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尼日利亚阿尼耶巴州健康孕妇的乙肝、丙肝和艾滋病毒血清流行率及其相关危险因素。

Seroprevalence of HBV, HCV, and HIV and Associated Risk Factors Among Apparently Healthy Pregnant Women in Anyigba, Nigeria.

机构信息

Department of Microbiology, Kogi State University, Anyigba, Nigeria.

出版信息

Viral Immunol. 2019 May;32(4):186-191. doi: 10.1089/vim.2018.0140. Epub 2019 Apr 24.

Abstract

Globally, infection of pregnant women by human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) pose a significant health challenge for not just the mothers but also the newborn infant. This study was undertaken to assess the prevalence of HIV, HCV, and HBV among pregnant women attending antenatal clinic in Kogi State University Teaching Hospital (KSUTH), Anyigba, Nigeria. Sera samples obtained from 200 consented pregnant women were screened for hepatitis B surface antigen (HBsAg), anti-HCV, and anti-HIV antibodies using commercially available immunoassay test kit. Demographic variables and obstetric characteristic were obtained using structured questionnaire. Of the 200 sera tested, the seroprevalence rates were 1.0%, 0.5%, and 8.5% for HBsAg, anti-HCV, and anti-HIV antibodies, respectively. Although 0.5% were coinfected with HIV/HCV, none was simultaneously infected by the three viruses. Age, marital status, trimester, and educational and occupational status did not significantly affect the prevalence of HIV, HCV, and HBV infections. However, factors such as history of abortion/miscarriage ( = 0.04), intravenous drug use ( = 0.001), and history of other sexually transmitted infection ( = 0.01) were significantly higher in relation to HIV seropositivity. In conclusion, findings from this study revealed high HIV seroprevalence and a clear decline of hepatitis C and B infection prevalence compared with previous epidemiological data. Reason for the latter could be attributed to the current efforts to reduce mother-to-child transmission and possible HBV vaccination programs. High burden of HIV infection in our study suggests the needs to strengthen the national prevention programs including education of the people on the risk factors of HIV transmission.

摘要

在全球范围内,孕妇感染人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和乙型肝炎病毒(HBV)不仅对母亲而且对新生儿都构成重大健康挑战。这项研究旨在评估尼日利亚科吉州立大学教学医院(KSUTH)产前诊所孕妇中 HIV、HCV 和 HBV 的流行率。从 200 名同意的孕妇中获得血清样本,使用市售免疫测定试剂盒检测乙型肝炎表面抗原(HBsAg)、抗 HCV 和抗 HIV 抗体。使用结构化问卷获得人口统计学变量和产科特征。在 200 份检测的血清中,HBsAg、抗 HCV 和抗 HIV 抗体的血清阳性率分别为 1.0%、0.5%和 8.5%。虽然有 0.5%的人同时感染 HIV/HCV,但没有人同时感染这三种病毒。年龄、婚姻状况、孕期和教育及职业状况均未显著影响 HIV、HCV 和 HBV 感染的流行率。然而,流产/流产史(=0.04)、静脉吸毒史(=0.001)和其他性传播感染史(=0.01)等因素与 HIV 血清阳性率显著相关。总之,本研究结果显示,与以往的流行病学数据相比,HIV 血清阳性率较高,丙型肝炎和乙型肝炎感染率明显下降。后者的原因可能归因于目前减少母婴传播的努力和可能的乙型肝炎疫苗接种计划。我们的研究中 HIV 感染负担高,这表明需要加强国家预防计划,包括对人们进行有关 HIV 传播风险因素的教育。

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