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Seroprevalence of Hepatitis C and Associated Risk Factors in Hemodialysis Units in Baghdad | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 28, Issue 4, 2015, Pages 162-167 | ||
| Authors | ||
| Najlaa Fawzi Jamil; Mohammed Jasim Ahmad | ||
| Abstract | ||
| Background: Hepatitis C virus (HCV) remains a major hazard for both patients and medical staff of hemodialysis units. Objectives: To estimate the rate of HCV infection among hemodialysis centers attendants in Baghdad and identify the possible risk factors which may contribute in the risk of infection. Patients & Method: Across-sectional study conducted in Baghdad for the period from 1st February 2012 through July 2012, among all patients attending the five main hemodialysis centers in Baghdad during study period. Data collected by using special questionnaire-form regarding patient’s age, gender, duration of dialysis, number of sessions per week, frequency, history of blood transfusion, renal transplant, surgical intervention, and hepatitis B virus co-infection, in addition of reviewing patient’s medical records to confirm the laboratory results of HCV screening. Results: A total of 526 hemodialysis patients were enrolled with an overall rate of HCV infection of 27.6% , 24.1% of them were co-infected with hepatitis B virus. The highest rates of infection was reported in Al-Kadhmiya Hemodialysis Center 71.4%, in patients aged below 30 years, females 35.5%, those attending multicenter, longer duration of hemodialysis, 3.5% in those stayed less than 12 months up to 53.1% in those stayed for 36 months and more. From 145 seropositive hemodialysis patients, 21.4% of them became positive in the first 12 month of dialysis. Blood transfusion and history of renal transplantation had no role in seroconversion rate of HCV infection. Hemodialysis patients with history of diabetes were more prone to HCV infection. Conclusion: The rate of HCV is very high in hemodialysis patients compared to general population indicating a causal relation between hemodialysis and HCV virus transmission that needs an extreme carful observation of preventive infection control measures to limit the transmission in hemodialysis units. | ||
| Keywords | ||
| Hepatitis C; Seroprevalence; risk factors; Hemodialysis Units; Baghdad | ||
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