Hepatitis C virus-RNA, immunoglobulin M anti-HCV and risk factors in haemodialysis patients.

Microbios Pub Date : 1999-01-01
P Dentico, R Sacco, R Buongiorno, A Volpe, C Ranieri, M Carbone, S Carabellese
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Abstract

In order to evaluate hepatitis C virus-RNA (HCV-RNA), immunoglobulin M (IgM) anti-HCV and risk factors in haemodialysis patients, 180 subjects (45 HCV negative and 135 HCV positive) were studied. Sex, age, duration of dialysis, number of transfusions and ALT were also considered. HCV-RNA was determined by the Amplicor HCV test, and IgM anti-HCV by the Abbott HCV IgM EIA. These markers were present in 40% and 30.4% of anti-HCV positive subjects. The agreement between the two tests employed was 77%. The results showed a close association between HCV-RNA and IgM anti-HCV with abnormal ALT levels and between HCV-RNA and the number of transfusions. Both of these markers were different when correlated with age and time on dialysis, respectively. Therefore, IgM anti-HCV may also serve as a serological marker of HCV infection and a complementary marker of virus replication.

血液透析患者的丙型肝炎病毒rna、免疫球蛋白M抗丙型肝炎病毒及其危险因素
为评价血液透析患者丙型肝炎病毒rna (HCV- rna)、免疫球蛋白M (IgM)抗丙型肝炎病毒及其危险因素,对180例(45例HCV阴性,135例HCV阳性)进行了研究。性别、年龄、透析持续时间、输血次数和ALT也被考虑在内。HCV- rna用Amplicor HCV检测,IgM抗HCV用Abbott HCV IgM EIA检测。这些标志物分别存在于40%和30.4%的抗hcv阳性受试者中。所采用的两种测试之间的一致性为77%。结果显示,HCV-RNA和IgM抗hcv与ALT水平异常、HCV-RNA与输血次数密切相关。这两项指标分别与年龄和透析时间相关时存在差异。因此,IgM抗HCV也可以作为HCV感染的血清学标记和病毒复制的补充标记。
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