Prevalence of hepatitis C virus infection in thalassemia and haemodialysis patients in north Iran-Rasht

Autor: Malek Moien Ansar, A. Kooloobandi
Rok vydání: 2002
Předmět:
Zdroj: Journal of Viral Hepatitis. 9:390-392
ISSN: 1365-2893
1352-0504
DOI: 10.1046/j.1365-2893.2002.00368.x
Popis: Hepatitis C virus (HCV) seroprevalence and risk factors in north Iran were investigated in 105 thalassemia sufferers 93 haemodialysis patients and 5976 blood donors by second generation ELISA. Our study showed that haemodialysis patients and thalassemia sufferers were at higher risk of having HCV infection; the prevalence being 55.9% and 63.8% respectively in comparison to the prevalence of blood donors (0.5%). A confirmatory immunoblotting was employed using HCV-positive cases (54 thalassemia sufferers and 19 blood donors). The result showed that 92.6% of samples of the first group and 10.5% of the latter were positive. Thus it can be suggested that ELISA in low-risk cases may produce considerable false positives. In HCV positive patients with thalassemia the incidence of HCV among different age groups and genders was similar but a strong correlation in respect to the number of blood transfusion (P = 0.008) was observed. In HCV-positive haemodialysis patients it was found that there was no correlation with liver function tests (alanine aminotransferase and aspartate aminotransferase: ALT and AST) but a significant correlation was observed in respect to the duration of dialysis (P = 0.000) and the number of units transfused (P = 0.000). Consequently it still seems blood transfusion is the main factor for increasing the incidence of HCV in thalassemia sufferers and haemodialysis patients. (authors)
Databáze: OpenAIRE