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Research ArticleOriginal Article
Open Access

Association of ABO, Rh-D and Kell blood groups with transfusion transmitted infections among blood donors from the Asir Region, Saudi Arabia

A retrospective observational study

Ahmad A. Shaikh, Hassan M. Alqasem, Yahya A. Alshubruqi, Sultan Z. Alasmari and Mohammed H. Makkawi
Saudi Medical Journal April 2024, 45 (4) 414-423; DOI: https://doi.org/10.15537/smj.2024.45.4.20240007
Ahmad A. Shaikh
From the Department of Clinical Laboratory Sciences (Shaikh, Makkawi, Alasmari), Faculty of Applied Medical Sciences, King Khalid University, and from the Department of Clinical Laboratory (Alqasem, Alshubrugi), Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
MSc, PhD
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  • ORCID record for Ahmad A. Shaikh
  • For correspondence: [email protected]
Hassan M. Alqasem
From the Department of Clinical Laboratory Sciences (Shaikh, Makkawi, Alasmari), Faculty of Applied Medical Sciences, King Khalid University, and from the Department of Clinical Laboratory (Alqasem, Alshubrugi), Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
MSc
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Yahya A. Alshubruqi
From the Department of Clinical Laboratory Sciences (Shaikh, Makkawi, Alasmari), Faculty of Applied Medical Sciences, King Khalid University, and from the Department of Clinical Laboratory (Alqasem, Alshubrugi), Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
BSc
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Sultan Z. Alasmari
From the Department of Clinical Laboratory Sciences (Shaikh, Makkawi, Alasmari), Faculty of Applied Medical Sciences, King Khalid University, and from the Department of Clinical Laboratory (Alqasem, Alshubrugi), Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
MSc, PhD
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Mohammed H. Makkawi
From the Department of Clinical Laboratory Sciences (Shaikh, Makkawi, Alasmari), Faculty of Applied Medical Sciences, King Khalid University, and from the Department of Clinical Laboratory (Alqasem, Alshubrugi), Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
MSc, PhD
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  • Figure 1
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    Figure 1

    - Graphs showing blood group distribution, the prevalence of transfusion-transmitted infections (TTIs) and gender among donors. A) Column graph showing ABO/Rh-D blood group distribution among donors. B) Pie chart showing the percentage of confirmed cases among biomarker-reactive donors. C) Pie chart showing the prevalence of TTIs among all positive donors. D) Pie chart showing gender distribution of total TTI positive donors. E) Column graph showing the prevalence of TTIs among positive male donors. F) Column graph showing the prevalence of TTIs among positive female donors. HIV: human immunodeficiency virus, HBsAg: hepatitis B surface antigen, HBcAb: hepatitis B core antibody, HTLV: human T-lymphotropic virus, HCV: hepatitis C virus, HBV-DNA: hepatitis B virus-deoxyribonucleic acid, HCV-RNA: hepatitis C virus-ribonucleic acid, HIV-RNA: human immunodeficiency virus-ribonucleic acid

Tables

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    • View popup
    Table 1

    - Personal characteristics of study participants.

    Personal datan (%)
    Age in years, mean±SD (range)33.5±9.1 (18-65)
    Gender
    Male10,021 (99.3)
    Female74 (0.7)
    ABO
    A3311 (32.8)
    B967 (9.6)
    AB264 (2.6)
    O5553 (55.0)
    Rh
    Negative998 (9.9)
    Positive9097 (90.1)
    Kell
    Negative946 (92.2)
    Positive80 (7.8)

    Values are presented as numbers and precentages (%) or mean ± standard deviation (SD).

      • View popup
      Table 2

      - Distribution of transfusion-transmissible infection markers among blood donors according to ABO blood type.

      MarkersABABOP-values
      HIV
      Positive9 (0.3)0 (0.0)0 (0.0)5 (0.1)0.137*
      Negative3302 (99.7)967 (100)264 (100)5548 (99.9)
      HBsAg
      Positive13 (0.4)4 (0.4)5 (1.9)15 (0.3)X2=18.40
      Negative3298 (99.6)963 (99.6)259 (98.1)5538 (99.8)0.0004**
      HBcAb
      Positive142 (4.3)52 (5.4)11 (4.2)238 (4.3)X2=2.503
      Negative3169 (95.7)915 (94.6)253 (95.8)5315 (95.7)0.47**
      Malaria
      Positive4 (0.1)0 (0.0)0 (0.0)1 (0.0)0.23*
      Negative3307 (100)967 (100)264 (100)5552 (100)
      HTLV
      Positive2 (0.1)0 (0.0)0 (0.0)0 (0.0)0.33*
      Negative3309 (99.9)967 (100)264 (100)5553 (100)
      HCV
      Positive16 (0.5)5 (0.5)1 (0.4)21 (0.4)X2=0.7582
      Negative3295 (99.5)962 (99.5)263 (99.6)5532 (99.7)0.85**
      Syphilis
      Positive19 (0.6)4 (0.4)0 (0.0)22 (0.4)0.54*
      Negative3292 (99.4)963 (99.6)264 (100)5531 (99.6)
      HBV
      Positive11 (0.3)3 (0.3)4 (1.5)14 (0.3)X2=12.76
      Negative3300 (9.7)964 (99.7)260 (98.5)5539 (99.7)0.005**
      HCV
      Positive0 (0.0)1 (0.1)0 (0.0)2 (0.0)0.25*
      Negative3311 (100)966 (99.9)264 (100)5551 (99.9)
      HIV
      Positive5 (0.1)0 (0.0)0 (0.0)4 (0.1)0.56*
      Negative3306 (99.8)967 (100)264 (100)5549 (99.9)

      Values are presented as numbers and percentages (%).

      HIV: human immunodeficiency virus, HBsAg: hepatitis B surface antigen, HBcAb: hepatitis B core antibody, HTLV: human T-lymphotropic virus, HCV: hepatitis C virus, HBV: hepatitis B virus, NAT: nucleic acid test

      • ↵* Fisher exact test.

      • ↵** Chi-square test.

      • View popup
      Table 3

      - Pairwise comparisons of blood groups based on presence and absence of transfusion-transmissible infection markers.

      MarkersBlood group ABlood group BBlood group ABBlood group O
      AOther groupsBOther groupsABOther groupsOOther groups
      HIV
      Positive9 (0.3)5 (0.1)0 (0.0)14 (0.2)0 (0.0)14 (0.1)5 (0.1)9 (0.2)
      Negative330267799679114264981755484533
      P-valueX2=6.30, p=0.01**p=0.38*p=0.99*X2=2.10, p=0.14**
      HBsAg
      Positive13 (0.4)24 (0.4)4 (0.4)33 (0.4)5 (1.9)32 (0.3)15 (0.3)22 (0.5)
      Negative329867609639095259979955384520
      P-valueX2=0.092, p=0.76**X2=0.065, p=0.79**X2=17.319, p=0.00003**X2=3.140, p =0.07**
      HBsAb
      Positive142 (4.3)301 (4.4)52 (5.4)391 (4.3)11 (4.2)432 (4.4)238 (4.3)205 (4.5)
      Negative316964839158737253939953154337
      P-valueX2=0.178, p=0.67**X2=2.493, p=0.11**X2=0.031, p=0.85**X2=0.308, p=0.57**
      Malaria
      Positive4 (0.1)1 (0.0)0 (0.0)5 (0.1)0 (0.0)5 (0.1)1 (0.0)4 (0.1)
      Negative330767839679123264982655524538
      P-valueX2=5.056, p=0.02**p=0.99*p=0.99*X2=2.477, p=0.11**
      HTLV
      Positive2 (0.1)0 (0.0)0 (0.0)2 (0.02)0 (0.0)2 (0.02)0 (0.0)2 (0.04)
      Negative330967849679126264982955534540
      P-valuep=0.10*p=0.99*p=0.99*p=0.20*
      HCV
      Positive16 (0.5)27 (0.4)5 (0.5)38 (0.4)1(0.4)42 (0.4)21 (0.4)22 (0.5)
      Negative329567579629090263978955324520
      P-valueX2=0.381, p=0.53**X2=0.209, p=0.64**X2=0.014, p=0.90**X2=0.664, p=0.41**
      Syphilis
      Positive19 (0.6)26 (0.4)4 (0.4)41(0.4)0 (0.0)45 (0.5)22 (0.4)23 (0.5)
      Negative329267589639087264978655314519
      P-valueX2=0.664, p=0.41**X2=0.024, p=0.87**p=0.63*X2=0.683, p=0.40**
      HBV
      Positive11 (0.3)21 (0.3)3 (0.3)29 (0.3)4 (1.5)28 (0.3)14 (0.3)18 (0.4)
      Negative330067639649099260980355394524
      P-valueX2=0.036, p=0.84**X2=0.001, p=0.96**X2=12.316, p=0.0004**X2=1.643, p=0.19**
      HCV
      Positive0 (0.0)3 (0.0)1 (0.1)2 (0.0)0 (0.0)3 (0.0)2 (0.0)1 (0.0)
      Negative331167819669126264982855514541
      P-valuep=0.55*X2=1.955, p=0.16**p=0.99*X2=0.164, p=0.68**
      HIV
      Positive5 (0.2)4 (0.1)0 (0.0)9 (0.1)0 (0.0)9 (0.1)4 (0.1)5 (0.1)
      Negative330667809679119264982255494537
      P-valueX2=2.116, p=0.14**p=0.99*p=0.99*X2=0.406, p=0.52**

      Values are presented as numbers and percentages (%).χ2 is the Chi-square statistic.

      Serological test results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), malaria, human T-lymphotropic virus (HTLV), hepatitis C virus (HCV), and syphilis. Nucleic acid test (NAT) results for hepatitis B virus (HBV), HCV, and HIV.

      • ↵* Fischer exact test.

      • ↵** Chi-square test.

      • View popup
      Table 4

      - Distribution of transfusion-transmissible infection markers among blood donors according to Rh-D blood type.

      MarkersRh-D positiveRh-D negativeP-values
      HIV
      Positive13 (0.1)1 (0.1)X2=0.1184, p=0.73**
      Negative9084 (99.9)997 (99.9)
      HBsAg
      Positive36 (0.4)1 (0.1)X2=2.151, p=0.14**
      Negative9061 (99.6)997 (99.9)
      HBcAb
      Positive408 (4.5)35 (3.5)X2=2.050, p=0.15**
      Negative8689 (95.5)963 (96.5)
      Malaria
      Positive5 (0.05)0 (0.0)p=0.99*
      Negative9092 (99.9)998 (100)
      HTLV
      Positive0 (0.0)2 (0.2)p=0.009*
      Negative9097 (100)996 (99.8)
      HCV
      Positive39 (0.4)4 (0.4)X2=0.01652, p=0.89**
      Negative9058 (99.6)994 (99.6)
      Syphilis
      Positive39 (0.4)6 (0.6)X2=0.6030, p=0.438**
      Negative9058 (99.6)962 (99.4)
      HBV
      Positive31 (0.34)1 (0.1)X2=1.647, p=0.19**
      Negative9066 (99.7)997 (99.9)
      HCV
      Positive3 (0.03)0 (0.0)p=0.99*
      Negative9095 (99.97)998 (100)
      HIV
      Positive8 (0.1)1 (0.1)X2=0.01517, p=0.90**
      Negative9089 (99.9)997 (99.9)

      Values are presented as numbers and percentages (%). χ2 is the Chi-square statistic.

      Serological test results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), malaria, human T-lymphotropic virus (HTLV), hepatitis C virus (HCV), and syphilis. Nucleic acid test (NAT) results for hepatitis B virus (HBV), HCV, and HIV.

      • ↵* Fischer exact test.

      • ↵** Chi-square test.

      • View popup
      Table 5

      - Distribution of transfusion-transmissible infection markers among blood donors according to Kell blood type.

      MarkersKell positiveKell negativeP-values
      HIV
      Negative78 (97.5)945 (99.9)X2=14.5, p=0.0001**
      Positive2 (2.5)1 (0.1)
      HBsAg
      Negative79 (98.7)929 (98.2)X2=0.1281, p=0.720
      Positive1 (1.3)17 (1.8)
      HBcAb
      Negative64 (80.0)929 (98.2)X2=78.51, p<0.0001**
      Positive16 (20.0)17 (1.8)
      Malaria
      Negative80 (100)946 (100)p=0.99*
      Positive0 (0.0)0 (0.0)
      HTLV
      Negative80 (100)946 (100)p=0.99*
      Positive0 (0.0)0 (0.0)
      HCV
      Negative80 (100)946 (100)p=0.99*
      Positive0 (0.0)0 (0.0)
      Syphilis
      Negative77 (96.2)945 (99.9)X2=25.225, p=<0.00001**
      Positive3 (3.8)1 (0.1)
      HBV
      Negative79 (98.7)929 (98.2)X2=0.1281, p=0.72**
      Positive1 (1.3)17 (1.8)
      HCV
      Negative80 (100)944 (99.8)p=0.99*
      Positive0 (0.0)2 (0.21)
      HIV
      Negative79 (98.7)944 (99.8)X2=2.729, p=0.09**
      Positive1 (1.3)2 (0.21)

      Values are presented as numbers and percentages (%).χ2 is the Chi-square statistic.

      Serological test results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), malaria, human T-lymphotropic virus (HTLV), hepatitis C virus (HCV), and syphilis. Nucleic acid test (NAT) results for hepatitis B virus (HBV), HCV, and HIV.

      • ↵* Fischer exact test.

      • ↵** Chi-square test.

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    Association of ABO, Rh-D and Kell blood groups with transfusion transmitted infections among blood donors from the Asir Region, Saudi Arabia
    Ahmad A. Shaikh, Hassan M. Alqasem, Yahya A. Alshubruqi, Sultan Z. Alasmari, Mohammed H. Makkawi
    Saudi Medical Journal Apr 2024, 45 (4) 414-423; DOI: 10.15537/smj.2024.45.4.20240007

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    Association of ABO, Rh-D and Kell blood groups with transfusion transmitted infections among blood donors from the Asir Region, Saudi Arabia
    Ahmad A. Shaikh, Hassan M. Alqasem, Yahya A. Alshubruqi, Sultan Z. Alasmari, Mohammed H. Makkawi
    Saudi Medical Journal Apr 2024, 45 (4) 414-423; DOI: 10.15537/smj.2024.45.4.20240007
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    Keywords

    • transfusion transmitted infections
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    • Kell
    • blood groups
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