[Infection of C type hepatitis virus in patients with alcoholism. Studied by serum HCV antibody of C100-3 and 2nd generation].

K Ishii, M Sata, S Furudera, S Tanaka, R Kumashiro, K Tanikawa, H Abe, M Ishibashi, T Yokoyama
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Abstract

To investigate the infectious situation and causes of hepatitis C virus (HCV) in patients with alcoholism, C100-3 antibody (C100-3) and HCV antibody of the 2nd generation (HCV-2nd) were examined on admission, and the factors that affected the infection of HCV were studied in 226 alcoholics. The positive rate of anti-HCV was as high as 16.4% by C100-3 and much higher by HCV-2nd as 33.2%. The incidence of cases with the history for blood transfusion, drug addict and/or tattoos in alcoholics was as high as 39.4% (89/226). To clarify the influence of the background such as blood transfusion, drug addict and/or tattoos on HCV infection, the positive rate of anti-HCV was compared between those with the background and without the background. In alcoholics without the backgrounds, the positive rate of C100-3 and HCV-2nd were significantly (p less than 0.001) higher than patients without the backgrounds, namely 27.0% vs 9.5%, 56.2% vs 18.2%, respectively. In alcoholics without the backgrounds, the positive rate of anti-HCV became higher in proportion as the age of the patients grows older from 20 to 60 years. These results suggest that a high incidence of HCV infection in alcoholics may resulted from increased the backgrounds that can provide chances of HCV infection and that in those without the backgrounds, alcohol and aging may lead the tolerance to HCV infection.

酒精中毒患者丙型肝炎病毒感染。血清HCV抗体C100-3和第二代研究]。
为了解酒精中毒患者丙型肝炎病毒(HCV)感染情况及原因,对226例酒精中毒患者入院时进行C100-3抗体(C100-3)和第二代HCV抗体(HCV-2)检测,并探讨影响丙型肝炎病毒感染的因素。抗- hcv阳性率C100-3为16.4%,hcv -2为33.2%。酗酒者中有输血史、吸毒史和(或)纹身史的发生率高达39.4%(89/226)。为明确输血、吸毒、纹身等背景对HCV感染的影响,比较有背景和无背景人群的抗-HCV阳性率。无饮酒背景者C100-3和hcv -2阳性率分别为27.0%比9.5%、56.2%比18.2%,显著高于无饮酒背景者(p < 0.001)。在无背景的酗酒者中,抗- hcv阳性率随着年龄的增长呈比例增高,从20岁到60岁不等。这些结果提示,酗酒者HCV感染的高发可能是由于可提供HCV感染机会的背景增加,而非酗酒者的酒精和年龄可能导致对HCV感染的耐受性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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