.32 (95% CI 1.00-7.81) per 1000 donors, respectively. For HAV, all positive samples were classified as subgenotype IB. For B19V, the sequenced samples belonged to genotype 1A. The estimated numbers of infectious blood bags with HAV and B19V were 587 (95% CI 92-1936) and 880 (95% CI 355–2759), respectively. Conclusion This study originally assessed the incidence of both Hepatitis A Virus (HAV) and B19 Virus (B19V) among Brazilian blood donors, as well as the potential risk of residual transmission of these infections through blood transfusions. Our findings can contribute to future cost-effective studies aimed at implementing screening methods for these viruses, which could enhance discussion on surveillance in blood banks and protective measures for blood recipients.
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spelling doaj-art-992504d281434f58b5c8e15c3fb5dccd2025-01-26T12:15:18ZengBMCVirology Journal1743-422X2025-01-0122111210.1186/s12985-025-02627-8Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective studyArthur Daniel Rocha Alves0Mariana Magaldi1Ana Carolina Sathler de Menezes2Josiane Iole França Lopes3Carlos Alexandre da Costa Silva4Jaqueline Mendes de Oliveira5Camila Mattos6Leonardo Bastos7Luiz de Melo Amorim Filho8Marcelo Alves Pinto9Luciane Almeida Amado10Laboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzLaboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzLaboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzInstituto Estadual de Hematologia Arthur de Siqueira CavalcantiInstituto Estadual de Hematologia Arthur de Siqueira CavalcantiLaboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzPrograma de Computação Científica, Fundação Oswaldo CruzPrograma de Computação Científica, Fundação Oswaldo CruzInstituto Estadual de Hematologia Arthur de Siqueira CavalcantiLaboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzLaboratório de Desenvolvimento Tecnológico em Virologia, Instituto Oswaldo cruz, Fundação Oswaldo CruzAbstract Background Nonenveloped viruses, such as hepatitis A virus (HAV) and parvovirus B19 (B19V), are not inactivated by detergents and solvents commonly used to manufacture plasma derivatives. Cases of transfusion-transmitted HAV and B19V have already been described in several countries. This study aimed to determine the incidence of HAV and B19V asymptomatic infections in blood donors from Rio de Janeiro and evaluate the residual risk of transmission to blood derivative recipients. Methods From 2018 to 2019, 1,204 plasma samples were tested by PCR and real-time PCR. HAV and B19V genotypes were determined through sequencing and phylogenetic analysis. The risk of transfusion transmission was determined using a Bayesian statistical approach. Results HAV-RNA and B19V-DNA were detected in 1.66 (95% CI 0.26–5.48) and 3.32 (95% CI 1.00-7.81) per 1000 donors, respectively. For HAV, all positive samples were classified as subgenotype IB. For B19V, the sequenced samples belonged to genotype 1A. The estimated numbers of infectious blood bags with HAV and B19V were 587 (95% CI 92-1936) and 880 (95% CI 355–2759), respectively. Conclusion This study originally assessed the incidence of both Hepatitis A Virus (HAV) and B19 Virus (B19V) among Brazilian blood donors, as well as the potential risk of residual transmission of these infections through blood transfusions. Our findings can contribute to future cost-effective studies aimed at implementing screening methods for these viruses, which could enhance discussion on surveillance in blood banks and protective measures for blood recipients.https://doi.org/10.1186/s12985-025-02627-8Hepatitis AParvovirus B19Blood donorsResidual transmissionIncidence
spellingShingle Arthur Daniel Rocha Alves
Mariana Magaldi
Ana Carolina Sathler de Menezes
Josiane Iole França Lopes
Carlos Alexandre da Costa Silva
Jaqueline Mendes de Oliveira
Camila Mattos
Leonardo Bastos
Luiz de Melo Amorim Filho
Marcelo Alves Pinto
Luciane Almeida Amado
Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
Virology Journal
Hepatitis A
Parvovirus B19
Blood donors
Residual transmission
Incidence
title Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
title_full Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
title_fullStr Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
title_full_unstemmed Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
title_short Incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus B19 by blood transfusion in the state of Rio De Janeiro – Brazil: a retrospective study
title_sort incidence and estimated risk of residual transmission of hepatitis a virus and parvovirus b19 by blood transfusion in the state of rio de janeiro brazil a retrospective study
topic Hepatitis A
Parvovirus B19
Blood donors
Residual transmission
Incidence
url https://doi.org/10.1186/s12985-025-02627-8
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