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意大利巴里的难民中乙型肝炎、丙型肝炎、艾滋病病毒和梅毒标志物的流行情况。

Prevalence of Hepatitis B, C, HIV and syphilis markers among refugees in Bari, Italy.

机构信息

Department of Biomedical Sciences, Hygiene Section, University of Bari Aldo Moro, Puglia Regional Observatory for Epidemiology, Bari, Italy.

出版信息

BMC Infect Dis. 2010 Jul 20;10:213. doi: 10.1186/1471-2334-10-213.

Abstract

BACKGROUND

The aim of this study was to assess the prevalence of Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) serological markers and the prevalence of VDRL positive subjects in a population of refugees of various nationalities, living in the Asylum Seeker Centre in Bari Palese, Southern Italy.

METHODS

The study was carried out in the period May-July 2008 and recruited only voluntarily enrolled healthy refugees. HBsAg, anti-HBc, anti-HCV and anti-HIV virus antibodies were detected. VDRL syphilis screening was also carried out on the serum samples.

RESULTS

A total of 529 refugees, 442 males and 87 females, aged between 7 and 52 years, were studied. Of these, 510 were from Africa and 19 from Asia.Forty-four individuals (8.3%) were HBsAg positive and 241 (45.6%) were anti-HBc positive. A total of 24 (4.5%) individuals were anti-HCV positive. Eight asylum seekers (1.5%) were HIV positive. VDRL tests were performed on 269 subjects and 4 (1.5%) were positive. 12.3% of the study population had serological markers of chronic and transmissible infections with potential blood-borne or sexual transmission.

CONCLUSIONS

In Italy, a suitable protocol is necessary for the early diagnosis of infectious diseases on entering Asylum Centres, so allowing the adoption of prevention measures to safeguard the health of the individuals, the residents and workers in the Centres and the general population.

摘要

背景

本研究旨在评估各种国籍的难民群体中人类免疫缺陷病毒(HIV)、乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)血清标志物的流行率,以及阳性梅毒螺旋体血清固定试验(VDRL)的阳性率。

方法

本研究于 2008 年 5 月至 7 月进行,仅招募了自愿参加的健康难民。检测了 HBsAg、抗-HBc、抗-HCV 和抗-HIV 病毒抗体。对血清样本还进行了 VDRL 梅毒筛查。

结果

共研究了 529 名难民,其中 442 名男性,87 名女性,年龄在 7 至 52 岁之间。他们中 510 人来自非洲,19 人来自亚洲。44 人(8.3%)HBsAg 阳性,241 人(45.6%)抗-HBc 阳性。共有 24 人(4.5%)抗-HCV 阳性。8 名寻求庇护者(1.5%)HIV 阳性。对 269 名受试者进行了 VDRL 检测,其中 4 人(1.5%)阳性。研究人群中 12.3%具有慢性和传染性感染的血清学标志物,具有潜在的血液或性传播风险。

结论

在意大利,进入庇护中心时需要有合适的方案来早期诊断传染病,从而采取预防措施来保护中心内个体、居民和工作人员以及一般人群的健康。

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