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丙型肝炎病毒感染的血液透析患者中的乙肝病毒脱氧核糖核酸

HBV-DNA in hemodialysis patients infected by HCV.

作者信息

Arababadi Mohammad Kazemi, Hassanshahi Gholamhossein, Yousefi Hassan

机构信息

Department of Microbiology and Immunology, Rafsanjan University of Medical Science, Iran.

出版信息

Saudi J Kidney Dis Transpl. 2009 May;20(3):398-401.

Abstract

End-stage renal disease patients on chronic hemodialysis (HD) patients are at risk for both hepatitis B virus (HBV) and hepatitis C virus (HCV) infection, and they may coexist. To determine the prevalence and clinical impact of HBV and HCV infection, we studied poly chain reaction (PCR) and reverse transcription (RT)-PCR on the blood samples of 90 HD patients in Kerman, Iran. ELISA test was used to detect anti-HBc, anti-HBs and HBsAg. We found that 30 out of 90 (33.3%) patients were PCR-RT-PCR positive for HCV-RNA. No HBV-DNA (0%) was detected through the PCR study in both positive and negative HCV-RNA patient groups. Though none of the samples was HBsAg positive, 10 (33.3%) HCV-RNA positive patients were anti-HBc positive, and 12 (40.7%) were anti-HBs positive. We conclude that prevalence of hepatitis C infection is high in HD patients in our region, but not associated with active HBV infection.

摘要

接受慢性血液透析(HD)的终末期肾病患者有感染乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)的风险,且这两种感染可能同时存在。为了确定HBV和HCV感染的患病率及临床影响,我们对伊朗克尔曼市90例HD患者的血样进行了聚合酶链反应(PCR)和逆转录(RT)-PCR检测。采用酶联免疫吸附测定(ELISA)试验检测抗-HBc、抗-HBs和HBsAg。我们发现,90例患者中有30例(33.3%)的HCV-RNA经PCR-RT-PCR检测呈阳性。在HCV-RNA阳性和阴性患者组中,通过PCR研究均未检测到HBV-DNA(0%)。虽然所有样本的HBsAg均为阴性,但10例(33.3%)HCV-RNA阳性患者的抗-HBc呈阳性,12例(40.7%)的抗-HBs呈阳性。我们得出结论,我们所在地区的HD患者中丙型肝炎感染的患病率较高,但与活动性HBV感染无关。

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