Araştırma Makalesi

Outbreak of hepatitis C virus infection in hemodialysis unit

Cilt: 18 Sayı: 3 25 Aralık 2019
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Outbreak of hepatitis C virus infection in hemodialysis unit

Öz

Background and Aim: Hepatitis C virus transmission continues to be a significant public health concern in patients undergoing hemodialysis and occasionally causes outbreaks despite risk reduction after the anti-HCV screening. This study aimed to investigate an outbreak of hepatitis C virus in the hemodialysis unit to identify the infection source and underline lapses in the infection control practices. Material and Methods: Patients and staff were assessed for hepatitis C virus infection after the outbreak. All anti‐HCV-positive patients were tested for genotype or subtypes by performing a phylogenetic analysis of NS3 sequences. The current infection control applications and possible risk factors in the unit were examined to determine the source of infection. Results: Overall, 115 patients, including three patients who were followed up for chronic hepatitis C infection, were evaluated. Anti‐HCV seroconversion was detected in 10 new patients. All patients were in the same room and during the same shift. Several lapses in infection control practices were observed. Phylogenetic analysis showed that the outbreak was caused by the same viral strain. Notably, all patients were infected with genotype 1a, and mutations in the NS3 region, subgenotype, and drug resistance were identical to one of the three patients with chronic hepatitis C. Conclusion: Direct observation and molecular test results indicated a transmission from patient to patient, thereby highlighting the importance of infection control.

Anahtar Kelimeler

Kaynakça

  1. 1. Lavanchy D. Evolving epidemiology of hepatitis C virus. Clin Microbiol Infect 2011;17:107-15.
  2. 2. Gower E, Estes C, Blach S, Razavi-Shearer K, Razavi H. Global epidemiology and genotype distribution of the hepatitis C virus infection. J Hepatol 2014;61(1Suppl):45-57.
  3. 3. Altuglu I, Soyler I, Ozacar T, Erensoy S. Distribution of hepatitis C virus genotypes in patients with chronic hepatitis C infection in Western Turkey. Int J Infect Dis 2008;12:239-44.
  4. 4. Perz JF, Grytdal S, Beck S, et al. Case-control study of hepatitis B and hepatitis C in older adults: Do healthcare exposures contribute to burden of new infections? Hepatology 2013;57:917-24.
  5. 5. O'Brien SF, Yi QL, Fan W, et alç Current incidence and residual risk of HIV, HBV and HCV at Canadian Blood Service. Vox Sang 2012;103:83-6.
  6. 6. Kermode M. Unsafe injections in low-income country health settings: need for injection safety promotion to prevent the spread of blood-borne viruses. Health Promot Int 2004;19:95-103.
  7. 7. Loomba R, Rivera MM, McBurney R, et al. The natural history of acute hepatitis C: clinical presentation, laboratory findings and treatment outcomes. Aliment Pharmacol Ther 2011;33:559-65.
  8. 8. Maasoumy B, Wedemeyer H. Natural history of acute and chronic hepatitis C. Best Pract Res Clin Gastroenterol 2012;26:401-12.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

25 Aralık 2019

Gönderilme Tarihi

20 Ağustos 2019

Kabul Tarihi

11 Aralık 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 18 Sayı: 3

Kaynak Göster

APA
Tatar, B., Köse, Ş., & Sayan, M. (2019). Outbreak of hepatitis C virus infection in hemodialysis unit. Akademik Gastroenteroloji Dergisi, 18(3), 91-94. https://doi.org/10.17941/agd.662463
AMA
1.Tatar B, Köse Ş, Sayan M. Outbreak of hepatitis C virus infection in hemodialysis unit. Akademik Gastroenteroloji Dergisi. 2019;18(3):91-94. doi:10.17941/agd.662463
Chicago
Tatar, Bengü, Şükran Köse, ve Murat Sayan. 2019. “Outbreak of hepatitis C virus infection in hemodialysis unit”. Akademik Gastroenteroloji Dergisi 18 (3): 91-94. https://doi.org/10.17941/agd.662463.
EndNote
Tatar B, Köse Ş, Sayan M (01 Aralık 2019) Outbreak of hepatitis C virus infection in hemodialysis unit. Akademik Gastroenteroloji Dergisi 18 3 91–94.
IEEE
[1]B. Tatar, Ş. Köse, ve M. Sayan, “Outbreak of hepatitis C virus infection in hemodialysis unit”, Akademik Gastroenteroloji Dergisi, c. 18, sy 3, ss. 91–94, Ara. 2019, doi: 10.17941/agd.662463.
ISNAD
Tatar, Bengü - Köse, Şükran - Sayan, Murat. “Outbreak of hepatitis C virus infection in hemodialysis unit”. Akademik Gastroenteroloji Dergisi 18/3 (01 Aralık 2019): 91-94. https://doi.org/10.17941/agd.662463.
JAMA
1.Tatar B, Köse Ş, Sayan M. Outbreak of hepatitis C virus infection in hemodialysis unit. Akademik Gastroenteroloji Dergisi. 2019;18:91–94.
MLA
Tatar, Bengü, vd. “Outbreak of hepatitis C virus infection in hemodialysis unit”. Akademik Gastroenteroloji Dergisi, c. 18, sy 3, Aralık 2019, ss. 91-94, doi:10.17941/agd.662463.
Vancouver
1.Bengü Tatar, Şükran Köse, Murat Sayan. Outbreak of hepatitis C virus infection in hemodialysis unit. Akademik Gastroenteroloji Dergisi. 01 Aralık 2019;18(3):91-4. doi:10.17941/agd.662463