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伊朗阿巴斯港沙希德·穆罕默迪医院地中海贫血患者丙型肝炎、乙型肝炎和艾滋病毒血清学大流行情况评估。

Evaluation of hepatitis C, hepatitis B, and HIV virus Serology pandemic in thalassemia patients of Shahid Mohammadi Hospital of Bandar Abbas, Iran.

作者信息

Aminianfar Mohammad, Khani Farrokh, Ghasemzadeh Iman

机构信息

M.D., Department of Infectious and Tropical Disease, AJA University of Medical Sciences, Tehran, Iran.

M.D., General Physician, Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

Electron Physician. 2017 Mar 25;9(3):4014-4019. doi: 10.19082/4014. eCollection 2017 Mar.

Abstract

INTRODUCTION

Thalassemia patients are prone to the hepatitis C, B, and HIV virus, due to their constant need to receive blood transfusions. Therefore, this research was aimed to determine the epidemic of the aforementioned diseases in thalassemia patients of Shahid Mohammadi Hospital of Bandar Abbas, Iran.

METHODS

This cross-sectional study was carried out on thalassemia patients visiting the Thalassemia Hospital of Bandar Abbas from March 21, 2014, to March 22, 2015. Checklists were used to collect the data. HBS-Ag, HCV-Ab, and HIV-Ab tests have been registered for hepatitis B, hepatitis C, and HIV virus, respectively. The data were analyzed using SPSS 19 by Mann-Whitney U test, chi-square test, and independent samples t-test.

RESULTS

Among 587 records administered into the research, 280 individuals (47.7 %) were men and (52.3 %) were female. The average age of participants was 18.01 ± 9.31 years. The youngest was 1 years old, and the oldest was 46 years old. Four patients under the study (0.7 %) were positive for HBV; 60 (10.2 %) were HCV positive. However, no one in the study was diagnosed HIV positive. In the case of spread, there was no significant difference regarding age and sex in HBV patients. However, in HCV patients, significant differences were found (p=0.044 for gender and p=0.001 for age).

CONCLUSION

In thalassemia, hepatitis C had the highest rate of spread. According to the screening, it was much anticipated that the trend should be falling, but the results show the contrary. Hence, it is recommended that more precise methods such as PCR be used.

摘要

引言

地中海贫血患者由于经常需要输血,容易感染丙型肝炎、乙型肝炎和艾滋病毒。因此,本研究旨在确定伊朗阿巴斯港沙希德·穆罕默迪医院地中海贫血患者中上述疾病的流行情况。

方法

本横断面研究于2014年3月21日至2015年3月22日对前往阿巴斯港地中海贫血医院就诊的地中海贫血患者进行。使用检查表收集数据。分别对乙型肝炎、丙型肝炎和艾滋病毒进行了乙肝表面抗原(HBS-Ag)、丙肝抗体(HCV-Ab)和艾滋病毒抗体(HIV-Ab)检测。使用SPSS 19软件,通过曼-惠特尼U检验、卡方检验和独立样本t检验对数据进行分析。

结果

纳入研究的587份记录中,男性280人(47.7%),女性307人(52.3%)。参与者的平均年龄为18.01±9.31岁。最年轻的1岁,最年长的46岁。研究中的4名患者(0.7%)乙肝表面抗原呈阳性;60名(10.2%)丙肝抗体呈阳性。然而,研究中没有人被诊断为艾滋病毒阳性。在传播方面,乙肝患者在年龄和性别上没有显著差异。然而,丙肝患者存在显著差异(性别p=0.044,年龄p=0.001)。

结论

在地中海贫血患者中,丙型肝炎的传播率最高。根据筛查,人们非常期待这种趋势会下降,但结果却相反。因此,建议使用更精确的方法,如聚合酶链反应(PCR)。

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