Hepatitis C Virus Exposure Rate among Health-care Workers in Rural Lower Egypt Governorates

Autor: Ashraf Elbahrawy, Hafez Abdelhafeez, Ahmed Elwassief, Ahmed Alashker, Ahmed Eliwa, Khaled Makboul, Mohamed Abdellah Othman, Hossam Shahbah, Abdallah Mahmoud Abdallah, Sadek Mostafa, Mohamed Morsy, Arafat Kasem, Mohamed S. Ali, Mohamed Ali Abdelbaseer
Rok vydání: 2017
Předmět:
Zdroj: Journal of translational internal medicine. 5(3)
ISSN: 2450-131X
Popis: Background and Objectives Studies on hepatitis C virus (HCV) in Egypt supported a strong role for various exposures in the health-care setting. In this study, we attempted to estimate the frequency of HCV exposure among Egyptian health-care workers (HCWs). Methods Five hundred and sixty-four (564) HCWs were included in this study. Two hundred and fifty-eight (45.74%) were health-care providers and 306 (54.25%) were non-health-care providers. All HCWs completed both the study questionnaire and provided a blood sample for anti-HCV testing by third-generation enzyme-linked immunosorbent assay. Subsequently, anti-HCV-positive samples were tested for HCV RNA using nested polymerase chain reaction (PCR). Results The mean age of included HCWs was 33.0 ± 9.8 years; of them, 319 (56.56%) were males and 245 (43.44%) were females. The mean duration of health-care work was 9.3 ± 6.7 years. The frequency of antibody against hepatitis C virus (anti-HCV) among included HCWs was 8.7% (n = 49). Old age and prolonged duration of health-care work were significantly associated with anti-HCV seropositivity. Forty (81.63%) of 49 with anti-HCV-positive HCWs had positive hepatitis C viremia. The frequency of HCV RNA positivity increased with age. The frequency of eradicated past infection among nurses (36.85%) was markedly higher than that (6.7%) detected in non-health-care providers. Conclusion High rate of HCV infection is detected in Egyptian HCWs in rural Lower Egypt governorates. Health-care providers seem to eradicate HCV infection more frequently than non-health-care providers. National screening and treatment of infected HCWs are recommended.
Databáze: OpenAIRE