Bhate Prasad, Saraf Naimish, Parikh Pathik, Ingle Meghraj, Phadke Aniruddha, Sawant Prabha
Department of Gastroenterology, Lokmanya Tilak Municipal Medical College, Sion Mumbai, India.
Siddhakala Aurved Mahavidyalay Sangamner, Maharashtra, India.
Arq Gastroenterol. 2015 Dec;52(4):321-4. doi: 10.1590/S0004-28032015000400013.
Hepatitis B virus and hepatitis C virus are among the principal causes of severe liver disease. There is limited data of epidemiology of Hepatitis B in community, more so in rural population.
To find the prevalence of hepatitis B and C infection in community and study the risk factors for their transmission.
This was a community based cross sectional study. A total of 1833 randomly selected subjects from a rural area were interviewed for risk factors for transmission and tested for markers of hepatitis B and hepatitis C infection. All the positive card tests were confirmed by ELISA.
Out of 2400 subjects, rate for participation was 76.38%. None of the subjects was positive for anti hepatitis C virus antibody. Point prevalence for HBsAg positivity was 0.92. Being healthcare worker and having tattoo were significantly associated with HBsAg positive results. Nose and ear piercing was reported by almost. History of blood or blood product transfusion, I/V drug abuse, multiple sexual partners, unsafe Injections, hemodialysis and any h/o surgery was not associated with HBsAg positivity.
Health care workers are at high risk for transmission of hepatitis B. Educating common people regarding mode of transmission of Hepatitis B and C will help to reduce their transmission.
乙型肝炎病毒和丙型肝炎病毒是严重肝病的主要病因之一。社区中乙型肝炎的流行病学数据有限,农村人口的数据更是如此。
了解社区中乙型肝炎和丙型肝炎感染的患病率,并研究其传播的危险因素。
这是一项基于社区的横断面研究。从农村地区随机选取1833名受试者,询问其传播危险因素,并检测乙型肝炎和丙型肝炎感染标志物。所有阳性卡片检测均通过酶联免疫吸附测定法进行确认。
在2400名受试者中,参与率为76.38%。没有受试者丙型肝炎病毒抗体呈阳性。乙肝表面抗原阳性的点患病率为0.92。医护人员和纹身与乙肝表面抗原阳性结果显著相关。几乎所有人都有穿鼻环和耳洞的经历。输血或使用血液制品史、静脉注射吸毒、多个性伴侣、不安全注射、血液透析以及任何手术史与乙肝表面抗原阳性无关。
医护人员感染乙型肝炎的传播风险很高。对普通民众进行乙型肝炎和丙型肝炎传播方式的教育将有助于减少其传播。