Seroprevalence of Transfusion-Transmissible Infections and Associated Factors: A 5-Year Study Among Blood Donors in Haryana, India
DOI:
https://doi.org/10.21276/apalm.3830Keywords:
transfusion-transmissible infections, HBV, HCV, seroprevalence, blood donors, HaryanaAbstract
Background: Transfusion-transmissible infections (TTIs) remain a significant concern for blood safety in developing countries. Monitoring TTI prevalence among blood donors reflects underlying community infection levels and supports safer transfusion practices. The study aimed at determining the seroprevalence, temporal trends, and demographic distribution of major TTIs (HBV, HCV, HIV, syphilis, malaria) among blood donors over a 5-year period.
Methods: A retrospective observational study was conducted at a licensed blood bank in Haryana, India, from September 2020 to August 2025. A total of 2,896 donors were screened using standard serological assays. Prevalence rates with 95% confidence intervals (CI) and χ² tests were applied to assess associations with demographic variables.
Result: The overall TTI seroprevalence was 1.87% (95% CI: 1.39–2.35). HBV was the most prevalent infection (1.00%), followed by HCV (0.69%), syphilis (0.14%), and HIV (0.03%). No malaria cases were detected. TTI positivity was significantly higher among males (χ² = 3.91; p = 0.048). The 18–30-year age group accounted for 68.5% of TTI-positive donors. An apparent increase in HBV and HCV seropositivity was observed during 2024–2025. No co-infections were observed.
Conclusion: This study demonstrates a low but persistent TTI burden, with HBV and HCV predominating. Strengthened surveillance, improved donor selection, and consideration of nucleic acid testing (NAT) may further enhance transfusion safety.
References
1. World Health Organization. Global status report on blood safety and availability 2021. World Health Organization; 2022 Jun 30.
2. Shah RJ, Patel D. Correlation of ABO-Rh blood group and transfusion transmitted infections (TTI) among blood donors. IP Archives of Cytology and Histopathology Research. 2023 Jan 16;7(4):229-32.
3. Foko LP, Sharma S, Sharma A. Transfusion-transmitted Plasmodium spp. infections and safety challenges for malaria in the Indian subcontinent: a systematic review. The Lancet Regional Health-Southeast Asia. 2025 Sep 1;40.
4. Thakur SK, Sinha AK, Sharma SK, Jahan A, Negi DK, Gupta R, Singh S. Prevalence of transfusion transmissible infections among various donor groups: A comparative analysis. World Journal of Virology. 2025 Mar 25;14(1):96098.
5. Golia S, Tiwari AK, Pawar S, van de Watering LM. Seroprevalence of transfusion‐transmitted infections among blood donors in India: A systematic review and meta‐analysis. Vox Sanguinis. 2025 Oct;120(10):958-68.
6. Singh P, Gupta S, Singh A. Study of transfusion transmitted infection among blood donors in a tertiary care hospital. Int J Life Sci. 2025;11(3):7381-8.
7. Deshmukh S, Rathod Y, Thakore S, Jadhav S, Rathod Jr Y. Prevalence of transfusion-transmissible infections among voluntary blood donors in a tertiary care hospital. Cureus. 2024 Sep 29;16(9).
8. Thakur SK, Singh S, Negi DK, Sinha AK. Prevalence of TTI among Indian blood donors. Bioinformation. 2023 May 31;19(5):582.
9. National AIDS Control Organization. National guidelines on blood donor selection. New Delhi: National AIDS Control Organization; 2022.
10. Datta S, Khillan K, Ranjan V, Wattal C. Nucleic acid amplification test: Bridging the gap in blood safety & re-evaluation of blood screening for cryptic transfusion-transmitted infection among Indian donors. Indian Journal of Medical Research. 2019 Mar 1;149(3):389-95.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Shujaat Khan, Dipiya Tikoo, Shahnaz Parveen, Vinod Raghava, Varun Singla, Shweta Sehgal, Usra Jawaid

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).

