Al Zabadi Hamzeh, Rahal Hani, Fuqaha Rasha
Public Health Department, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, West Bank, Palestine.
Jenin Governmental Hospital, Jenin, West Bank, Palestine.
BMC Infect Dis. 2016 Feb 1;16:41. doi: 10.1186/s12879-016-1359-8.
Hepatitis B and C virus infection is a lead cause of morbidity and mortality among hemodialysis patients. Yet, little research has focused on the morbidity measures of these serious disorders in low and middle income countries. The study aims to estimate the prevalence of hepatitis B and C among hemodialysis patients in the West Bank hospitals in Palestine.
A retrospective medical records review design was performed for all governmental and private hospitals in the West Bank which provide hemodialysis services for the patients. Data was retrieved from the patients' medical files and from the computerized health information system in some hemodialysis centers. SPSS software version 16 was used for data entry and analysis.
In overall, 868 hemodialysis patients attending nine hemodialysis hospitals in the West Bank was recruited. The overall prevalence of hepatitis B virus was found to be 3.8% (33 cases) with a range from 0.0% (in Jericho and Qalqelia districts) to 11.8% (in Bethlehem district). Regarding hepatitis C virus, the overall prevalence was estimated around 7.4% (64 cases) with a range from 2.9% (in Nablus district) to 15.9% (in Qalqelia district).
Although relatively low prevalence of both hepatitis B and C virus was found in a couple of hemodialysis hospitals, some higher prevalence values urge for the implementation of stricter infection prevention measures and more effective follow up procedures.
乙型和丙型肝炎病毒感染是血液透析患者发病和死亡的主要原因。然而，在低收入和中等收入国家，针对这些严重疾病发病情况的研究较少。本研究旨在估计巴勒斯坦约旦河西岸医院血液透析患者中乙型和丙型肝炎的患病率。
对约旦河西岸所有为患者提供血液透析服务的政府和私立医院进行回顾性病历审查设计。数据从患者的医疗档案以及一些血液透析中心的计算机化健康信息系统中获取。使用SPSS软件版本16进行数据录入和分析。
总体而言，招募了约旦河西岸9家血液透析医院的868名血液透析患者。发现乙型肝炎病毒的总体患病率为3.8%（33例），范围从0.0%（在杰里科和盖勒吉利耶地区）到11.8%（在伯利恒地区）。关于丙型肝炎病毒，总体患病率估计约为7.4%（64例），范围从2.9%（在纳布卢斯地区）到15.9%（在盖勒吉利耶地区）。
尽管在几家血液透析医院中发现乙型和丙型肝炎病毒的患病率相对较低，但一些较高的患病率数值促使实施更严格的感染预防措施和更有效的随访程序。
