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Prevalence of, and risk factors for Kaposi's sarcoma‐associated herpesvirus infection among blood donors in Brazil: A multi‐center serosurvey
Author(s) -
Nascimento Maria Claudia,
de Souza Vanda Akico,
Sumita Laura Masami,
Freire Wilton,
Weiss Helen A.,
Sabino Ester C.,
Franceschi Silvia,
Pannuti Claudio Sergio,
Mayaud Philippe
Publication year - 2008
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.21188
Subject(s) - virology , human herpesvirus , medicine , center (category theory) , herpes virus , risk factor , virus , immunology , biology , chemistry , crystallography
Kaposi's sarcoma‐associated herpesvirus (KSHV) is endemic in the Amazon and rare in southern regions of Brazil. However, geographical distribution and epidemiological correlates of infection in this large country are still poorly defined. To estimate the seroprevalence of, and risk factors for, KSHV infection in Brazil, a multi‐center study was conducted among 3,493 first‐time voluntary unpaid blood donors from Salvador, Sao Paulo and Manaus. Antibodies against KSHV were detected using a whole‐virus ELISA validated prior to the serosurvey. Antibodies against the latency‐associated nuclear antigen (LANA) were detected by immuno‐fluorescence assay (IFA) among ELISA‐positive sera and a random sample of ELISA‐negative sera. Overall, seroprevalence of KSHV by whole‐virus ELISA was 21.7% (95% confidence interval (CI): 20–23.4%) in men and 31.7% (95% CI: 29–34.3%) in women ( P < 0.0001). KSHV antibodies were detected by IFA‐LANA in 3% (95% CI: 2–4.3%) of 867 ELISA‐positive samples and in none of 365 randomly selected ELISA‐negative samples. In multivariate analysis, KSHV seroprevalence by whole‐virus ELISA was independently associated with female sex (odds ratio [OR] = 1.6, 95% CI: 1.4–1.9); residence in the Amazon (OR = 1.4, 95% CI: 1.2–1.8; compared to Salvador); Caucasian ethnicity (OR = 1.3, 95% CI: 1.1–1.6) and herpes simplex virus type 2 (HSV‐2) infection (OR = 1.3, 95% CI: 1.1–1.6). KSHV seroprevalence did not significantly increase with age, nor was it associated with self‐reported sexual behavior. KSHV seroprevalence is high among Brazilian blood donors, particularly from the Amazon region. This study supports the co‐existence of sexual and non‐sexual routes of KSHV transmission in this population. J. Med. Virol. 80: 1202–1210, 2008. © 2008 Wiley‐Liss, Inc.