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Hepatitis C virus infection among patients on hemodialysis in jeddah: a single center experience
Abdulla Mohammed Y Al-Jiffri1, Rehab B Fadag, Tawfik M Ghabrah
1Department of Medicine, King Fahd Military Hospital, Jeddah, Saudi Arabia.
Insights
Hepatitis C virus (HCV) infection is highly prevalent in hemodialysis (HD) patients in Jeddah, Saudi Arabia. Longer HD duration and using multiple centers significantly increase HCV risk in this vulnerable population.
Area of Science:
- Hepatology
- Infectious Diseases
- Nephrology
Background:
- Hepatitis C virus (HCV) poses a significant health risk, particularly to vulnerable populations like those undergoing hemodialysis (HD).
- Understanding the prevalence and risk factors of HCV in the HD population is crucial for implementing effective prevention strategies.
Purpose of the Study:
- To determine the prevalence of Hepatitis C virus (HCV) infection among hemodialysis (HD) patients in Jeddah, Saudi Arabia.
- To identify key risk factors associated with HCV acquisition in this patient cohort.
Main Methods:
- A cross-sectional study was conducted involving 248 patients undergoing HD at the Jeddah Kidney Center.
- Data collection focused on HCV status, duration of HD treatment, utilization of multiple dialysis centers, and history of blood transfusions.
Main Results:
- The overall prevalence of HCV infection was found to be 72.6% among the studied HD patients.
- Significant risk factors included longer duration of HD treatment (increasing from 16.4% at one year to 94.5% at three or more years) and utilizing more than one dialysis center (78% vs. 64.3%).
- HCV positive patients were more likely to have received blood transfusions (75.8%) compared to those who had not (61.1%).
Conclusions:
- The prevalence of HCV in the Jeddah HD population is alarmingly high.
- Prolonged hemodialysis and inter-center patient mobility are significant risk factors for HCV transmission.
- Targeted screening and enhanced infection control measures are essential for this high-risk group.
Abstract:
The aim of this study was to evaluate the prevalence of hepatitis C virus (HCV) in the hemodialysis (HD) population in Jeddah and its risk factors. We studied 248 patients on HD in the Jeddah Kidney Center, Jeddah, Saudi Arabia. The overall prevalence of HCV among these patients was 72.6%. Hepatitis C positive males (77.2%) were more than hepatitis C positive females (65.7%) (p< 0.05). A significantly increasing annual prevalence of HCV infection among HD patients was found. It ranged from 16.4% among patients who were on HD for one year to 94.5% among those on HD for three or more years (p< 0.05). Also, 78% of those who utilized more than one center acquired HCV infection compared to 64.3% of those who were treated exclusively at the Jeddah Kidney Center, (p< 0.05). In this study, 75.8% of HCV positive patients had received blood transfusions while 61.1% of HCV positive patients had never received blood transfusion, (p< 0.05).
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