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在波斯尼亚和黑塞哥维那东北部的慢性丙型肝炎患者和首次献血者中丙型肝炎病毒基因型。

Hepatitis C virus genotypes in chronic hepatitis C patients and in first time blood donors in northeastern Bosnia and Herzegovina.

机构信息

Infectious Diseases Hospital, University Clinical Center Tuzla, Trnovac bb, 75 000 Tuzla, Bosnia and Herzegovina.

出版信息

Bosn J Basic Med Sci. 2009 Nov;9(4):278-82. doi: 10.17305/bjbms.2009.2779.

Abstract

Prevalence of hepatitis C virus (HCV) genotypes in Bosnia and Herzegovina (B&H) is an issue that is not sufficiently researched and there is a need for studies that would explore this in detail.The aim of this study was to determine the distribution of HCV genotypes in the group of patients with chronic hepatitis C and also in the group of first time blood donors that tested positive for anti HCV antibodies during the blood screening process. Our secondary goal was to compare the proportions of HCV genotypes between these two groups.We analyzed 75 blood samples of patients with confirmed chronic hepatitis C. We also analyzed 13/16082 blood samples of first time blood donors found to be HCV positive during the blood screening process. We also determined HCV genotype in HCV RNA positive samples.We have found that genotype 1b was more prevalent in chronic hepatitis C patients (52/75; 69,3%) than in first time blood donors (6/13; 46,1%), however this difference was not statistically significant (c2=1,721; df=1; p=0,19). Genotype 1a was more prevalent in the group of first time blood donors (3/13; 23,1%) than in the group of chronic hepatitis C patients (3/75; 4%), but this was also with limited statistical significance (c2=3,71; df=1; p=0,054). We have not found any significant difference in prevalence of genotypes 1a (p=0,2) and genotypes 3 (p=0,70) when compared between chronic patients (3/75 and 16/75; respectively) and first time blood donors (3/13 and 4/13; respectively). Our study confirmed domination of genotype 1b in the region of northeastern B&H which is in accordance with HCV genotype prevalence in other countries in our part of Europe.

摘要

在波斯尼亚和黑塞哥维那(波黑),丙型肝炎病毒(HCV)基因型的流行情况尚未得到充分研究,因此需要进行详细研究。本研究旨在确定慢性丙型肝炎患者组和首次血液筛查呈抗 HCV 抗体阳性的献血者组中 HCV 基因型的分布。我们的次要目标是比较这两组之间 HCV 基因型的比例。我们分析了 75 例确诊为慢性丙型肝炎患者的血液样本。我们还分析了在血液筛查过程中发现的 13/16082 例首次血液筛查呈 HCV 阳性的献血者的血液样本。我们还在 HCV RNA 阳性样本中确定了 HCV 基因型。我们发现,1b 型基因型在慢性丙型肝炎患者(52/75;69.3%)中比首次献血者(6/13;46.1%)更为普遍,但这种差异无统计学意义(c2=1.721;df=1;p=0.19)。1a 型基因型在首次献血者(3/13;23.1%)中比慢性丙型肝炎患者(3/75;4%)更为普遍,但这也只有有限的统计学意义(c2=3.71;df=1;p=0.054)。我们发现,在慢性患者(3/75 和 16/75;分别)和首次献血者(3/13 和 4/13;分别)之间,1a 基因型(p=0.2)和 3 基因型(p=0.70)的流行率无显著差异。我们的研究证实了 1b 型基因型在波黑东北部地区的主导地位,这与欧洲部分其他国家的 HCV 基因型流行情况一致。

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