2019, Number 3
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Rev Hosp Jua Mex 2019; 86 (3)
Prevalence of hepatitis C virus infection in a high-risk population
Cano-Contreras AD, Duran-Rosas C, Fernández-Martínez NC, Sánchez-Martínez R, Barrientos-Olvera J, Juárez-Valdés EI, Mejía-Loza SMI, García-Ruíz E, Pérez-y López N, Zamarripa-Dorsey F
Language: Spanish
References: 15
Page: 125-129
PDF size: 136.83 Kb.
ABSTRACT
Introduction: Health workers are a high-risk group for Hepatitis C virus (HCV) infection. In Mexico, prevalence of this virus reaches 1.4% in general and 1.3% among health workers.
Objective: To determine the prevalence of seropositivity for hepatitis C virus antibodies among health workers from Hospital Juarez de Mexico.
Material and methods: Prospective, observational, longitudinal and descriptive study carried out on health workers at the Juarez Hospital in Mexico who did not know serological diagnosis and voluntarily agreed to answer a survey on risk factors as well as serological determination of anti-HCV by immunoenzymatic assay, if positive, antibodies were confirmed by recombinant HCV specific antigens with enzymatic immunoassay by strip immunoblot technique. The analysis of the results was carried out by means of descriptive statistics with the statistical program SPSS v22.
Results: Three hundred and forty-one health workers agreed to participate. We analyzed 317 workers, 131 (40.2%) women aged 37.9 ± 11.9 years, with 13.2 ± 11.1 years of work experience. Two hundred and eight (65.4%) reported contact with HCV patients and 122 (38.4%) had HCV screening. The main risk factor reported was history of surgery in 175 (55%). Four samples (1.2%) were reactive to anti-HCV with an average positive S/CO value of 2.4200, confirmed positive result, age 55.7 ± 17.4 years (33 to 74), 30.5 ± 15.8 years of work experience, 3 (47%) men, 2 (50%) physicians from the surgical area and 2 (50%) others. The risk factors reported were: contact with patients with HCV 2 (50%), acupuncture 2 (50%), tattoos 2 (50%), more than 4 sexual partners 2 (50%), accidental injuries with hemocontaminated objects 1 (25%), surgeries 1 (25%) and blood transfusions 1 (25%).
Conclusion: The results of our study show prevalence of anti-HCV similar to that reported in the open population of our country, despite being a high-risk population, this translates into the success of protective measures. We believe that timely detection should be promoted in high-risk populations, as our study showed that 61.3% had never been tested serologically.
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