Çınar Tanrıverdi Esra, Özkurt Zülal, Göktuğ Kadıoğlu Berrin, Alay Handan, Çalıkoğlu Okşan, Koca Özlem, Kamalak Zeynep
Department of Medical Education, Gynecology and Obstetrics, Atatürk University School of Medicine, Erzurum, Turkey.
Department of Infectious Diseases, Atatürk University School of Medicine, Erzurum, Turkey.
Turk J Gastroenterol. 2019 Mar;30(3):260-265. doi: 10.5152/tjg.2018.17634.
BACKGROUND/AIMS: The vertical transmission of hepatitis B virus, hepatitis C virus (HCV), and human immunodeficiency virus (HIV) infections are essential public health problems. In this study, we aimed to investigate the seroprevalence of the aforementioned infections among pregnant women.
This study was done retrospectively on pregnant women who presented for antenatal follow-up and delivery between 2013 and 2016. Data were collected from the hospital's electronic health records and patient files. Blood samples were analyzed at the microbiology laboratory of the hospital. HBsAg, anti-HBs, anti-HCV, and anti-HIV titers were tested using the chemiluminescence enzyme immunoassay method (Architect, Abbott Laboratories, USA).
HBsAg and anti-HBs levels were tested in 35,295 pregnant women aged 18-45 years. The HBsAg and anti-HBs levels were positive in 425 (1.2%) and 9583 (27.7%) patients, respectively. From 2013 to 2016, the HBV carrier rates have continuously decreased from 1.4% to 0.8%, whereas the anti-HBs positivity has increased from 25.4% to 30.2%. Anti-HCV was detected in 6 of the 9709 (0.06%) patients. All the 7113 pregnant women screened for HIV showed negative results.
Hepatitis B carrier rates among pregnant women gradually decreased with a simultaneous increase in the immunity rates. HCV seroprevalence was low and HIV positivity was not encountered in the study population.
背景/目的:乙型肝炎病毒、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)感染的垂直传播是重要的公共卫生问题。在本研究中,我们旨在调查上述感染在孕妇中的血清流行率。
本研究对2013年至2016年间前来进行产前随访和分娩的孕妇进行回顾性研究。数据从医院的电子健康记录和患者档案中收集。血液样本在医院的微生物实验室进行分析。使用化学发光酶免疫分析法(Architect,美国雅培实验室)检测HBsAg、抗-HBs、抗-HCV和抗-HIV滴度。
对35295名年龄在18至45岁的孕妇进行了HBsAg和抗-HBs水平检测。HBsAg和抗-HBs水平分别在425名(1.2%)和9583名(27.7%)患者中呈阳性。从2013年到2016年,HBV携带率从1.4%持续下降至0.8%,而抗-HBs阳性率从25.4%上升至30.2%。在9709名患者中的6名(0.06%)检测到抗-HCV。所有7113名接受HIV筛查的孕妇结果均为阴性。
孕妇中的乙型肝炎携带率逐渐下降,同时免疫率上升。研究人群中HCV血清流行率较低且未发现HIV阳性。