Nkrumah B, Owusu M, Frempong H O, Averu P
Kumasi Centre for Collaborative Research in Tropical Medicine, Kumasi, Ghana.
Ghana Med J. 2011 Sep;45(3):97-100.
To investigate the prevalence of Hepatitis B and C infections and co-infections among blood donors in a rural community of Ghana.
A retrospective study.
Samples of blood donated between January 2007 and December 2008 were screen for Hepatitis B and C viruses at the Agogo Presbyterian Hospital.
The prevalence of Hepatitis B viral (HBV) infection was highest in females 21.4% (95% CI: 11.6-34.4) in 2006 than males in the same year 13.2% (95% CI: 10.8-15.9). Hepatitis C viral (HCV) infection was highest among males at 11.6% (95% CI: 9.5-13.8) in 2007. HBV and HCV co-infection was higher in males 2.6% (95% CI: 1.6-3.8) than females 1.3% (95% CI: 0-7.0) in 2007. The overall prevalence of HBV and HCV was 13.8% (95% CI: 11.4-16.4) and 9.4% (95% CI: 7.4-11.6) respectively in 2006. The rate of co-infection of HBV and HCV however increased from 1.6% (95% CI: 0.8-2.7) in 2006 to 2.2% (95% CI: 1.3-3.2) in 2008 in males and from 0% (95% CI: 0-6.4) in 2006 to 1.2% (95% CI: 0-6.5) in 2008 in females.
The single infections of HBV and HCV reduced but co-infection of these transfusion transmitted infections (TTI) increased. Measures such as more sensitive techniques and education must be employed in these areas.
调查加纳一个农村社区献血者中乙型肝炎和丙型肝炎感染及合并感染的流行情况。
一项回顾性研究。
对2007年1月至2008年12月期间在阿戈戈长老会医院捐献的血液样本进行乙型肝炎病毒和丙型肝炎病毒筛查。
2006年,乙型肝炎病毒(HBV)感染率在女性中最高,为21.4%(95%置信区间:11.6 - 34.4),同年男性为13.2%(95%置信区间:10.8 - 15.9)。2007年,丙型肝炎病毒(HCV)感染率在男性中最高,为11.6%(95%置信区间:9.5 - 13.8)。2007年,HBV和HCV合并感染在男性中为2.6%(95%置信区间:1.6 - 3.8),高于女性的1.3%(95%置信区间:0 - 7.0)。2006年,HBV和HCV的总体感染率分别为13.8%(95%置信区间:11.4 - 16.4)和9.4%(95%置信区间:7.4 - 11.6)。然而,HBV和HCV的合并感染率在男性中从2006年的1.6%(95%置信区间:0.8 - 2.7)增至2008年的2.2%(95%置信区间:1.3 - 3.2),在女性中从2006年的0%(95%置信区间:0 - 6.4)增至2008年的1.2%(95%置信区间:0 - 6.5)。
HBV和HCV的单一感染率降低,但这些输血传播感染(TTI)的合并感染率增加。在这些地区必须采用更敏感的技术和开展教育等措施。