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加纳北部 Kpandai 地区献血人群乙型肝炎感染血清流行率:2014 年至 2018 年五年回顾性研究。

Seroprevalence of Hepatitis B Infection Among a Population of Blood Donors in the Kpandai District of Northern Ghana: A Five-Year Retrospective Study from 2014 to 2018.

机构信息

Department of Medical Laboratory Sciences, School of Allied Health Sciences, University of Health and Allied Sciences, PMB 31, Ho, Ghana.

Kpandai District Hospital, P.O. Box 35, Kpandai, Ghana.

出版信息

J Community Health. 2020 Dec;45(6):1220-1227. doi: 10.1007/s10900-020-00862-4.

Abstract

Hepatitis B virus (HBV) infection is an infectious disease that is specific to the liver, causing both acute and chronic hepatitis. This study determined the trend of HBV infection among blood donors in the Kpandai District Hospital from January 2014 to December 2018. Retrospective analysis of donor profiles for a period of 5 years was used to assess the distribution of seropositive cases in relation to age, sex, and trend. The data was collected using pre-designed questionnaire and managed using Microsoft Excel spread sheet 2013. The overall sero-prevalence of HBV was 8.2% (230/2802). The year to year analysis depicted significant trends in reduction of HBV infection among the study population at a rate of 13 percentage points above the mean from 2014 to 2015, and 4.3 percentage points below the mean from 2016 to 2018 across the period. The prevalence in males was 8.4% (225/2687) and that of the females was 4.4% (5/115) and the highest rate of infection was among those below 30 years 9.8% (163/1666). Although the general prevalence of HBV infection was high (8.2%), there was a significant trend reduction in rate of infection across the study period. This suggests that the public health interventional strategies put in place to manage the HBV infection in Kpandai District seem to be working.

摘要

乙型肝炎病毒(HBV)感染是一种肝脏特异性传染病,可导致急性和慢性肝炎。本研究旨在确定 2014 年 1 月至 2018 年 12 月期间,Kpandai 区医院献血者的 HBV 感染趋势。通过回顾性分析 5 年的献血者资料,评估了与年龄、性别和趋势有关的血清阳性病例分布。使用预先设计的问卷收集数据,并使用 Microsoft Excel 2013 电子表格进行管理。HBV 的总血清阳性率为 8.2%(230/2802)。年度分析显示,在研究人群中,HBV 感染率呈显著下降趋势,2014 年至 2015 年每年平均下降 13 个百分点,2016 年至 2018 年每年平均下降 4.3 个百分点。男性的患病率为 8.4%(225/2687),女性为 4.4%(5/115),感染率最高的是 30 岁以下人群,为 9.8%(163/1666)。尽管 HBV 感染的总体流行率较高(8.2%),但在整个研究期间,感染率呈显著下降趋势。这表明,在 Kpandai 地区实施的管理 HBV 感染的公共卫生干预策略似乎正在发挥作用。

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