Genel cerrahi hastalarında hepatit B virüsü prevalansı ve risk faktörlerinin analizi
Küçük Resim Yok
Tarih
2004
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kan ve diğer vücut sıvıları ile parenteral yoldan bulaşan tüm hastalıklarda olduğu gibi hepatit-B hastalığı, genel cerrahlar için önemli bir risk oluşturmaktadır. Bu prospektif çalışmanın amacı genel cerrahi kliniklerindeki hastalarda hepatit-B virüsü prevalansını saptamaktır. Gereç ve Yöntem: Genel cerrahi kliniklerinde yatan hastalardan rasgele örnekleme yöntemiyle seçilen 1007 hastaya hepatit -B ile ilgili bir anket formu uygulanmıştır. Preoperatif dönemde alınan kan örnekleri laboratuara gönderilerek HBs Ag ve anti-HBs, serum bilirubin düzeyleri ve karaciğer enzimleri çalışılmış, sonuçları anket formuna kaydedilerek bilgisayar ortamında değerlendirilmiştir. İstatistiksel analizlerde ki-kare ve Student'in t-testi kullanılmıştır. Bulgular: Araştırma kapsamına giren hastalardan 45'inde HBs Ag'nin pozitif olduğu saptanmış olup prevalans %4.5 bulunmuştur. HBs Ag (+) olan hastalarda yaş ortalaması 48.2±17.3, HBs Ag (-) olan hastalarda ise 47.37±16.3 bulunmuştur. HBs Ag (+) hastaların %51'i erkek, %49'u kadındır. HBs Ag (-) hastaların %42'si erkek, %58'i kadındır. Yaş ve cinsiyet açısından HBs Ag pozitif ve negatif hastalar arasında anlamlı bir fark saptanmamıştır. HBs Ag (+) hastaların %97'sinin anamnezinde geçirilmiş diş müdahelesi saptanmıştır. Sonuç: Genel cerrahi hasta popülasyonundaki HBs Ag prevalansı Türk toplumundaki genel prevalans oranları ile benzerlik göstermekte olup oldukça yüksektir. Bu sonuçlara dayanarak genel cerrahi kliniklerinde ve ameliyathanelerde çalışan tüm sağlık çalışanlarının bulaş yolları ve korunma yöntemleri konusunda eğitilmesi ve aşılanması gerektiği kanaatine varılmıştır.
Objective: As is the case in all diseases transmitted with blood and other secretions of the human body, the hepatitis B disease, also poses important risks for general surgeons. The aim of this prospective clinical research is to detect hepatitis B prevalence in the patients at general surgical clinics. Materials and Methods: The research group composed of 1007 patients selected out of patients boarding at general surgery wards by means of randomization method. A questionnaire related to hepatitis B was applied to the patients in the research group. Blood samples were taken in the preoperative period and Hbs Ag and anti-HbS tests, serum bilirubin levels and liver function tests were studied in the laboratories. The results thus obtained were evaluated in the computer program. Chi-square and Student's t-test were used for the statistical analyses. Results: In 45 patients in the group, the Hbs Ag test was positive (HbsAg prevalence rate: 4.5%). The average age of those with Hbs Ag (+) is 48.2±17.3, and that of those with Hbs Ag (-) is 47.37±16.3. Of the Hbs Ag (+) patients, 51% were men, and 49% were women. Of the Hbs Ag (-) patients, 42% were men and 48% were women. There exists no statistically significant difference between Hbs Ag (+) and (-) patients regarding age and gender. 97% of the Hbs Ag (+) patients had a tooth operation in their history. Conclusion: The Hbs Ag prevalence rate with surgical patients is similar to the general Hsb Ag prevalence rates in the Turkish population. As a result, we suggest that staff members of surgery departments and operating theaters be instructed in Hbs Ag contamination ways and protective methods against it and that routine vaccination programmes be conscientiously implemented.
Objective: As is the case in all diseases transmitted with blood and other secretions of the human body, the hepatitis B disease, also poses important risks for general surgeons. The aim of this prospective clinical research is to detect hepatitis B prevalence in the patients at general surgical clinics. Materials and Methods: The research group composed of 1007 patients selected out of patients boarding at general surgery wards by means of randomization method. A questionnaire related to hepatitis B was applied to the patients in the research group. Blood samples were taken in the preoperative period and Hbs Ag and anti-HbS tests, serum bilirubin levels and liver function tests were studied in the laboratories. The results thus obtained were evaluated in the computer program. Chi-square and Student's t-test were used for the statistical analyses. Results: In 45 patients in the group, the Hbs Ag test was positive (HbsAg prevalence rate: 4.5%). The average age of those with Hbs Ag (+) is 48.2±17.3, and that of those with Hbs Ag (-) is 47.37±16.3. Of the Hbs Ag (+) patients, 51% were men, and 49% were women. Of the Hbs Ag (-) patients, 42% were men and 48% were women. There exists no statistically significant difference between Hbs Ag (+) and (-) patients regarding age and gender. 97% of the Hbs Ag (+) patients had a tooth operation in their history. Conclusion: The Hbs Ag prevalence rate with surgical patients is similar to the general Hsb Ag prevalence rates in the Turkish population. As a result, we suggest that staff members of surgery departments and operating theaters be instructed in Hbs Ag contamination ways and protective methods against it and that routine vaccination programmes be conscientiously implemented.
Açıklama
Anahtar Kelimeler
Enfeksiyon Hastalıkları, Temel Sağlık Hizmetleri
Kaynak
Medical Network Klinik Bilimler ve Doktor
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
1
