印度中央邦献血者丙型肝炎病毒感染的血清阳性率:一项回顾性研究

P. Gupta, D. Sharma, U. Yadav, J. Bindal, K. Pandey
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引用次数: 0

摘要

背景:病毒性肝炎是一个全球性的健康问题,全世界有1.7亿丙型肝炎病毒(HCV)携带者,印度有1200万至1300万HCV携带者。除了重复使用注射针头、未消毒的手术设备和母婴垂直传播外,未经筛选的血液和成分在丙型肝炎病毒传播中也起着重要作用。不安全输血不仅给患者带来风险,造成严重的发病率和死亡率,而且还增加了卫生保健系统的经济负担。目的和目的:本研究的目的是在2011年至2017年印度博帕尔中央邦国家艾滋病控制协会(MPSACS)的合作下,估计中央邦血库中自愿和相关献血者7年期间丙型肝炎病毒感染的血清患病率。材料和方法:本研究是对印度中央邦血库献血情况的回顾性研究。从2011年1月到2017年12月,对血液单位进行了tti筛查。ELISA法检测HIV、HCV、HBV。收集HCV数据,采用频率分布和百分比比例进行统计学比较。采用χ 2检验判定差异有统计学意义。结果:献血者平均年龄为32.4±8.63岁。捐献主要来自男性(93.8%)。大部分捐赠是自愿的(87.3%)。在过去7年中,总共有1,876,219名献血者接受了TTIs检测,其中1980人(0.11%)的HCV抗体呈阳性(p= 0.000001)。结论:中央邦献血者HCV感染率为0.11%,地区间存在地理差异。为了向患者提供安全的血液,需要通过适当的献血者咨询和单位筛查来预防丙型肝炎病毒的传播。
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Seroprevalence of Hepatitis C Virus Infection among Blood Donors at Madhya Pradesh, India: A Retrospective Study
Background: Viral hepatitis is a global health problem with 170 million Hepatitis C Virus (HCV) carriers worldwide, and 12-13 million HCV carriers in India. Unscreened blood and components play a significant role in transmission of HCV apart from reuse of injection needles, unsterilized surgical equipments and vertical transmission from mother to child.  Unsafe blood transfusion not only poses risk to patients, causing significant morbidity and mortality, but also adds to the economical burden on healthcare system. Aims and Objectives: Aim of this study is to estimate the seroprevalence of HCV infection among the voluntary and relative donors over a period of 7 years at blood banks of Madhya Pradesh with collaboration of Madhya Pradesh State AIDS control Society (MPSACS) Bhopal, India from 2011 to 2017. Materials and Methods: This is a retrospective study of blood donation at blood banks, of Madhya Pradesh, India.  Blood units were screened for TTIs from January 2011 To December 2017. HIV, HCV and HBV tests were done by ELISA. Data of HCV was collected and compared statistically by frequency distribution and percentage proportion. Chi Square (χ 2) test was used to determine the significant difference statistically. Results: The mean age of donors was 32.4 2 ± 8.63 years. Major contribution was from male donors (93.8%). Majority of donation was done voluntarily (87.3 %).  Out of the total 1,876,219 donors tested for TTIs over 7 years, 1980 (0.11%) were positive to anti HCV (p=.000001). Conclusion: The prevalence of HCV infection was 0.11% among blood donors of Madhya Pradesh, with geographic variation among districts. Aiming to provide safe blood to the patients, prevention of transmission of HCV by proper donor counseling and screening of the unit is required.
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