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地中海贫血患者中乙型肝炎病毒和丙型肝炎病毒感染的频率分布及危险因素:一项区域研究。

Frequency distribution and risk factors of hepatitis B virus and hepatitis C virus infections among thalassemia patients: a regional study.

作者信息

Shah Tariq, Hussain Wajid, Ali Niyaz, Sardar Sadia, Ishaq Muhammad, Ur Rahman Mujaddad, Ding Luming, Qayyum Sadia, Khan Ibrar

机构信息

Department of Microbiology, Hazara University, Mansehra.

State Key Laboratory of Grassland Agro-Ecosystem, Institute of Arid Agroecology, School of life Sciences, International Center for Tibetan Ecosystem Management, Lanzhou University, Lanzhou.

出版信息

Eur J Gastroenterol Hepatol. 2019 Feb;31(2):248-252. doi: 10.1097/MEG.0000000000001287.

Abstract

BACKGROUND

Thalassemia is a group of inherited hematological disorders caused by mutation in globin's genes. Regular blood transfusion lengthens the life of thalassemia patients but it carries a definite risk of the infections of blood-borne diseases.

AIM/OBJECTIVE: The current study was carried out for the frequency distributions and risk factors of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections among thalassemia patients in Hazara regions, Pakistan.

METHODS

A total of 324 enrolled thalassemia major patients were diagnosed in five different centers of Hazara regions. The study participants were screened for HBV and HCV using the immunochromatographic techniques test and real-time PCR for immunochromatographic technique-positive specimens.

RESULTS

Out of the 324 major thalassemia patients, 24 (7.41%) were diagnosed with HBV and HCV infections. In total, 206 were male patients and the rate of HBV and HCV infections was 0.97% (two patients) and 3.88% (eight patients), respectively. Similarly, 118 were female patients and the rate of HBV-positive patients was 3.39% (four patients) and HCV was 8.47% (10 patients). The results also showed that 50% of HBV and HCV infections were found in the age group of 26-30 years, while 1.81% was found in the age group of 11-15 years. The positive HBV and HCV samples were also verified with the band size of 242 and 227 bp, respectively.

CONCLUSION

Thus, to reduce the incidence of HBV and HCV in thalassemia patients, we must call for critical look on the transfusion practices as well as adoption of stricter donor selection.

摘要

背景

地中海贫血是一组由珠蛋白基因突变引起的遗传性血液疾病。定期输血可延长地中海贫血患者的寿命,但会带来血液传播疾病感染的一定风险。

目的

本研究旨在调查巴基斯坦哈扎拉地区地中海贫血患者中乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染的频率分布及危险因素。

方法

在哈扎拉地区的五个不同中心对324名登记的重型地中海贫血患者进行诊断。采用免疫层析技术检测和实时荧光定量PCR对免疫层析技术阳性标本进行检测,对研究参与者进行HBV和HCV筛查。

结果

在324名重型地中海贫血患者中,24名(7.41%)被诊断为HBV和HCV感染。其中男性患者206名,HBV和HCV感染率分别为0.97%(2名患者)和3.88%(8名患者)。同样,女性患者118名,HBV阳性患者率为3.39%(4名患者),HCV为8.47%(10名患者)。结果还显示,50%的HBV和HCV感染发生在26 - 30岁年龄组,而1.81%发生在11 - 15岁年龄组。HBV和HCV阳性样本也分别通过242和227 bp的条带大小进行了验证。

结论

因此,为降低地中海贫血患者中HBV和HCV的发病率,我们必须呼吁严格审视输血操作,并采用更严格的献血者选择标准。

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