三级医院丙型肝炎患者的流行病学特征

Q3 Medicine
Hari Prasad Kattel, Sangita Sharma, Kristian Alfsnes, Rahul Pathak, Komal Raj Rijal, Prakash Ghimire, Ashild K Andreassen, Megha Raj Banjara
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引用次数: 0

摘要

背景:丙型肝炎感染是尼泊尔的一个主要公共卫生问题。关于丙型肝炎病毒的流行病学信息以及乙型肝炎病毒和人类免疫缺陷病毒合并感染的状况对控制丙型肝炎负担至关重要。本研究的目的是确定丙型肝炎病毒感染的血清患病率,人类免疫缺陷病毒和乙型肝炎病毒合并感染的比例,并确定人口统计学特征和传播途径。方法:2019年12月至2024年2月在特里布万大学教学医院进行横断面研究。血清学试验采用酶联免疫吸附法测定4年内25133例患者的血清。结果:丙型肝炎病毒感染患者血清患病率为0.8%(211/25133)。其中6.6%(14/211)与人类免疫缺陷病毒合并感染,1.4%(3/211)与乙型肝炎病毒合并感染。211例丙型肝炎患者中,男性174例(82.5%),15-47岁各行业青年156例(73.9%),识字167例(79.1%),近三分之一的患者(33.2%,70/211)为经常性酗酒者。静脉吸毒者共用针头(45.5%,96/211)和性交(28%,59/211)是最常见的传播方式。结论:尽管丙型肝炎感染率低于1%,但在年轻男性静脉吸毒者中更为常见。需要强调对这一人群中丙型肝炎感染传播的认识,以便在尼泊尔控制丙型肝炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological Characteristics of Hepatitis C Patients Attending a Tertiary Care Hospital.

Background: Hepatitis C infection is a major public health concern in Nepal. Epidemiological information on hepatitis C virus along with the status of co-infection with hepatitis B virus and human immunodeficiency virus is essential to controlling the hepatitis C burden. The objective of this study was to determine the sero-prevalence of hepatitis C virus infections, proportions of co-infections with human immunodeficiency virus and hepatitis B virus, and identify the demographic characters, and routes of transmission.

Methods: A cross-sectional study was conducted from December 2019 to February 2024 at Tribhuvan University Teaching Hospital. The serological tests were performed by enzyme-linked immunosorbent assays from 25133 patients' serum in four years.

Results: The sero-prevalence of hepatitis C virus -infected patients was 0.8% (211/25133). Among them, 6.6% (14/211) were co-infected with human immunodeficiency virus and 1.4% (3/211) with hepatitis B virus. Among 211 hepatitis C virus patients, 174 (82.5%) were male, 156 (73.9%) were young aged 15-47 years with various professions, 167 (79.1%) were literate, and almost one-third of the patients (33.2%, 70/211) were regular alcoholics. Needle sharing among intravenous drug users (45.5%, 96/211) and sexual intercourse (28%, 59/211) were the most common modes of transmission.

Conclusions: Although the prevalence of hepatitis C infections is less than 1%, it is more common among young male intravenous drug users. Awareness of the spread of hepatitis C infections among this population needs to be emphasized to control hepatitis C in Nepal.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
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