血液透析患者中乙型和丙型肝炎血清阳性的频率

I. Khan, S. Rashid, S. Ghumro, TU Haq, A. Kousar, H. Zeb, A. Ali, S. Ali
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引用次数: 0

摘要

肝炎是由多种病毒引起的,但乙型肝炎和丙型肝炎病毒的危害最大,这两种病毒在个人肾脏疾病和血液透析之间显示出独特和值得注意的相关性。研究目的本研究旨在确定血液透析患者中乙型肝炎和丙型肝炎血清阳性的频率。方法:本横断面研究是在美国国家卫生研究院进行的:这项横断面研究是在获得白沙瓦哈亚塔巴德医疗中心医学系伦理委员会的许可后进行的。研究持续时间为六个月,从 2023 年 8 月至 2024 年 1 月。研究对象为研究期间将在医院进行血液透析的患者。对到我院进行透析的 64 名慢性肾病患者进行了抗-HBsAg 和抗-HCV 抗体检测。所有样本均采用灵敏度更高的化学发光检测法(Vitros,Orthoclinical Technologies)进行 HBs 抗原和抗-HCV 抗体检测。使用 Microsoft Excel 进行数据录入、分析和解释。结果共对 64 名进行血液透析的参与者进行了乙型肝炎和丙型肝炎病毒血清阳性检测。其中 21 人(32.8.0%)的抗-HCV 抗体呈阳性,9 人(14.0%)的乙肝表面抗原呈阳性。 大部分患者(28 人,占 43.75%)的透析次数少于 50 次,18 人(占 28.1%)的透析次数为 50-100 次。另一方面,大多数对 HCV(73.8%)和 HBV(56.3%)检测呈阳性的患者也进行了 50-100 次血液透析。 HBV 感染者的平均透析时间为 27 个月,而 HCV 感染者的平均透析时间为 30 个月。对于 HBV 和 HCV 感染者,血液透析时间的长短是一个重要的风险因素(P < 0.05)。结论本次研究得出的结论是,在接受血液透析的参与者中,乙型肝炎血清阳性率为 14.0%,而丙型肝炎血清阳性率为 32.8.0%。病毒性肝炎对血液透析患者的健康构成严重威胁,尤其是在欠发达国家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FREQUENCY OF HEPATITIS B AND C SEROPOSITIVITY AMONGST PATIENTS UNDERGOING HEMODIALYSIS
Hepatitis is caused by many viruses, but Hepatitis B and C viruses are the most harmful, showing a unique and noteworthy correlation between kidney disorders and hemodialysis in individuals. Objective: This study aimed to determine the frequency of hepatitis B and C seropositivity amongst hemodialysis individuals. Methods: This cross-sectional study was conducted at the Department of Medicine, Hayatabad Medical Complex Peshawar, after obtaining permission from the ethical board of the institute. The study duration was six months from August 2023 to January 2024. Individuals who were going to perform hemodialysis in the hospital during the study period were enrolled. Sixty-four chronic kidney disease patients were tested for anti-HBsAg and anti-HCV antibodies who visited our hospital for dialysis. All samples were tested for HBs antigen and anti-HCV antibodies using a more sensitive chemiluminescence assay (Vitros, Orthoclinical Technologies). Microsoft Excel was used for data entry, analysis, and interpretation. Results: A total of 64 participants who were going for hemodialysis were examined for seropositivity of hepatitis B and C viruses. The anti-HCV antibody was positive in 21 (32.8.0%) and 9 (14.0%) individuals who were positive for hepatitis B surface antigens.  A significant portion of the individuals, 28 (43.75%), had dialysis of less than 50 times while 18 (28.1%) patients had dialysis of 50-100 times. On the other hand, the majority of the patients who tested positive for HCV (73.8%) and HBV (56.3%) also got HD 50 to 100 times.  For HBV-infected individuals, the average dialysis stay was 27 months, but for HCV-infected ones, it took 30 months. For both HBV and HCV infections, the length of Hemodialysis revealed a vital risk factor (P < 0.05). Conclusion: It was concluded from the current study that the frequency of hepatitis B seropositivity was 14.0%, while that of hepatitis C was 32.8.0% among participants undergoing dialysis. Viral hepatitis is a severe health risk for hemodialysis patients, especially in underdeveloped nations.
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