血液透析病房乙型和丙型肝炎患者的危险因素

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摘要

背景:HCV和HBV传播的危险因素是1992年以前的输血和手术、静脉注射药物、受污染的肠外药物和其他侵入性非医疗程序(纹身、穿孔)。根据这些风险因素,高危群体是:多角化患者(即血友病患者)、卫生人员、静脉注射吸毒者、囚犯、有高危性行为的个人(性生活过早、性伴侣数量多和卖淫)。其他危险人群是体外循环系统患者,如终末期肾病患者进行血液透析计划。研究目的:探讨血液透析病房乙型和丙型肝炎患者的危险因素。方法:采用描述性研究设计,于2023年2月20日至2023年5月23日在伊拉克南部地区Al-Najaf市的Al-Sadder医疗城和Al-Hakim总医院进行研究,以评估血液透析病房乙型和丙型肝炎患者的危险因素。数据收集的方法学策略采用评估问卷调查。结果:研究表明,导致感染的危险因素最多的是血液透析、接触感染者和注射药物,而传播感染的危险因素最低的是出生时感染肝炎的儿童和无保护的性接触。结论:血液透析过程是感染的首要危险因素,其次是与感染者的接触和受污染的药物注射。建议:在接受血液透析治疗的患者中仔细监测并严格遵守感染控制程序,包括承诺对血液透析装置进行消毒,并在开始血液透析程序时采取所有预防措施。
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Risk Factors for Patients with Hepatitis B and C in Hemodialysis Unit
Background: Risk factors for HCV, HBV transmission are blood transfusions and surgeries before 1992, intravenous drug use, contaminated parenteral drugs and other invasive non-medical procedures (tattooing, piercing). Based on these risk factors, high-risk groups are: multiramified patients (i.e., hemophiliacs), health personnel, intravenous drug users, inmates, individuals with high-risk sexual behaviors (early sex life, high number of sexual partners and prostitution). Other populations at risk are patients on extracorporeal circulation system, such as end-stage kidney disease patients on hemodialysis program. Study aim: To determine risk factors for patients with hepatitis B and C in hemodialysis unit. Methodology: A descriptive study design was conducted at Al-Najaf city in the southern region of Iraq in Al-Sadder Medical City and Al-Hakim General Hospital from February 20th, 2023, to May 23th, 2023, in order to assess risk factors for patients with hepatitis B and C in hemodialysis unit. The methodological strategies for data collection used an assessment questionnaire survey. Results: As the study shows, that the risk factors that cause the most infection are hemodialysis sessions, contact with infected persons, and injected medication, while the lowest risk factors to spread infection are children born with infected hepatitis and unprotected sexual contacted. Conclusion: The study concludes that the first leading risk factor for infection is the hemodialysis session, while the contact with infected persons and contaminated injections of medication comes in the second place. Recommendations: Careful monitoring and strict adherence to infection control procedures among patients undergoing hemodialysis treatment, including commitment to sterilization of hemodialysis devices and the use of all preventive measures when starting the hemodialysis procedure.
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