埃塞俄比亚西北部贡达尔大学专门转诊医院的肝炎和艾滋病毒合并感染。

IF 2.6 Q2 GASTROENTEROLOGY & HEPATOLOGY Hepatic Medicine : Evidence and Research Pub Date : 2021-11-11 DOI:10.2147/HMER.S337817
Meseret Ayelign, Melak Aynalem, Nega Berhane
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引用次数: 0

摘要

背景:病毒感染是最常见的疾病。其中,人类免疫缺陷病毒(HIV)、乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)是常见的。当HBV或HCV与HIV合并感染时,它们会导致严重的疾病和快速死亡。目的:本研究旨在确定HIV阳性研究参与者中HBV和HCV的血清流行率及其相关因素。方法:对81名个体进行横断面研究,采用非随机目的抽样技术。分别使用预测试问卷和数据收集表从每个研究参与者那里收集社会人口统计和临床数据。此外,采集静脉血样进行病毒载量计数以及HBV和HCV测定。为了保持测试结果的质量,使用了商业制备的质量控制样品。将数据输入EPI Info第7版,并使用SPSS第20版进行分析。描述性数据以百分比、中位数和IQR进行汇总。对Logistic回归进行分析以确定相关因素。要说这些数据具有统计学意义,p值应该小于0.05。结果:共有81名研究参与者被纳入。其中,女性和城市居民分别占56.8%(46/81)和67.9%(55/81)。肝炎合并感染的患病率为21%(95%CI:17%,23%)。此外,HBV/HIV和HCV/HIV的患病率分别为13.5%(95%CI:10.5%,16.5%)和8.6%(95%CI:5.6%,11.6%)。高效抗逆转录病毒治疗(HAART)0.01(0.00,0.213)是预防肝炎感染的一个因素。结论和建议:HIV阳性患者中HBV和HCV合并感染是一个重要的公共卫生问题。此外,明智地使用HAART可以减少肝炎合并感染的风险。因此,明确的肝炎筛查策略和明智地使用抗逆转录病毒疗法治疗艾滋病毒至关重要。
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Hepatitis and HIV Co-infection at University of Gondar Specialized Referral Hospital: Northwest Ethiopia.

Background: Viral infections are the most common diseases. Of them, human immunodeficiency virus (HIV), hepatitis B viruses (HBV), and hepatitis C viruses (HCV) are common. When HBV or HCV becomes co-morbid with HIV, they lead to severe forms of a disease and rapid death.

Objective: This study aimed to determine the seroprevalence and associated factors of HBV and HCV among HIV-positive study participants.

Methods: A cross-sectional study was conducted among 81 individuals, and a non-randomized purposive sampling technique was used. From each study participant, sociodemographic and clinical data were gathered by using a pretested questionnaire and data collection sheet, respectively. Further, a venous blood sample was collected for viral load count, and HBV and HCV determination. To keep the quality of test results, commercially prepared quality control samples were used. The data were entered to EPI-Info version 7 and analyzed by using SPSS version 20. The descriptive data were summarized in percentages, median, and IQR. Logistic regression was analyzed to determine associated factors. To say the data were statistically significant, the p-values should be less than 0.05.

Results: A total of 81 study participants were included. Of them, 56.8% (46/81) and 67.9% (55/81) were female and urban residents, respectively. The prevalence of hepatitis co-infection was 21% (95% CI: 17%, 23%). Further, the prevalence of HBV/HIV and HCV/HIV was 13.5% (95% CI: 10.5%, 16.5%) and 8.6% (95% CI: 5.6%, 11.6%), respectively. Wise use of highly active antiretroviral therapy (HAART) 0.01 (0.00, 0.213) was a preventive factor to hepatitis infection.

Conclusion and recommendation: The HBV and HCV co-infection among HIV-positive patients was a significant public health concern. Also, having wise use of HAART can reduce exposure to hepatitis co-infection. Therefore, clear strategies on hepatitis screening and wise use of HAART to HIV would be critical.

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来源期刊
Hepatic Medicine : Evidence and Research
Hepatic Medicine : Evidence and Research GASTROENTEROLOGY & HEPATOLOGY-
自引率
0.00%
发文量
15
审稿时长
16 weeks
期刊介绍: Hepatic Medicine: Evidence and Research is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric hepatology in the clinic and laboratory including the following topics: Pathology, pathophysiology of hepatic disease Investigation and treatment of hepatic disease Pharmacology of drugs used for the treatment of hepatic disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered. As of 1st April 2019, Hepatic Medicine: Evidence and Research will no longer consider meta-analyses for publication.
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