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A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Hepatitis C virus infection among hemodialysis patients in Asia: a meta-analysis
1Centre of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China. kailiu2013@hotmail.com.
Insights
Hepatitis C virus (HCV) infection is prevalent in Asian hemodialysis patients, affecting 31% overall. Long-term dialysis and blood transfusions increase infection risk, necessitating enhanced preventive measures.
Area of Science:
- Nephrology
- Infectious Diseases
- Public Health
Background:
- Patients undergoing hemodialysis are at increased risk of infections.
- Previous studies suggest a correlation between longer hemodialysis duration and higher infection rates.
Purpose of the Study:
- To determine the prevalence of Hepatitis C Virus (HCV) infection in Asian hemodialysis patients.
- To identify risk factors associated with HCV infection in this population.
Main Methods:
- A systematic meta-analysis was conducted, reviewing Embase and PubMed databases.
- Cross-sectional, retrospective, and prospective cohort studies published up to September 2013 were included.
- Pooled analysis of prevalence rates and risk ratios (RR) with 95% confidence intervals (CI) was performed.
Main Results:
- The overall prevalence of HCV infection among Asian hemodialysis patients was 31% (95% CI: 0.24-0.38).
- Men had a higher prevalence (28%) than women (23%), with males being more vulnerable (RR = 1.24).
- Long-term hemodialysis (RR = 0.55) and blood transfusion (RR = 0.82) were associated with increased HCV infection risk.
Conclusions:
- HCV infection remains a significant concern in Asian hemodialysis patients, with a high overall prevalence.
- Longer duration of hemodialysis and history of blood transfusion are identified as key risk factors.
- Urgent need for enhanced preventive strategies and increased clinical attention to mitigate HCV transmission.
Objective:
Current studies reported that patients with hemodialysis duration for three years or more were prone to infection than those with less than three years. This meta-analysis was to assess the prevalence rate and explore the risk factors of hepatitis C virus (HCV) infection among hemodialysis patients in Asia population.
Materials And Methods:
Embase and PubMed databases were retrieved in 16 September, 2013 for cross-sectional studies, retrospective cohort studies or prospective cohort study about the prevalence of HCV infection of hemodialysis patients in Asian region. The prevalence rate and 95% confidence interval (CI) were used for pooled analysis.
Results:
The combined effect of overall HCV prevalence rate in hemodialysis patients of Asian countries was 0.31 (95% CI: 0.24-0.38). Subgroup analysis showed that the prevalence rate among men was 0.28 (95% CI: 0.20-0.35), while the prevalence rate among women was 0.23 (95% CI: 0.17-0.30). Male were more vulnerable to be infected than female population (RR = 1.24, 95% CI: 1.08-1.42). Blood transfusion elevated the risk of HCV infection (RR = 0.82, 95% CI: 0.70-0.95). Short-term hemodialysis population had lower risk of infection than those who receiving the long-term hemodialysis (RR = 0.55, 95% CI: 0.34-0.91).
Conclusions:
The overall HCV prevalence rate of hemodialysis patients in Asian region remained at a high level of 31%, which might be increased by long-term hemodialysis and blood transfusion than people without hemodialysis. More attention and effective preventive measures are necessary.
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