尼日利亚两个州乙型肝炎病毒和人乳头瘤病毒的合并感染

Aderemi Abubakar, B. Ajuwon
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摘要

背景:乙型肝炎病毒(HBV)和人乳头瘤病毒(HPV)感染仍然是包括尼日利亚在内的撒哈拉以南国家的主要公共卫生问题。方法:采用HBV快速血清学检测诊断试剂盒和HPV酶联免疫吸附测定(ELISA)试剂盒,对尼日利亚Kwara州和Ondo州两家大医院510名门诊患者的HBV、HPV及其合并感染的流行情况进行调查。结果:两种感染的总体优势率为11.4%,其中乙型肝炎6.3%,HPV 5.1%。合并感染患病率为0.58%。女性感染HBV(6.8%)和HPV(5.7%)的比例分别高于男性(5.3%和4.3%)。此外,已婚单身者的合并感染率(1.4%)高于已婚单身者(0.56%)。男女感染率差异无统计学意义(P > 0.05)。而已婚单身人群HPV患病率较高(7.2%)(P < 0.05)。已婚单身人群HBV和合并感染患病率分别为8.7%和1.4%,差异有统计学意义。结论:本研究中观察到的HBV和HPV合并感染的流行表明了这些感染对公共卫生构成的威胁,并进一步确定了尼日利亚卫生系统需要加强国内举措,这些举措的战略目标是消除肝炎和改善获得负担得起的诊断的机会,使感染者能够获得护理和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Co-Infection of Hepatitis B and Human Papilloma Viruses in Two Nigerian States
Background: Hepatitis B virus (HBV) and human papillomavirus (HPV) infections remain a major public health problem in sub-Saharan countries including Nigeria. Methods: The study investigated the prevalence of HBV, HPV, and their co-infection in 510 outpatients of two major hospitals in both Kwara and Ondo States, Nigeria, employing the use of rapid serology assay diagnostic kit for HBV and HPV Enzyme-Linked Immunosorbent assay (ELISA) kit. Results: The overall preponderance rate of both infections was observed to be 11.4%, including 6.3% hepatitis B and 5.1% HPV. The co-infection prevalence was observed to be 0.58%. Females were more infected with HBV (6.8%) and HPV (5.7%) than male counterparts with 5.3% and 4.3%, respectively. Furthermore, married-single subjects had a higher rate of co-infection (1.4%) than their married counterparts (0.56%). The rate of infection between male and female genders was not significantly different (P > 0.05). However, the prevalence of HPV was statistically higher among married-single subjects (7.2%) (P < 0.05). The HBV and co-infection prevalence rates were statistically higher among married-single subjects with 8.7% and 1.4%, respectively. Conclusions: The prevalence of HBV and co-infection with HPV observed in this study indicates the public health threats posed by these infections and further establishes the need for the Nigerian Health System to strengthen domestic initiatives that are strategically geared towards eliminating hepatitis and improving access to affordable diagnostics, enabling linkage to care and treatment of infected individuals.
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