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Updated: Aug 12, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Frequency of Hepatitis C in hospitalized patients with chronic kidney disease
Salman Tahir Shafi1, Muhammad Zaigham Hassan2, Mohammed Saleem3
1Dr. Salman Tahir Shafi, Associate Professor of Nephrology, Department of Nephrology, Sharif Medical and Dental College, Sharif Medical City Road JatiUmra, Lahore, Pakistan.
Insights
A significant number of hospitalized patients with chronic kidney disease (CKD) in Pakistan have Hepatitis C. This highlights the need for strict infection control measures in nephrology wards to prevent further spread of the virus.
Area of Science:
- Nephrology
- Hepatology
- Infectious Diseases
Background:
- Chronic kidney disease (CKD) and Hepatitis C are significant global health concerns, particularly prevalent in Pakistan.
- Limited data exists on Hepatitis C prevalence among non-dialysis CKD patients.
Purpose of the Study:
- To determine the frequency of Hepatitis C infection in hospitalized CKD patients at a tertiary care center in Pakistan.
Main Methods:
- A cross-sectional study included 180 hospitalized CKD patients (ages 20-80) not on renal replacement therapy.
- Hepatitis C was screened using third-generation ELISA, with positive cases confirmed by Hepatitis C RNA PCR.
Main Results:
- The prevalence of Hepatitis C among CKD patients was 27.2% (49/180) by ELISA.
- Of those positive by ELISA, 74.4% (29/39) were confirmed by PCR.
- Common comorbidities included hypertension (84.4%) and diabetes mellitus (62.8%).
Conclusions:
- A substantial proportion of hospitalized CKD patients in Pakistan are infected with Hepatitis C.
- Implementing universal infection control measures in nephrology wards is crucial to prevent Hepatitis C transmission.
Background And Objectives:
Hepatitis C and chronic kidney disease (CKD) are major global health problems and are highly prevalent in Pakistan. There is limited information on prevalence of hepatitis C in patients with CKD not yet on dialysis. The objective of this study was to determine the frequency of hepatitis C in hospitalized chronic kidney disease patients at a tertiary care center in Pakistan.
Methods:
The study design was cross-sectional in nature. Patients between ages of 20-80 years with CKD not previously on renal replacement therapy and who were admitted to nephrology ward at a tertiary care facility were included. Hepatitis C was tested using 3rd generation enzyme linked immunosorbent assay (ELISA). Hepatitis C RNA was tested by polymerase chain reaction (PCR) in patients with positive ELISA.
Results:
A total of 180 patients were included in the study. Mean age of patients was 48.7±14.9 years. Of all patients, 105 (58.3%) were males and 75 (41.7%) were females, 152 (84.4%) had hypertension, 113 (62.8%) had diabetes mellitus and 26 (14.9%) had known cardiovascular disease. Mean eGFR of patients was 11.4±9.4 ml/min/1.73 m2. Of all patients with CKD, 49 (27.2%) had hepatitis C test positive by ELISA. Hepatitis C PCR testing was done in 39 patients with hepatitis C ELISA positive status and 29 (74.4%) tested positive. Risk factors and clinical characteristics of patients with and without positive hepatitis C antibody by ELISA were similar.
Conclusion:
A significant proportion of hospitalized CKD patients have hepatitis C. Strict universal infection control measures should be implemented in nephrology wards to prevent transmission of hepatitis C infection.
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Hepatitis

