尼日利亚某教学医院献血者血清HBsAg流行趋势:一项5年回顾性研究

W. Ojieabu, Wasiu Adedeji Mukaila, Christabel Ojieabu, J. Arute, S. Bello, Simeon James-Edwards
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引用次数: 0

摘要

世界卫生组织(世界卫生组织)将尼日利亚列为乙型肝炎表面抗原(HBsAg)阳性国家,其流行率≥8%。本研究旨在增加信息,以加强已建立的数据库,提高对乙型肝炎病毒(HBV)感染的认识和预防。我们旨在评估五年来尼日利亚奥贡州萨加穆Olabisi Onabanjo大学教学医院(OOUTH)献血者中HBsAg的血清流行率和趋势。分析了2012年1月至2016年12月在该医院向血库献血的7102名年龄≥20岁的患者的性别、年龄、每年献血人数和HBsAg状况。数据分析采用社会科学统计软件包进行。P≤0.05被认为具有统计学意义。男性占大多数(6547[92.2%])。年龄在30-39岁的人群是主要人群(3052[43.0%]),合并HBsAg血清阳性率为486(6.8%)。女性的HBsAg总阳性率最高,2012年最高为10(19.6%),合并阳性率为73(13.2%)。年龄≥50岁的人群HBsAg阳性率最高39(8.5%),而年龄在20-29岁的人群从2012年到2016年,分层HBsAg阳性率稳步下降。该位置为乙型肝炎中间流行区。HBsAg相关的年龄、性别和年血清流行率趋势可用于寻找有效的预防措施。除了提供敏感的血液研究设备外,我们建议政府大规模接种HBV感染疫苗。
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Trend of HBsAg Seroprevalence Among Blood Donors in a Nigerian Teaching Hospital: A Five-Year Retrospective Study
World Health Organization (WHO) classified Nigeria as a hyper-endemic hepatitis B surface antigen (HBsAg) positive nation with prevalence ≥ 8%. This study intends to add information that could strengthen established database to improve awareness and prevention of hepatitis B virus (HBV) infection. We aimed to evaluate seroprevalence and trend of HBsAg among blood donors in Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Ogun State, Nigeria over a five-year period. Data from records of 7,102 individuals aged ≥ 20 years old who donated blood to blood bank in this hospital from January 2012 to December 2016 were analysed for gender, age, number of donors per year and HBsAg status. Data analysis was done with Statistical Package for Social Sciences software. P ≤ 0.05 was considered statistically significant. Males were in the majority (6,547 [92.2%]). Age 30–39 years old was the major group (3,052 [43.0%]). Pooled HBsAg seroprevalence was 486 (6.8%). Females had the highest HBsAg seroprevalence across board with highest rate of 10 (19.6%) in year 2012 and pooled prevalence of 73 (13.2%). Age group of ≥ 50 years old had highest HBsAg seroprevalence 39 (8.5%) while age group of 20–29 years old had least 128 (5.8%). Stratified HBsAg positivity decreased steadily from year 2012 to year 2016. This location was HBV intermediate-endemic. There were age, gender and yearly seroprevalence of HBsAg related trends which could be leveraged upon in finding effective preventive measures against the disease. We recommend mass vaccination by government against HBV infection in addition to provision of sensitive blood investigational equipment.
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