Prevalence of hepatitis C virus infection in hemodialysis patients

O Taziki1, F Espahbodi

  • 1Department of Nephrology, Imam Khomeini Hospital, Mazandaran University, Sari, Iran. btaziki@yahoo.com

Insights

Hepatitis C virus (HCV) infection prevalence in hemodialysis patients has declined. This study in Iran observed an 18% to 12% decrease, attributed to better infection control and fewer new cases.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Epidemiology

Background:

  • Hepatitis C virus (HCV) infection poses a significant risk to hemodialysis (HD) patients.
  • A notable decrease in HCV prevalence has been observed in HD units over the last decade.

Purpose of the Study:

  • To investigate the reasons behind the declining prevalence of HCV infection among hemodialysis patients.
  • To analyze trends in HCV antibodies over a six-year period in Mazandaran Province, Iran.

Main Methods:

  • Retrospective analysis of HCV antibody measurements.
  • Study included 1006 hemodialysis patients in Mazandaran Province, Iran.
  • Data collected from January 2001 to December 2006.

Main Results:

  • HCV antibody prevalence decreased from 18% in December 2001 to 12% in December 2006.
  • Identified factors contributing to the decline include a low incidence of new anti-HCV positive patients.
  • A reduced seroconversion rate and enhanced infection control measures in dialysis units were also implicated.

Conclusions:

  • The reduction in HCV prevalence among hemodialysis patients is multifactorial.
  • Strict infection control protocols and a decrease in new infections are key to managing HCV in dialysis settings.
  • Continued vigilance and adherence to infection control are crucial for preventing HCV transmission in hemodialysis units.

Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...