J Med Assoc Thai 2006; 89 (12):79

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Risk Factors of Hepatitis C Virus Infection in Blood Donors in Thailand: A Multicenter Case-Control Study
Tanwandee T Mail, Piratvisuth T , Phornphutkul K , Mairiang P , Permpikul P , Poovorawan Y

Objective: To investigate the risk of hepatitis C virus (HCV) infection in healthy blood donors in Thailand
Material and Method: We performed a case-control study of 435 HCV-seropositive blood donors and 894 HCV-seronegative blood donors as controls. The study was done with direct interview regarding demographic characteristics and risk factors. Odds ratios (OR) with 95% confidence intervals (Cls) were calculated by using conditional logistic regression.
Results: The final multivariable model included only the following independent HCV risk factors: intravenous drug user (IDU) (OR = 61.5; 95%CI, 26.6-142.5), previous blood or blood products transfusion (OR = 12.3; 95%CI, 7.6-19.9), sharing of razors (OR = 2.3, 95%CI, 1.6-3.2),unsafe injection (OR = 3.3, 95%CI, 1.8-5.9), unused condom (OR = 1.6; 95%CI, 1.1, 2.4). No risk was shown for a history of tattoo, ear piercing, or acupuncture and multiple sexual partners.
Conclusion: The risk factors for HCV infection in healthy blood donors in Thailand are IDU, past history of blood transfusion and unsafe injection.

Keywords: Hepatitis C virus, Blood donor, Blood transfusion, Intravenous drug user


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