Gasim Gasim I, Murad Intisar A, Adam Ishag
College of Medicine, Qassim University, City, Saudi Arabia.
J Infect Dev Ctries. 2013 Aug 15;7(8):566-78. doi: 10.3855/jidc.3243.
The epidemiology of viral hepatitis during pregnancy is of paramount importance for health planners and program managers. Data on viral hepatitis during pregnancy are not readily available in many African and Arab countries. Both regions have their own unique geography, and comprise over 59 states with crossover and interaction of different cultures.
A systematic electronic search of the published literature was conducted and data on epidemiology and risk factors of maternal hepatitis B virus (HBV) infection and hepatitis C (HCV) infection in Arab and African countries were extracted from relevant studies.
The serology of hepatitis viruses varies greatly among these countries, with different viral genotype patterns. Such a variation in prevalence could be explained by the different risk factors involved. Sexual contact, perinatal infection, blood and its derivatives, hemodialysis, intravenous and percutaneous drug use, and occupational, habitual, and social behavior have been identified as risk factors for hepatitis transmission in various settings in these countries.
Infection from hepatitis B and C viruses imposes major socioeconomic and even political burdens on such young and dynamic societies. Thus strategies and clear policies of intervention are required to combat the consequences of hepatitis B and C at both the regional and national levels.
孕期病毒性肝炎的流行病学对于卫生规划者和项目管理者至关重要。许多非洲和阿拉伯国家缺乏孕期病毒性肝炎的数据。这两个地区地理位置独特,涵盖59个以上的国家,存在不同文化的交叉与互动。
对已发表文献进行系统的电子检索,并从相关研究中提取阿拉伯和非洲国家孕产妇感染乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)的流行病学及危险因素数据。
这些国家中肝炎病毒的血清学差异很大,病毒基因型模式各异。患病率的这种差异可由不同的危险因素来解释。性接触、围产期感染、血液及其衍生物、血液透析、静脉和经皮吸毒以及职业、习惯和社会行为已被确定为这些国家不同环境中肝炎传播的危险因素。
乙型和丙型肝炎病毒感染给这些年轻且充满活力的社会带来了重大的社会经济甚至政治负担。因此,需要在区域和国家层面制定战略和明确的干预政策,以应对乙型和丙型肝炎带来的后果。