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[人类免疫缺陷病毒感染患者丙型肝炎的血清流行率]

[Seroprevalence of hepatitis C in human immunodeficiency virus infected patients].

作者信息

Ranger S, Aussel L, Weinbreck P, Loustaud V, Rogues A M, Mounier M, Delpeyroux C, Denis F

机构信息

Service de Bactériologie-Virologie, CHU Dupuytren, Limoges, France.

出版信息

Pathol Biol (Paris). 1991 Feb;39(2):126-30.

PMID:1901984
Abstract

Prevalence of antibodies against hepatitis C virus (HCV) was evaluated using Ortho and Abbott HCV Elisa assays and the Abbott EIA Neutralization assay in 150 human immunodeficiency virus (HIV)-seropositive patients and compared with the prevalence of hepatitis B virus (HBV) and hepatitis D virus (HDV) markers. Overall prevalence of hepatitis C virus antibodies was 29.3%; significant variations were seen across human immunodeficiency virus risk factor subgroups: prevalence was 10.2% in homosexual men, 12.0% in bisexual men, 73.5% in intravenous drug users, 13.3% in blood transfusion recipients, and 16.6% in frequent travellers. Seroprevalence was higher in the 20 to 40 year-old age group and in patients stage II or III according to the Center for Disease Control classification. Prevalence of hepatitis B virus and hepatitis D virus markers (75.7% and 17.5% respectively) was analyzed according to hepatitis C virus marker status; patients with HBcAb were more likely to have antibodies against hepatitis C virus than their HBcAb-negative counterparts. Further studies are needed to investigate the influence of coexposure to human immunodeficiency virus and hepatitis C virus on liver lesions. Data from this study show that coinfection or coexposure is common.

摘要

采用奥索(Ortho)和雅培(Abbott)丙肝病毒酶联免疫吸附测定法以及雅培酶免疫分析法中和试验,对150例人类免疫缺陷病毒(HIV)血清反应阳性患者的丙肝病毒(HCV)抗体流行率进行了评估,并与乙肝病毒(HBV)和丁型肝炎病毒(HDV)标志物的流行率进行了比较。丙肝病毒抗体的总体流行率为29.3%;在人类免疫缺陷病毒风险因子亚组中观察到显著差异:男同性恋者中的流行率为10.2%,双性恋男性为12.0%,静脉吸毒者为73.5%,输血接受者为13.3%,频繁旅行者为16.6%。根据疾病控制中心的分类,20至40岁年龄组以及处于II期或III期的患者血清阳性率更高。根据丙肝病毒标志物状态分析了乙肝病毒和丁型肝炎病毒标志物的流行率(分别为75.7%和17.5%);乙肝核心抗体(HBcAb)阳性患者比HBcAb阴性患者更有可能拥有丙肝病毒抗体。需要进一步研究以调查同时暴露于人类免疫缺陷病毒和丙肝病毒对肝脏病变的影响。这项研究的数据表明,合并感染或同时暴露很常见。

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