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Abstract
PREVALENCE OF HEPATITIS B AND C VIRUSES AMONG HAEMODIALYSIS PATIENTS IN NINAWA AT NORTH OF IRAQ DURING 2020
Maree Hasan Fatthi*, Rabee Abdalghafoor Mohamad and Mohammed Assi Jasim
ABSTRACT
Background: viral hepatitis B & C are regarded a great health problem all over the world as these infections may lead to chronic illness causing liver cirrhosis, hepatocellular carcinoma & liver failure. The infections with hepatitis B virus and hepatitis C virus are considered as the most common blood-borne infections in subjects on regular haemodialysis, therefore this study done to see the prevalence of hepatitis B and C viruses among haemodialysis patients in Ninawa at north of Iraq for the year 2020. Methods: This is a cross sectional study which was carried out on haemodialysis patients in the dialysis unit at Ibn-seena teaching hospital and Mosul general hospital as they represent the sole dialysis centers in Ninawa. The notes of patients on maintenance haemodialysis were studied by the researchers to collect data regarding the serology status (hepatitis B surface antigen, Anti- hepatitis C virus using ELISA technique), vaccination coverage with three doses of hepatitis B vaccine and data regarding age, gender &residence of these patients. Results: A total of 295 patients were included in this study.it is found that the prevalence of hepatitis B was 3.4% (10cases) and the prevalence of hepatitis C was 2.7% (8cases) We found that 6 of hepatitis B patients were male (3.9%) and 4 were female (2.8%) and 7 of hepatitis C patients were male (4.5%) and only one case was female (0.3%). All of hepatitis B&C patients were in the age above 15 years. The coverage with hepatitis B vaccine of all haemodialysis patients recruited in the study was only 47%. Conclusion &Recommendation: The prevalence of hepatitis B & C among haemodialysis patients in Ninawa is intermediate, in addition to low coverage of these patients with hepatitis B vaccination. So it is strongly recommended to increase coverage of all haemodialysis patients with Hepatitis B vaccine which is of vital importance in prevention of hepatitis B infection in this high risk group, In addition to strict adherence to infection control guidelines.
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