کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3160911 | 1198590 | 2016 | 5 صفحه PDF | دانلود رایگان |
کلیدواژهها
مقدمه
مواد و روشها
یافتهها
بحث و بررسی
نتیجهگیری
جدول 1. تعداد کل بیماران و میانگین سنی آنها در هر گروه
جدول 2. توزیع جمعیت بر اساس جنسیت در هر گروه
جدول 4. تعداد بیماران با HBV DNA مثبت در هر گروه
جدول 3. تعداد بیماران با anti-HBc کل مثبت/منفی در هر گروه
BackgroundTo study the prevalence of occult hepatitis B virus infection (OBI) in a tertiary care hospital.Methods50 HBsAg negative individuals, each amongst blood donors, alcohol dependence syndrome (ADS), alcoholic cirrhotics, hepatitis C virus (HCV)/cryptogenic cirrhotics, end-stage renal disease (ESRD) on maintenance haemodialysis for one year, all malignancies prior to chemotherapy and HIV positive patients were evaluated for anti-HBc total antibody, and blood hepatitis B virus (HBV) DNA amplification in those tested positive.ResultsA total of 60/369 (16.2%) individuals were anti-HBc total positive, 13/50 (26%) of HCV/cryptogenic cirrhotics, 13/52 (25%) of HIV positive, 10/50 (20%) of patients with malignancy, 10/51 (19.6%) and 7/59 (11.9%) of alcoholic cirrhotics and ADS respectively had intermediate prevalence, while, blood donors 5/55 (9.1%), ESRD patients 2/52 (3.8%) had low prevalence. 12 patients (20% of all anti-HBc total positive cases) were HBV DNA positive, 5 HCV cirrhotics (10% of total HCV/cryptogenic), 4 HIV positive (7.69%), 1 each of ADS (1.69%), alcoholic cirrhotics (1.96%) and malignancy group (2%). Blood donors and ESRD patients were negative for HBV DNA.ConclusionHBV DNA amplification may under diagnose OBI and anti-HBc total positivity may be a better surrogate marker. Nucleic acid testing of blood donors, however is preferred, especially in high endemic areas. OBI must be looked for in cirrhotics, HIV infection, and patients with cancers prior to chemotherapy, as they may contribute to morbidity in them.
Journal: Medical Journal Armed Forces India - Volume 72, Issue 2, April 2016, Pages 140–144