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伊朗哈马丹肝炎诊所中乙型肝炎和丙型肝炎患者的肝炎病毒家族内血清阳性。

Intrafamilial seropositivity of hepatitis in patients with hepatitis B and C virus in hepatitis clinic in Hamadan, Iran.

机构信息

Department of Infectious Diseases, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Ann Hepatol. 2012 Jan-Feb;11(1):32-6.

Abstract

OBJECTIVE

To determine intrafamilial seropositivity of HBV and HCV and to compare them in families of infected persons with HBV and HCV in Hamadan clinic of hepatitis.

MATERIAL AND METHODS

In this analytic cross-sectional study, 651 family members of 200 HBV and HCV infection index cases were entered into the study and after signing an informed consent, they were referred to Blood Transfusion Center. With completion of laboratory tests, interviewers filled the questionnaires.

RESULTS

One hundred and eighteen (20.5%) and 107 (18.6%) family members were HBsAg and HBcAb positive respectively. 21 (3.6%) were isolated HBcAb positive. Only one person (1.3%) was HCVAb positive. The general rate of infection in family members of HBV infected people (atleast one case) (49.4%) was significantly higher than that of HCV infected people (3.3%), p < 0.001. Interspouses transmission was evaluated and prevalence of interspouses HBV and HCV infection were 32.3 and 8%, respectively.

CONCLUSION

Intrafamilial and interspousal seropositivity of HBV is obviously more than those of HCV. More attention should be paid to screening and risk lowering activities particularly about HBV infected people and their families.

摘要

目的

确定乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)在乙型肝炎和丙型肝炎感染患者家庭中的家族内血清阳性率,并对其进行比较。

材料与方法

在这项分析性横断面研究中,我们纳入了 200 例 HBV 和 HCV 感染指数病例的 651 名家庭成员,在签署知情同意书后,他们被转介到输血中心。完成实验室检查后,调查员填写了问卷。

结果

118 名(20.5%)和 107 名(18.6%)家庭成员分别为 HBsAg 和 HBcAb 阳性。21 名(3.6%)为孤立性 HBcAb 阳性。仅 1 人(1.3%)HCVAb 阳性。HBV 感染者(至少有 1 例)家庭成员的总体感染率(49.4%)明显高于 HCV 感染者(3.3%),p < 0.001。评估了夫妻间传播,HBV 和 HCV 感染的夫妻间患病率分别为 32.3%和 8%。

结论

HBV 的家族内和夫妻间血清阳性率明显高于 HCV。应更加关注筛查和降低风险活动,特别是针对 HBV 感染者及其家庭。

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