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伊斯兰堡法拉什镇普通人群中乙型和丙型肝炎病毒的感染率及影响因素

Frequency and determinants of Hepatitis B and C virus in general population of Farash Town, Islamabad.

作者信息

Asad Munazza, Ahmed Farah, Zafar Humaira, Farman Sabir

机构信息

Dr. Munazza Asad, MBBS, FCPS. Associate Professor of Physiology, Al-Nafees Medical College and Hospital, Isra University, Islamabad, Pakistan.

Dr. Farah Ahmed, MBBS, MSPH, MBA. Assistant Professor of Community Medicine, Al-Nafees Medical College and Hospital, Isra University, Islamabad, Pakistan.

出版信息

Pak J Med Sci. 2015 Nov-Dec;31(6):1394-8. doi: 10.12669/pjms.316.7047.

Abstract

BACKGROUND AND OBJECTIVE

Both Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are rapidly spreading in the developing countries. Both of them are blood borne and are transmitted through un-screened blood transfusion, inadequately sterilized needles and equipment. According to WHO's criteria of endemicity, Pakistan has high disease burden of Hepatitis B and C. The present study was planned to determine the frequency and to identify the risk factors of hepatitis B and C virus in the general community of Farash town.

METHODS

This descriptive study was carried out in Al Nafees Medical Hospital Lab, from January 2013 to December 2013. Both the genders and all age groups were included in the study. All the patients who fulfilled the inclusion criteria had given a written consent. Data was collected through questionnaire and was analyzed on Statistical Package for Social Sciences (SPSS) version 21.

RESULTS

Three-hundred and forty five patients were studied. Among these 92 (27%) were males and 253(73%) were female, 33% of them had hepatitis C, 9% had hepatitis B. History of injections was reported in all of the patients. Visit to community barbers was present in 58.6% and 41% cases of hepatitis B and C. History of dental procedures was obtained in 7(24%) and 15(13%) patients of hepatitis B and C.

CONCLUSION

Major contributors for Hepatitis B and C in Farash town are use of unsterilized therapeutic injections and visit to community barbers. Education of the barbers regarding sterilization may help in reducing the burden of infection in this community.

摘要

背景与目的

乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染在发展中国家都在迅速蔓延。它们均通过血液传播,可经未筛查的输血、消毒不充分的针头和设备传播。根据世界卫生组织的地方性流行标准,巴基斯坦的乙肝和丙肝疾病负担较高。本研究旨在确定法拉什镇普通社区中乙肝和丙肝病毒的感染率并识别其危险因素。

方法

本描述性研究于2013年1月至2013年12月在纳菲斯医学医院实验室进行。研究纳入了所有性别和各年龄组。所有符合纳入标准的患者均签署了书面同意书。通过问卷调查收集数据,并使用社会科学统计软件包(SPSS)21版进行分析。

结果

共研究了345名患者。其中男性92名(27%),女性253名(73%),33%的患者感染丙肝,9%的患者感染乙肝。所有患者均有注射史。乙肝和丙肝患者中分别有58.6%和41%有去社区理发店理发的经历。乙肝和丙肝患者中分别有7名(24%)和15名(13%)有牙科治疗史。

结论

法拉什镇乙肝和丙肝的主要促成因素是使用未经消毒的治疗性注射以及去社区理发店理发。对理发师进行消毒方面的教育可能有助于减轻该社区的感染负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/4744288/9cbc7ab4f7ed/PJMS-31-1394-g001.jpg

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