在格鲁吉亚的透析设施中,B型肝炎和C型肝炎检测实践和观察到的血清转化
Maia Butsashvili1, Giorgi Kanchelashvili1, Ana Aslanikashvili2
1Health Research Union, Tbilisi, Georgia.
Journal of infection prevention
|September 25, 2024
概括
透析患者因共享医疗治疗而面临B型肝炎和C型肝炎感染的高风险. 这项研究发现了感染控制方面的重大缺陷,导致格鲁吉亚出现了大量的乙型肝炎病毒 (HBV) 和乙型肝炎病毒 (HCV) 血清转化.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 由于末期病而接受血液透析的患者容易感染型肝炎病毒 (HCV) 和乙型肝炎病毒 (HBV).
- 血液透析治疗的侵入性和共享性增加了感染传播的风险.
研究的目的:
- 评估格鲁吉亚的透析设施中的感染预防和控制 (IPC) 实践.
- 为了评估型肝炎病毒 (HCV) 和乙型肝炎病毒 (HBV) 检测协议.
- 在格鲁吉亚的透析患者中估计HCV和HBV血清转化率.
主要方法:
- 在格鲁吉亚所有27个维护透析中心进行了基于设施的调查.
- 收集了IPC实践和HCV/HBV查和检测协议的数据.
- 收集和分析了针对HCV和HBV的患者血清转化数据.
主要成果:
- 大多数设施在入院时进行HCV (68.2%) 和HBV (95.5%) 查.
- 有相当数量的患者检测出HCV和HBV阳性,许多结果缺失或未经检测.
- 在接受调查的设施内,大量的HCV (39) 和HBV (31) 感染发生了血清转化.
结论:
- 高水平的HBV和HCV血清转化表明乔治亚州透析中心感染控制的严重缺陷.
- 严格遵守IPC实践至关重要,以防止通过受污染的设备和表面传播HBV和HCV.
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