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埃塞俄比亚奥罗米亚西部内克梅特血库献血者中乙型肝炎病毒和丙型肝炎病毒的流行情况:一项5年回顾性研究

Prevalence of Hepatitis B Virus and Hepatitis C Virus Among Blood Donors in Nekemte Blood Bank, Western Oromia, Ethiopia: Retrospective 5 Years Study.

作者信息

Abebe Milkias, Alemnew Birhan, Biset Sirak

机构信息

Department of Medical Laboratory Sciences, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.

Department of Medical Laboratory Sciences, College of Health Sciences, Wolidia University, Woldia, Ethiopia.

出版信息

J Blood Med. 2020 Dec 31;11:543-550. doi: 10.2147/JBM.S282099. eCollection 2020.

Abstract

BACKGROUND

Hepatitis B virus and hepatitis C virus are the greatest threats to blood safety for the recipient. This study aimed to determine the seroprevalence and trends of HBV and HCV infections among blood donors over a period of 5 years at Nekemte blood bank, Ethiopia.

METHODS

A retrospective study was conducted from January 2015 to December 2019 at Nekemte blood bank. The recorded blood donors' history and laboratory tests were reviewed by data collectors analyzed with Statistical Package for the Social Sciences version 20 software. A p-value of less than 0.005 was considered statistically significant.

RESULTS

A total of 17,810 consecutive blood donors were screened between January 2015 and December 2019. The seroprevalence of HBV and HCV was 3.06% and 0.64%, respectively. The prevalence of HBV was significantly associated with male (AOR: 2.51; 95% CI: 1.17, 2.91), unmarried (AOR: 2.81; 95% CI: 1.79, 2.51) and rural (AOR: 2.11; 95% CI: 1.17, 3.05) blood donors. The prevalence of HCV was significantly associated with blood donor those were male (AOR: 3.01; 95% CI: 1.17, 3.91), within 45-65 years of age (AOR: 3.56: 95% CI: 1.14, 3.99) and unmarried (AOR: 3.14; 95% CI: 1.65, 3.96).

CONCLUSION

The current study shows the prevalence of hepatitis B virus was higher among study participants. However, the prevalence of HCV was low compared to the study conducted in other countries in Africa, a substantial percentage of the blood donors harbor HCV infections. Therefore, it is recommended to increase awareness of people (particularly on unmarried, male and rural resident) on modes of transmission and prevention of infection could help in reducing the burden of both HBV and HCV.

摘要

背景

乙型肝炎病毒和丙型肝炎病毒是对受血者血液安全的最大威胁。本研究旨在确定埃塞俄比亚内克梅特血库5年间献血者中HBV和HCV感染的血清流行率及趋势。

方法

于2015年1月至2019年12月在内克梅特血库进行一项回顾性研究。数据收集者回顾记录的献血者病史和实验室检查结果,并使用社会科学统计软件包第20版软件进行分析。p值小于0.005被认为具有统计学意义。

结果

2015年1月至2019年12月期间,共筛查了17810名连续献血者。HBV和HCV的血清流行率分别为3.06%和0.64%。HBV的流行率与男性(调整后比值比:2.51;95%置信区间:1.17,2.91)、未婚(调整后比值比:2.81;95%置信区间:1.79,2.51)和农村献血者(调整后比值比:2.11;95%置信区间:1.17,3.05)显著相关。HCV的流行率与男性献血者(调整后比值比:3.01;95%置信区间:1.17,3.91)、年龄在45至65岁之间(调整后比值比:3.56:95%置信区间:1.14,3.99)和未婚献血者(调整后比值比:3.14;95%置信区间:1.65,3.96)显著相关。

结论

当前研究表明,研究参与者中乙型肝炎病毒的流行率较高。然而,与在非洲其他国家进行的研究相比,HCV的流行率较低,相当比例的献血者感染了HCV。因此,建议提高人们(特别是未婚、男性和农村居民)对传播方式和感染预防的认识,这有助于减轻HBV和HCV的负担。

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