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Cited by 328

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Antibody to Hepatitis B Core Antigen as a Paradoxical Marker for Non-A, Non-B Hepatitis Agents in Donated Blood

KOZIOL, DELORIS E., HOLLAND, PAUL V., ALLING, DAVID W., MELPOLDER, JACQUELINE C., SOLOMON, RACHEL E., PURCELL, ROBERT H., HUDSON, LENITA M., SHOUP, FRANCES J., KRAKAUER, HENRY, ALTER, HARVEY J.·1986·Annals of Internal Medicine

Abstract

The relationship between the presence of antibody to hepatitis B core antigen (anti-HBc) in donor blood and the development of hepatitis in recipients of that blood was studied in 6293 blood donors and 481 recipients who were followed for 6 to 9 months after transfusion. Of 193 recipients of at least 1 unit of blood positive for anti-HBc, 23 (11.9%) developed non-A, non-B hepatitis compared with 12 (4.2%) of 288 recipients of only anti-HBc-negative blood (p less than 0.001). Donor anti-HBc status was not significantly associated with the development of hepatitis B in the recipient and was negatively associated with the development of cytomegalovirus hepatitis. The relationship of donor anti-HBc status and the development of non-A, non-B hepatitis in the recipient was independent of transfusion volume and elevated donor transaminase level. Although 88% of anti-HBc-positive blood units were not associated with recipient non-A, non-B hepatitis, calculation of maximal corrected efficacy predicted that exclusion of anti-HBc-positive donors might have prevented 43% of the cases of non-A, non-B hepatitis with a donor loss of 4%. Because of the serious chronic consequences of non-A, non-B hepatitis, surrogate tests for non-A, non-B virus carriers must be seriously considered.

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Crossref · 10.7326/0003-4819-104-4-488

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Metadata

Authors
KOZIOL, D. E., HOLLAND, P. V., ALLING, D. W., MELPOLDER, J. C., SOLOMON, R. E., PURCELL, R. H., HUDSON, L. M., SHOUP, F. J., KRAKAUER, H., & ALTER, H. J.
Venue
Annals of Internal Medicine
Published
1986-04-01
Volume
104
Issue
4
Pages
488-495
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2019308386
Cited by
328
References
1
FWCI
85.96
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Antibody to Hepatitis B Core Antigen as a Paradoxical Marker for Non-A, Non-B Hepatitis Agents in Donated Blood. https://app.cochat.ai/papers/10.7326/0003-4819-104-4-488
The paper
KOZIOL, D. E., HOLLAND, P. V., ALLING, D. W., MELPOLDER, J. C., SOLOMON, R. E., PURCELL, R. H., HUDSON, L. M., SHOUP, F. J., KRAKAUER, H., & ALTER, H. J. (1986). Antibody to Hepatitis B Core Antigen as a Paradoxical Marker for Non-A, Non-B Hepatitis Agents in Donated Blood. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-104-4-488

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.