Research Article

Comparison of Epidemiological Methods for Estimation of Hepatitis B Incidence and Residual Risk for Blood Donors in Southern Brazil

Table 3

HBV incidence and residual risk for stand-alone HBsAg in repeat blood donors in southern Brazil, 2004–2006.

ParameterValue

Number of HBsAg seroconverting donors1
Median of interdonation intervals (days)329
Probability of transient antigenaemia10.1915
Probability of detecting HBV seroconversion by stand-alone HBsAg test20.1840
Time at risk (person-years) for HBsAg seroconverting donors0.45
Time at risk (person-years) for all repeat donors54788.73
Incidence per 100.000 per year (95% CI)31.825
(0.00, 6.73)
Adjustment factor45.43
Adjusted incidence per 100.000 per year (95% CI)9.91
(0.00, 36.54)
Residual risk (95% CI)51 : 62482
(1 : 16946, 1 : ∞)

1Assuming 63 days of average duration for transient antigenaemia [8], that is, 63/329.
2Assuming 75% of blood donors with ELISA detectable HBsAg8.
3Confidence interval.
4Reciprocal value of the probability of detecting HBV seroconversion by stand-alone HBsAg test, that is, 1/0. 1 8 4 = 5 . 4 3 .
5Assuming Poisson distribution for one HBsAg seroconverting case.