在科吉州阿尼格巴市部分医院就诊的患者中,乙肝病毒、丙肝病毒和艾滋病病毒的血清阳性率和合并感染率。

Q2 Health Professions Journal of immunoassay & immunochemistry Pub Date : 2024-05-03 Epub Date: 2024-05-05 DOI:10.1080/15321819.2024.2349009
Victor Ojoajogwu Ali, Martin-Luther Oseni Okolo, Cornelius Arome Omatola, Sandra Chiamaka Okoye, Constance Chinyere Ezemba, John Umoru Sani
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引用次数: 0

摘要

乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)仍然是全球面临的公共卫生挑战。这项研究确定了在科吉州玛丽亚-戈雷蒂医院、格里马德天主教医院和阿尼格巴好消息医院就诊的患者中 HBV、HCV 和 HIV 的流行率和合并感染情况。在一项横断面研究中,研究人员使用商业免疫诊断检测试剂盒对 400 名征得同意的患者采集的血清样本进行了 HBV、HCV 和 HIV 检测。在 400 名受试者中,分别有 12 人(3.0%)、4 人(1.0%)和 16 人(4.0%)感染了 HBV、HCV 和 HIV。一名受试者同时感染了丙肝病毒和艾滋病病毒,但没有人同时感染了乙肝病毒和艾滋病病毒。11-20 岁的参与者乙肝表面抗原血症较高,而 21-30 岁和 31-40 岁的参与者丙肝病毒和艾滋病病毒感染率分别较高。与乙型肝炎病毒和丙型肝炎病毒阳性反应相反,艾滋病病毒血清阳性反应在很大程度上受暴露年龄的影响(p = 0.002)。男性和女性感染 HBV 的比例相当(各为 3.0%),而感染 HCV(1.5%)和 HIV(4.6%)的男性多于女性。然而,病毒感染发生率与患者性别之间的差异并不显著(P > 0.05)。单身受试者更容易感染乙肝病毒,而已婚受试者则更容易感染丙肝病毒和艾滋病病毒。不过,无论是 HBV 还是 HCV 或 HIV 的发生率,都不能从个人的婚姻状况中得到明显的预测(P > 0.05)。与其他教育程度的受试者相比,未受过正规教育的受试者感染 HCV 和 HIV 的阳性率更高,而受过高等教育的受试者感染 HBsAg 的几率更高。从职业来看,学生更容易感染 HBV 和 HCV,而失业者更容易感染 HIV。然而,参与者的学历和职业与任何一种病毒感染都没有明显的关系(P > 0.05)。缺乏疾病预防知识对 HBV(p = 0.02)、HCV(p = 0.04)和 HIV(p = 0.04)的发生有明显影响。总之,与该地区以往的流行病学研究结果相比,HBV、HCV 和 HIV 的感染率较低。然而,这三种病毒感染的持续传播以及信息不畅的参与者的高发病率表明,有必要在该地区加强有关感染控制和预防策略的公共卫生教育。
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Seroprevalence and co-infection of HBV, HCV, and HIV among patients visiting selected hospitals in Anyigba, Kogi State.

Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV) remain a public health challenge globally. This study determined the prevalence and coinfection of HBV, HCV, and HIV among patients visiting Maria Goretti Hospital, Grimard Catholic Hospital, and Good News Hospital Anyigba, Kogi State. In a cross-sectional study, sera samples collected from 400 consenting patients were screened for HBV, HCV, and HIV using commercial immunodiagnostic test kits. Of the 400 subjects, 12 (3.0%), 4 (1.0%), and 16 (4.0%) were infected with HBV, HCV, and HIV, respectively. One participant was co-infected with HCV and HIV, while none was simultaneously infected with HBV and HIV. Participants aged 11-20 years had higher hepatitis B-surface antigenemia, while ages 21-30 years and 31-40 years had higher prevalence of HCV and HIV, respectively. Contrary to HBV and HCV positivity, HIV seropositivity was significantly predicted by the ages of exposure (p = 0.002). Males and females were equally infected with HBV (3.0% each), while more males than females were infected with HCV (1.5%) and HIV (4.6%). However, the difference between the occurrence of viral infections and patients' sex was not significant (p > 0.05). The single participants were more predisposed to HBV while the married subjects had more HCV and HIV mono-infection. However, neither the occurrence of HBV nor HCV or HIV was significantly predicted by the marital status of the individuals (p > 0.05). Subjects with no formal education had a higher positivity rate of HCV and HIV compared to other levels of education, while the tertiary level of education had higher exposure to HBsAg. Occupationally, students were more predisposed to HBV and HCV, while the unemployed participants were more predisposed to HIV. However, neither education nor the occupation of participants was significantly related to any of the viral infections (p > 0.05). Lack of knowledge of disease prevention significantly influenced the occurrence of HBV (p = 0.02), HCV (p = 0.04), and HIV (p = 0.04). Conclusively, the status of HBV, HCV, and HIV infection is low compared with findings of previous epidemiological studies in the area. However, the continuous circulation of the three viral infections and the high disease occurrence in the poorly informed participants suggest the need for increased public health education about infection control and prevention strategies in the area.

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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
38
审稿时长
>12 weeks
期刊介绍: The Journal of Immunoassay & Immunochemistry is an international forum for rapid dissemination of research results and methodologies dealing with all aspects of immunoassay and immunochemistry, as well as selected aspects of immunology. They include receptor assay, enzyme-linked immunosorbent assay (ELISA) in all of its embodiments, ligand-based assays, biological markers of ligand-receptor interaction, in vivo and in vitro diagnostic reagents and techniques, diagnosis of AIDS, point-of-care testing, clinical immunology, antibody isolation and purification, and others.
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