Prevalence of blood-borne viral infections among autopsy cases in Jordan

Autor: Imad M. Al-Abdallat, Azmi Mahafzah, Rayyan Al Ali, Faris G. Bakri, Nidaa A. Ababneh, Ahmed K.F. Idhair
Rok vydání: 2016
Předmět:
Zdroj: Qatar Medical Journal
ISSN: 2227-0426
0253-8253
DOI: 10.5339/qmj.2016.14
Popis: Background:Morgues are high risk areas for the spread of infection from cadavers to staff during the post-mortem examination. Infection can spread from corpses to workers by airborne transmission, by direct contact, or through needle and sharp object injuries.Objective:Knowledge about the prevalence of these infections on autopsy is essential to determine the risk of transmission and to further enforce safety measures.Methods:This is a descriptive study. All autopsies performed in the Department of Forensic Medicine at Jordan University Hospital during the study period were tested for the serology of human immunodeficiency, hepatitis B and C viruses. Positive tests were confirmed by nucleic acid testing.Results:A total of 242 autopsies were tested. Age ranged from 3 days to 94 years (median 75.5 years, mean 45.3 years (21.9 ± SD)). There were 172 (71%) males. The cause of death was considered natural in 137 (56.6%) cases, accidental in 89 (36.8%), homicide in nine (3.7%), suicide in four (1.7%), and unknown in three (1.2%) cases. Hepatitis B surface antigen was positive in five (2.1%) cases. Hepatitis C virus antibody was positive in five (2.1%) cases and the hepatitis C virus polymerase chain reaction was positive in two (0.8%) cases. HIV antibody was not detected in any of the cases. The infection status of cases was not associated with age, sex, nationality, or cause of death.Conclusion:The study findings indicated that there is a low prevalence of virus-infected autopsies in Jordan. However, the risk of transmission remains a potential threat and therefore the necessary precautions should always be taken during autopsy.
Databáze: OpenAIRE
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