Volume 2025, Issue 1 3257549
Research Article
Open Access

Blood Donor Serological Screening in Makkah, Saudi Arabia: A 7-Year Retrospective Study on Transfusion-Transmitted Infections

Amr J. Halawani

Amr J. Halawani

Department of Clinical Laboratory Sciences , Faculty of Applied Medical Sciences , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Afnan J. Hawsawi

Afnan J. Hawsawi

Department of Clinical Laboratory Sciences , Faculty of Applied Medical Sciences , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Latifa A. Jaber

Latifa A. Jaber

Department of Clinical Laboratory Sciences , Faculty of Applied Medical Sciences , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Saeed M. Kabrah

Corresponding Author

Saeed M. Kabrah

Department of Clinical Laboratory Sciences , Faculty of Applied Medical Sciences , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Turki M. Maghrabi

Turki M. Maghrabi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Khaled M. Alobaid

Khaled M. Alobaid

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Alaa A. Kaki

Alaa A. Kaki

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Ayman M. Aljabri

Ayman M. Aljabri

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Adel S. Alsaedi

Adel S. Alsaedi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Mohammed M. Alharbi

Mohammed M. Alharbi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Abdullah F. Alhazmi

Abdullah F. Alhazmi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Hani A. Alsaedi

Hani A. Alsaedi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Ahmed S. Almalki

Ahmed S. Almalki

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Fatima A. Alharthi

Fatima A. Alharthi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Yahya H. Almalki

Yahya H. Almalki

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Abdullah M. Alotaibi

Abdullah M. Alotaibi

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Rakan M. Abu-Harba

Rakan M. Abu-Harba

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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Ahmad F. Arbaeen

Ahmad F. Arbaeen

Department of Clinical Laboratory Sciences , Faculty of Applied Medical Sciences , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Hesham A. Malak

Hesham A. Malak

Department of Biology , Faculty of Applied Science , Umm Al-Qura University , Makkah , Saudi Arabia , uqu.edu.sa

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Mohammad O. Sabbag

Mohammad O. Sabbag

Central Blood Bank Department , Health Affairs in Makkah Region , Saudi Arabia Ministry of Health (MOH) , Makkah , Saudi Arabia

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Rani O. Alnabati

Rani O. Alnabati

Department of Laboratory and Blood Bank , King Abdulaziz Hospital , Ministry of Health , Makkah , Saudi Arabia , behdasht.gov.ir

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First published: 07 July 2025
Academic Editor: Suyan Tian

Abstract

Introduction: Screening donated blood for transfusion-transmitted infections (TTIs) is a critical component of transfusion safety, particularly in high-demand regions such as Makkah City, Saudi Arabia. This study is aimed at assessing the seroprevalence of TTI markers among blood donors at King Abdulaziz Hospital-Makkah (KAHM) over a 7-year period.

Methods: In this retrospective study, 17,661 individuals who donated blood at the KAHM, Saudi Arabia, from January 2017 to December 2023, were included. The prevalence of TTI markers was assessed and categorized by year, gender, age, type of donors (whole blood and apheresis), and category of donation (replacement and volunteer). In addition to ABO group testing, commercially available kits were used for serological tests.

Results: Among donors, 74 (0.42%) were reactive for HBsAg, 1419 (8.03%) for HBcAb, and 1295 (7.33%) for HBsAb. Other reactive cases included HCV (0.29%), HIV (0.06%), HTLV-I/II (0.05%), and syphilis (0.44%). No cases of malaria were reported. Statistically significant variations were observed across years for HBsAg (p = 0.007), HBsAb, and HBcAb (p < 0.001), suggesting changes in infection exposure, immunity, or donor screening efficiency. Male donors represented 97.17% of the cohort, and replacement donors were more prevalent (54.75%) than volunteers.

Conclusion: The overall prevalence of TTIs among blood donors in Makkah was low, affirming the effectiveness of current screening protocols. However, the relatively high prevalence of hepatitis B core antibodies indicates prior exposure among a notable proportion of donors. Yearly fluctuations in seropositivity suggest evolving epidemiological patterns, warranting continuous surveillance and targeted public health interventions.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.