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[某些人群丙型病毒性肝炎发病率的血清流行病学考量]

[Seroepidemiological considerations of the incidence of viral hepatitis C in some population groups].

作者信息

Ivan A, Azoicăi D, Grigorescu R, Pisică G, Groll M, Trifan M, Bârhală M, Mitroi I, Chiriac L, Scripcaru D

机构信息

Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 1995 Jul-Dec;99(3-4):129-38.

PMID:9455358
Abstract

In the interval 1985-1994, in the Iaşi district, the reported cases of viral hepatitis (VH) have recorded annual morbidity rates ranging between 67/100,000 inhabitants in 1993 and 373/100,000 in 1990. VH attributed to HAV and HBV has represented, with yearly differences, 62% to 94% of all cases. Posttransfusion viral hepatitis (PTVH) has determined a morbidity of 0.51/100,000 inhabitants in 1986 and 8.34/100,000 in 1994. PTVH without AgHBs ranged from 16.3% in 1993 to 94.0% in 1987, as compared to 6.0% in 1987 and 1988 and 75.0% in 1985 for PTVH with AgHBs. In the interval under study 70.9% of the PTVH cases were most likely determined by HCV and 28.9% by HBV (AgHBs+). From all PTVH cases, 64.0% were from urban areas, 59.3% were females, 92.5% belonged to over 20 years age groups, and 31.3% were industrial workers, the remainder belonging to other 5 occupational groups. In 241 patients (18.2%) admitted for liver disorders, posttransfusion hepatitis included, AcHCV was present in 39.4%, of which 45.2% belonged to the age groups 20-60 years. The results of some investigations carried out on 4471 blood donors (72.4% males, 85.4% aged between 21 ad 50 years, 86.4% from urban areas, 62.1% workers in industry and building) are presented. Out of these, 217 (4.9%) presented to hepatitis C virus (AcHCV). Occupational distribution of AcHCV possessors shows that 44.2% are workers in the heavy industry, 14.8% in the light industry and 12.9% unemployed. Sera were tested by Monolisa New Antigens, and those with AcHCV were reassessed with Monolisa, Murex anti HCV, ORTO-HCV 3.0 and confirmed by Immunoblot DECISCAN, with 5 antigens.

摘要

在1985年至1994年期间,在雅西地区,报告的病毒性肝炎(VH)病例的年发病率在1993年为67/10万居民至1990年的373/10万居民之间。归因于甲型肝炎病毒(HAV)和乙型肝炎病毒(HBV)的VH每年有所不同,占所有病例的62%至94%。输血后病毒性肝炎(PTVH)在1986年的发病率为0.51/10万居民,1994年为8.34/10万居民。无乙肝表面抗原(AgHBs)的PTVH在1993年为16.3%,1987年为94.0%,而有AgHBs的PTVH在1987年和1988年为6.0%,1985年为75.0%。在所研究的时间段内,70.9%的PTVH病例很可能由丙型肝炎病毒(HCV)引起,28.9%由HBV(AgHBs阳性)引起。在所有PTVH病例中,64.0%来自城市地区,59.3%为女性,92.5%属于20岁以上年龄组,31.3%为产业工人,其余属于其他5个职业组。在241例因肝脏疾病入院的患者(包括输血后肝炎)中,丙型肝炎抗体(AcHCV)阳性率为39.4%,其中45.2%属于20至60岁年龄组。呈现了对4471名献血者进行的一些调查结果(72.4%为男性,85.4%年龄在21至50岁之间,86.4%来自城市地区,62.1%为工业和建筑行业工人)。其中,217人(4.9%)检测出丙型肝炎病毒(AcHCV)。AcHCV携带者的职业分布显示,44.2%是重工业工人,14.8%是轻工业工人,12.9%是失业人员。血清通过Monolisa新型抗原进行检测,AcHCV阳性者再用Monolisa、Murex抗HCV、ORTO - HCV 3.0进行重新评估,并通过含有5种抗原的免疫印迹DECISCAN进行确认。

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