Waheed Abdul, Zaeem Faisal Ahmed, Shariff Mian Muhammad, Qayyum Abdul
Department of Urology & Kidney Transplant, Fatima Jinnah Medical College/Sir Ganga Ram Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2010 Dec;60(12):1058-60.
Objects contaminated with blood and other body fluids of patients suffering from hepatitis B and C are an occupational health hazard to the health care personnel and a source of nosocomial spread. This descriptive cross sectional study estimated the frequency of hepatitis B surface antigen (HBsAg) and anti hepatitis C antibody (Anti HCV) positive patients among those undergoing a urological procedure in a tertiary care teaching hospital. A sample size of 550 patients was estimated using Stat Calc for Epi Info. A cluster off 558 patients were included. Ninety five (17%) were positive for serum HBsAg and/or anti HCV by Elisa. Gender/sex, admission year, urological diagnosis did not predict statistically significant relationship with the positive status. Past surgical history was marginally significant. In conclusion, all patients undergoing a urological procedure should be checked for anti HCV and HBsAg. A solid policy outlining the preventive practices is needed to stop this high burden of hepatitis turning into public health disaster.
被乙型和丙型肝炎患者的血液及其他体液污染的物品，对医护人员构成职业健康危害，也是医院感染传播的源头。这项描述性横断面研究估计了一家三级护理教学医院中接受泌尿外科手术患者的乙肝表面抗原（HBsAg）和抗丙型肝炎抗体（抗HCV）阳性患者的比例。使用Epi Info的Stat Calc估计样本量为550例患者。纳入了一组558例患者。通过酶联免疫吸附测定法（ELISA），95例（17%）患者的血清HBsAg和/或抗HCV呈阳性。性别、入院年份、泌尿外科诊断与阳性状态无统计学显著关系。既往手术史有轻微显著性。总之，所有接受泌尿外科手术的患者都应检测抗HCV和HBsAg。需要制定一项明确预防措施的切实政策，以防止这种高负担的肝炎演变成公共卫生灾难。
