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The aims of the two studies were to define the percentage of antibody to hepatitis\u2009<jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> core antigen (anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>c) or anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>c and antibody to hepatitis\u2009<jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> surface antigen (anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>s)\u2010positive donors bearing <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content> and to gather <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content> viral load data on <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content> yields during the routine screening since the introduction of the <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Archive samples from anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>c\u2013positive donors (<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>roup <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>) were analyzed with a quantitative <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content> test and further with anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>c and anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>s assays. In addition, all the <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content>\u2010only\u2013yield samples (<jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>roup <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>) from the routine donor screening performed between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2007 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ay 2013 were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the 667 samples investigated (131 donors), three donors (2.3%) had donated eight samples (1.2%) with detectable <jats:styled-content style=\"fixed-case\">HBV DNA<\/jats:styled-content>; however, all had very low viral loads (\u226410\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>). From the 1,160,426 donations screened with the routine <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content> assay, 16 <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content> yields were detected: two window period (<jats:styled-content style=\"fixed-case\">WP<\/jats:styled-content>) and 14 occult hepatitis <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> infection (<jats:styled-content style=\"fixed-case\">OBI<\/jats:styled-content>) cases. In eight of these positive donations (two <jats:styled-content style=\"fixed-case\">WP<\/jats:styled-content> and six <jats:styled-content style=\"fixed-case\">OBI<\/jats:styled-content>), the <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content> viral loads were not more than 10\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>, in three cases between 10 and 25\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>, and in the remaining five donations between 37\u2009and 166\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The highly sensitive <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content> assay with a threshold significantly below 10\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> is a valuable alternative to anti\u2010<jats:styled-content style=\"fixed-case\">HB<\/jats:styled-content>c and a less sensitive <jats:styled-content style=\"fixed-case\">HBV NAT<\/jats:styled-content> screening in blood donor screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.12694","type":"journal-article","created":{"date-parts":[[2014,5,8]],"date-time":"2014-05-08T08:27:40Z","timestamp":1399537660000},"page":"2961-2967","source":"Crossref","is-referenced-by-count":13,"title":["<scp>H<\/scp>epatitis <scp>B<\/scp> virus <scp>DNA<\/scp> viral load determination in hepatitis\u2009<scp>B<\/scp> surface antigen\u2013negative <scp>S<\/scp>wiss blood donors"],"prefix":"10.1111","volume":"54","author":[{"given":"Martin","family":"Stolz","sequence":"first","affiliation":[{"name":"Blood Transfusion Service SRC Berne  Berne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Tinguely","sequence":"additional","affiliation":[{"name":"Blood Transfusion Service SRC Berne  Berne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Fontana","sequence":"additional","affiliation":[{"name":"Blood Transfusion Service SRC Berne  Berne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Niederhauser","sequence":"additional","affiliation":[{"name":"Blood Transfusion Service SRC Berne  Berne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,8]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"SteblerC InfantiL EicheB et\u2009al.Prevalence of anti\u2010HBc antibodies in Swiss blood donors a 4 month survey at the Blood Transfusion Centre Basel. 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