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尼日利亚东南部一家农村眼科护理机构眼科手术患者中人类免疫缺陷病毒血清阳性率

Prevalence of Human Immunodeficiency Virus Seropositivity among Eye Surgical Patients at a Rural Eye Care Facility in South-Eastern Nigeria.

作者信息

Okoye Obiekwe, Magulike Nwabueze, Chuka-Okosa Chimdi

机构信息

Department of Ophthalmology, University of Nigeria Teaching Hospital, Ituku Ozalla, South Eastern Nigeria.

出版信息

Middle East Afr J Ophthalmol. 2012 Jan;19(1):93-6. doi: 10.4103/0974-9233.92122.

Abstract

PURPOSE

To determine the prevalence of human immunodeficiency infection among patients who underwent surgery at a rural eye care facility in southeastern Nigeria.

MATERIALS AND METHODS

A retrospective chart review was performed for all patients who had undergone surgery and a pre-operative Human Immunodeficiency Virus (HIV) test, between August 2008 and July 2009 at the Eye unit of the Presbyterian Joint Hospital, Ohaozara, Ebonyi State, Nigeria. Data were analyzed for age, sex, type of surgery and HIV status. Frequency, percentage and 95% confidence intervals (CI) were calculated with univariate analysis and the parametric method.

RESULTS

A total of 380 cases were reviewed comprised of 228 males and 152 females (M:F= 1.5:1).The mean age of the cohort is 56 years (range, 4 years to 91 years). Fourteen patients (3.7%; 95% confidence interval 1.8 - 5.6) were HIV positive.

CONCLUSION

A high HIV sero-prevalence was reported in our study. Infection-control precautionary measures are indicated to minimize risk of HIV transmission to ophthalmic surgeons and allied health-workers.

摘要

目的

确定在尼日利亚东南部一家农村眼科护理机构接受手术的患者中人类免疫缺陷病毒感染的流行情况。

材料与方法

对2008年8月至2009年7月期间在尼日利亚埃邦伊州奥哈扎拉长老会联合医院眼科接受手术并进行术前人类免疫缺陷病毒(HIV)检测的所有患者进行回顾性病历审查。分析了年龄、性别、手术类型和HIV状态的数据。采用单变量分析和参数方法计算频率、百分比和95%置信区间(CI)。

结果

共审查了380例病例,其中男性228例,女性152例(男:女 = 1.5:1)。该队列的平均年龄为56岁(范围4岁至91岁)。14名患者(3.7%;95%置信区间1.8 - 5.6)HIV呈阳性。

结论

我们的研究报告了较高的HIV血清流行率。建议采取感染控制预防措施,以尽量降低HIV传播给眼科外科医生和相关医护人员的风险。

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