印度北部阿塔里亚一家教学医院孕妇丙型肝炎病毒感染的血清患病率

R. Khatoon, N. Jahan
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引用次数: 0

摘要

丙型肝炎病毒(HCV)是全世界妊娠期病毒性肝炎和肝功能障碍的主要原因。丙型肝炎病毒感染可导致早产、早产和孕产妇死亡等并发症。病毒可垂直传播给新生儿,导致新生儿肝炎。本研究的目的是估计妊娠妇女丙型肝炎病毒感染的血清患病率。本研究共招募了2067名孕妇,采用快速检测法检测其血清抗丙型肝炎病毒抗体,采用酶联免疫吸附试验(ELISA)确认阳性血清。在接受检测的2067名孕妇中,24名通过快速检测和ELISA检测均有反应,因此血清阳性率为1.2%。血清阳性反应以26 ~ 30岁孕妇最高。血清阳性反应在工作孕妇、农村妇女以及贫穷和社会经济地位较低的妇女中更为普遍。所有这些发现都具有统计学意义。在研究的危险因素中,大多数血清阳性患者有既往手术史,其次是扩张和刮除史。总之,强烈建议所有孕妇进行丙型肝炎病毒抗体筛查,以了解其感染状况,从而防止妊娠不良后果及其垂直传播给新生儿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SEROPREVALENCE OF HEPATITIS C VIRUS INFECTION AMONG PREGNANT WOMEN ATTENDING A TEACHING HOSPITAL OF ATARIA, NORTH INDIA
-Hepatitis C virus (HCV) is a major cause of viral hepatitis and hepatic dysfunction during pregnancy throughout the world. HCV infection leads to complications like premature labour, preterm delivery and maternal mortality. Virus may be transmitted vertically to neonates leading to neonatal hepatitis. The present study was done to estimate the seroprevalence of Hepatitis C virus infection among pregnant women. Total of 2067 pregnant women were enrolled in the study whose serum sample was tested for anti-Hepatitis C virus antibody using rapid test and those found reactive were confirmed using enzyme linked immunosorbent assay (ELISA). Out of 2067 pregnant women tested, 24 were found to be reactive by both rapid test and ELISA, hence the seroprevalence was 1.2%. Maximum seropositivity was seen in pregnant women of age group 26-30 years. Seropositivity was more among working pregnant women, belonging to rural areas and those who were poor and belonged to lower socio-economic class. All these findings were statistically significant. Amongst the risk factors studied, most of the seropositives gave history of previous surgery followed by history of dilatation and curettage. To conclude, it is strongly recommended that all pregnant women should be screened for anti-Hepatitis C virus antibodies in order to know their infection status and thus prevent adverse outcome of pregnancy and its vertical transmission to their neonates.
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