Debre Tabor转诊医院产前保健孕妇HBV病毒水平及相关危险因素分析埃塞俄比亚西北部

Moges Ayalew Kassaw, Eninur Dejen Amera, K. Azanaw
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引用次数: 0

摘要

背景:肝炎是由乙型肝炎病毒引起的一种传染性肝脏疾病。当孕妇感染乙肝病毒后,乙肝病毒可停留在体内并垂直传播给婴儿而发展为慢性肝病。在这方面,新生儿免疫可阻断这种垂直传播,并用于采取预防行动。因此,本研究的目的是确定孕妇中HBV感染的程度和易感因素。一项基于机构的横断面研究于2020年9月至2020年11月在Debre Tabor转诊医院产前保健诊所进行了333名参加ANC的孕妇。采集合适的样本;分离血清,ELISA法检测HBsAg。采用fisher精确检验检验变量之间的相关性,采用Logistic回归分析潜在危险因素(p值< 0.05)认为有统计学意义。共有333名孕妇应答率在100%以内;纳入本研究,发现HBV感染程度为(22.2%)。多性行为(AOR 3.096) (95% CI=1.469 ~ 6.525, p值=0.003)、刮胡子习惯(AOR 3.375, 95% CI=1.511 ~ 7.538, p值=0.003)、针刺伤史(AOR 4.080, 95% CI=2.041 ~ 8.156, p值=0.000)、常用夏普材料史(AOR 8.229, 95% CI=3.991 ~ 16.967, p值=0.000)、传统助产士接生史(AOR 1.557, 95% CI=0.621 ~ 3.899, p值= 0.0001)。p值=0.000)与乙型肝炎感染的重要预测因子显著相关。因此,这项研究显示了孕妇中HBV感染的高地方性。多次性行为、家中分娩史、针刺伤、常用夏普材料和剃须习惯是乙型肝炎病毒传播的主要因素。因此,扩大对孕妇进行乙型肝炎病毒感染筛查,提供有关危险因素的健康教育,并对所有孕妇进行乙型肝炎病毒检测,应成为产前保健服务的一个常规特点。其他社区研究,以及筛查HBV抗原标记进行,将在准确确定乙型肝炎病毒在普通人群中的真实传播方面发挥重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Magnitude and Associated Risk Factor of HBV Virus Among Pregnant Mothers Attending Antenatal Care in Debre Tabor Referral Hospital; Northwest Ethiopia
Background: Hepatitis is a contagious liver disease caused by Hepatitis B virus. When a pregnant mother infected, the Hepatitis B virus can stay in the body and Vertical transmit to baby and develop chronic liver disease. In regarding to this Neonatal immunization interrupts this vertical transmission and used to take preventive action. For that reason, this study was undertaken with the aim of determine the magnitude and predisposing factors of HBV infections among pregnant women. An institutional based cross-sectional study was conducted 333 pregnant women attending ANC from September 2020 to November 2020 at Debre Tabor Referral Hospital antenatal care clinic. Appropriate sample was collected; serum separated and tested with ELISA test for the detection of HBsAg. Fishers exact test was employed to see the association between variables as well as Logistic regression were applied to identify potential risk factors (P-value < 0.05) was considered as statistically significant. A total of 333 pregnant women within 100% response rate; were enrolled in this study and the magnitude of HBV infections found to be were (22.2%). among the potential risk factors multiple sexual behavior (AOR 3.096), 95% CI=1.469-6.525, P-value=0.003), shaving habit (AOR 3.375, 95% CI=1.511-7.538, P-value=0.003), a history of needle stick injury (AOR 4.080, 95% CI=2.041-8.156, P-value=0.000), history of common usage of Sharpe materials (AOR 8.229, 95% CI=3.991-16.967, P-value=0.000) and history of home delivery by traditional attendants were (AOR 1.557, 95% CI=0.621-3.899, P-value=0.000) were significantly associated with important predictors of hepatitis B infection. For that reason this study showed high endemicity of HBV infection among pregnant women. Multiple sexual practices, history of home delivery, needle stick injury, common usage of Sharpe materials and shaving habit were major factors for hepatitis B virus transmission. Thus, scaling up of screening pregnant women for HBV infection and provision of health education about risk factors and testing all pregnant mothers for hepatitis B virus should be a regular feature of the ANC service. Other community studies, as well as screening HBV antigen marker conducting, will play an important role in accurately determining the true spread of hepatitis B virus in the general population.
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