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尼日利亚一所大学学生中乙型肝炎病毒和丙型肝炎病毒的血清学标志物及危险因素

Serological markers and risk factors for hepatitis B and hepatitis C viruses among students in a Nigerian university.

作者信息

Forbi Joseph, Pennap Grace, Silas-Ndukuba Charis, Agabi Yunana, Agwale Simon

机构信息

Virology Laboratory, Innovative Biotech, GRA-Keffi/Abuja, Nasarawa State, Nigeria.

出版信息

East Afr J Public Health. 2009 Aug;6(2):152-5. doi: 10.4314/eajph.v6i2.51748.

Abstract

OBJECTIVE

The aim of this cross-sectional study was to estimate the seroprevalence rates of hepatitis B virus and hepatitis C virus infections and to analyze associated risk factors among 400 students in a Nigerian.

METHODS

Participants were interviewed in a face-to-face sessions through a short structured questionnaire. Qualitative rapid immuno-chromatography test were used to screen for HBsAg and anti-HCV antibodies and these were confirmed by using third generation quantitative enzyme-linked immunosorbent assay (ELISAs).

RESULTS

Seroprevalence rates were: HBV. All these individuals were asymptomatic and unaware of their hepatitis status prior to this study. We did not detect any case of HBV/HCV co-infection. The risk of being infected with HBV or HCV was not associated with marital status or having facial/tribal (p>0.05). A significant association was found between HCV (not HBV) infection and blood transfusion {OR=5.0 (95% CI=0.91-27.47); chi2=4.15; p=0.04}.

CONCLUSION

Although the seroprevalence of HBV and HCV is lower among university students when compared to blood donors, HIV/AIDS patients and health workers in Nigeria. We have shown that these viruses circulate among the study population and blood transfusion identified as the factors most associated with HCV infection. Routine donor screening needs to be enforced and it is essential to implement prevention strategies focused on university students and youths in general.

摘要

目的

这项横断面研究的目的是估计尼日利亚400名学生中乙型肝炎病毒和丙型肝炎病毒感染的血清流行率,并分析相关危险因素。

方法

通过简短的结构化问卷对参与者进行面对面访谈。使用定性快速免疫层析试验筛查HBsAg和抗-HCV抗体,并通过第三代定量酶联免疫吸附测定(ELISA)进行确认。

结果

血清流行率为:HBV。所有这些个体均无症状,且在本研究之前未意识到自己的肝炎状况。我们未检测到任何HBV/HCV合并感染病例。感染HBV或HCV的风险与婚姻状况或面部/部落特征无关(p>0.05)。发现HCV(而非HBV)感染与输血之间存在显著关联{比值比=5.0(95%置信区间=0.91-27.47);卡方=4.15;p=0.04}。

结论

尽管与尼日利亚的献血者、艾滋病毒/艾滋病患者和卫生工作者相比,大学生中HBV和HCV的血清流行率较低。我们已经表明这些病毒在研究人群中传播,并且输血被确定为与HCV感染最相关的因素。需要加强常规献血者筛查,并且实施针对大学生和一般青年的预防策略至关重要。

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