Research Article
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Preoperative Seroprevalence of HBsAg, Anti-HCV, Anti-HIV in general surgery patients

Year 2009, Volume: 36 Issue: 4, 283 - 287, 01.12.2009

Abstract

Objectives: Exposure to blood borne pathogens is the most serious occupational health risk faced by healthcare workers. The aim of this study was to evaluate the preoperative seroprevalences of HBsAg, anti-HCV and anti-HIV. Materials and methods: In this study we evaluated the seroprevalence of HBsAg, anti-HCV and anti-HIV in 486 preoperative patients who admitted to Dicle University Medical Faculty General Surgery Clinic for elective surgical procedures between January 2007 and July 2007; retrospectively. The results were compared with those of 14354 blood donations during the same period as control group. Results: The seroprevalence of HBsAg and anti-HCV were; %6.6 and %1.6 subsequently in preoperative patients. HBsAg and anti-HCV seropositivity rates were lower in the control group. Thus, the positively rates of HBsAg and anti-HCV for preoperative patients should be assessed higher than the data obtained from the blood bank. Anti-HIV seropositivity was not detected in both patient and control group. Conclusion: All healthcare workers must be trained about occupational diseases and vaccinated against hepatitis B. Establishment of universal precautions is necessary and these precautions must be strictly followed particularly in the operating room. In addition all patients should be considered as potential carriers. Keywords: HBsAg, Anti-HCV, Anti-HIV, surgery

References

  • Fry DE. Occupational risks of blood exposure in the operat- ing room. Am Surgeon 2007; 73: 637-646.
  • Phillips EK, Owusu-Ofori A, Jagger J. Bloodborne patho- gen exposure risk among surgeons in Sub-Saharan Africa. Infect Control Hosp Epidemiol 2007; 28: 1334-1336.
  • Hoşoğlu S, Akalın Ş, Sünbül M, Oktun M, Öztürk R. Pre- dictive factors for occupational bloodborne exposure in Turkish hospitals. Am J Infect Control 2009; 37: 65-69.
  • Öner M, Güney A, Halıcı M, Argün M, Kafadar İ. Ortope- dik cerrahi uygulanan olgularda hepatit B ve Hepatit C prevalansı: 10 yıllık retrospektif çalışma. Genel Tıp Derg 2007; 17: 167-171.
  • Gupta A, Anand S, Sastry J et al. High risk for occupational exposure to HIV and utilization of post-exposure prophy- laxis in a teaching hospital in Pune, India. BMC Infect Dis 2008; 8:142.
  • Patterson JMM, Novak CB, Mackinnon SE, Pafterson GA. Surgeons' concern and practices of protection against bloodborne pathogens. Ann Surg 1998; 228: 266-272.
  • Çöl C, Dağlı Z. Genel cerrahi hastalarında hepatit B virüsü prevalansı ve risk faktörlerinin analizi. MN Klinik Bilim- ler ve Doktor 2004; 10:34-39.
  • Dursun M, Ertem M, Yılmaz Ş, Saka G, Özekinci T, Şim- şek Z. Prevalence of hepatitis B infection in the Southeast- ern Region of Turkey: Comparison of risk factors for HBV infection in rural and urban areas. Jpn J Infect Dis 2005; 58: 15-19.
  • Myers DJ, Epling C, Dement J, Hunt D. Risk of sharp de- vice-related blood and body fluid exposure in operating rooms. Infect Control Hosp Epidemiol 2008; 29: 1139- 1148.
  • Okpalugo CE, Oguntibeju OO. Prevalence of human im- munodeficiency virus and hepatitis B virus in preoperative patients: Potential risk of transmission to health profes- sionals. Pak J Biol Sci 2008; 11: 298-301.
  • Berguer R, Heler PJ. Strategies for preventing sharps inju- ries in the operating room. Surg Clin N Am 2005; 85: 1299–1305.
  • Halpern SD, Asch DA, Shaked A, Stock P, Blumberg EA. Inadequate hepatitis B vaccination and post-exposure evaluation among transplant surgeons: Prevalence, corre- lates, and implications. Ann Surg 2006; 244: 305-309.
  • Mingoli A, Sapienza P, Sgarzini G, Modini C. Letters to the editor. Ann Surg 1999; 230: 736–738.
  • Caillot JL, Voiglio EJ. First clinical study of a new virus- inhibiting surgical glove. Swiss Med Wkly 2008; 138: 18– 22.
  • Fry ED. Occupational blood-borne diseases in surgery. Am J Surg 2005; 190: 249-254.
  • Rantala M, van de Laar1 MJW. Surveillance and epidemi- ology of hepatitis B and C in Europe a review. Eurosur- veillance 2008; 13: 1-8.
  • Ertem M, Dalar Y, Çevik U, Şahin H. Injury or body fluid splash incidence rate during three months period in elec- tive surgery procedures, at Dicle University Hospital, Di- yarbakır, Turkey. Ulus Travma Acil Cerrahi Derg 2008; 14: 40-45.
  • Kargı E, Külah C, Hoşnuter M, Babuccu O, Tekerekoğlu B, Tekin İ. Plastik cerrahide hepatit B, hepatit C ve HIV enfeksiyonu riski. Düzce Tıp Fakültesi Dergisi 2003; 5: 14-17.
  • Ocak S, Kaya H, Çetin M, İnandı T. Antakya’da preoperatif hastalarda hepatit A ve B seropozitifliği, yaş ve cinsiyete göre dağılımı. Viral Hepatit Dergisi 2005; 10: 169-175.
  • Utkan A, Dayıcan A, Toyran A, Tümöz MA. Ortopedi ve travmatoloji hastalarında hepatit B, hepatit C ve HIV seroprevalansı. Acta Orthop Traumatol Turc 2006; 40:367-370.
  • Temiz H, Gül K. Kan vericilerinin HBsAg, anti-HCV, an- ti-HIV ve VDRL tTest sonuçlarının değerlendirilmesi. İnfeksiyon Dergisi 2008; 22: 79-82.
  • Saltzman DJ, Williams RA, Gelfand DV, Wilson SE. The surgeon and AIDS: Twenty years later. Arch Surg 2005; 140: 961-967.
  • http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F88 92433CFF71BE64510F6C8BC9896F9EC5A003E1BC Erişim tarihi: 23.02.2008.
  • Dua RS, Wajed SA, Winslet MC. Impact of HIV and AIDS on surgical practice. Ann R Coll Surg Engl 2007; 89: 354-358.
  • Aldemir M, Çaça İ, Akalın Ş, Süner A, Kaya Z. The eye splash injuries of echinococcal fluid during surgery of pe- ritoneal echinococcosis: Our experiences due to two cases. Eur J Gen Med 2004; 1: 43-44.
  • Watson KJR. Surgeon, test (and heal) thyself: sharps inju- ries and hepatitis C risk. MJA 2004; 181: 366-367.

Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı

Year 2009, Volume: 36 Issue: 4, 283 - 287, 01.12.2009

Abstract

Amaç: Kan kaynaklı patojenlerle temas; saglık çalısanları için çok ciddi bir mesleki risk olusturmaktadır. Çalısmanın amacı elektif cerrahi öncesi hastalarda HBsAg, anti-HCV ve anti-HIV seroprevalansını belirlemektir. Gereç ve yöntem: Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi Klinigi\'ne Ocak 2007 ve Temmuz 2007 tarihleri arasında elektif cerrahi girisim uygulamak amacıyla yatırılan ameliyat hazırlıgı döneminde 486 hastanın kan örneklerinde; HbsAg, anti-HCV ve anti-HIV testleri ELISA yöntemiyle çalısıldı. Aynı dönemde Dicle Üniversitesi Tıp Fakültesi Kan Bankası\'na basvuran gönüllü kan vericilerinden (n=14354) kontrol grubu olusturuldu. Bulgular: Preoperatif hastalarda HBsAg ve anti-HCV seroprevalansı sırasıyla %6.6, %1.6 olarak bulunmustur. Kontrol grubunda ise HBsAg ve anti-HCV seroprevalansı sırasıyla %2.9, %0.7 olarak bulundu ve hasta grubuna göre istatistiksel olarak anlamlı derecede düsüktü. Bu sonuç; preoperatif hastalardaki HBsAg ve anti-HCV pozitiflik oranının, kan bankasından elde edilecek verilerden daha yüksek olması beklenilmesi gerektigi göstermektedir. Kontrol ve hasta gruplarının her ikisinde de anti-HIV pozitifligi saptanmamıstır. Sonuç: Kan ve vücut sıvılarıyla bulasan hastalıklar hakkında tüm saglık çalısanları egitilmeli, HBV\'ne karsı asılanmalı, ameliyathanelerde infeksiyon geçisini engelleyecek evrensel önlemlerle ilgili standartlar hazırlanıp ciddiyetle uygulanmalı ve temas edilen her hastanın infekte olabilecegi kabul edilmelidir.

References

  • Fry DE. Occupational risks of blood exposure in the operat- ing room. Am Surgeon 2007; 73: 637-646.
  • Phillips EK, Owusu-Ofori A, Jagger J. Bloodborne patho- gen exposure risk among surgeons in Sub-Saharan Africa. Infect Control Hosp Epidemiol 2007; 28: 1334-1336.
  • Hoşoğlu S, Akalın Ş, Sünbül M, Oktun M, Öztürk R. Pre- dictive factors for occupational bloodborne exposure in Turkish hospitals. Am J Infect Control 2009; 37: 65-69.
  • Öner M, Güney A, Halıcı M, Argün M, Kafadar İ. Ortope- dik cerrahi uygulanan olgularda hepatit B ve Hepatit C prevalansı: 10 yıllık retrospektif çalışma. Genel Tıp Derg 2007; 17: 167-171.
  • Gupta A, Anand S, Sastry J et al. High risk for occupational exposure to HIV and utilization of post-exposure prophy- laxis in a teaching hospital in Pune, India. BMC Infect Dis 2008; 8:142.
  • Patterson JMM, Novak CB, Mackinnon SE, Pafterson GA. Surgeons' concern and practices of protection against bloodborne pathogens. Ann Surg 1998; 228: 266-272.
  • Çöl C, Dağlı Z. Genel cerrahi hastalarında hepatit B virüsü prevalansı ve risk faktörlerinin analizi. MN Klinik Bilim- ler ve Doktor 2004; 10:34-39.
  • Dursun M, Ertem M, Yılmaz Ş, Saka G, Özekinci T, Şim- şek Z. Prevalence of hepatitis B infection in the Southeast- ern Region of Turkey: Comparison of risk factors for HBV infection in rural and urban areas. Jpn J Infect Dis 2005; 58: 15-19.
  • Myers DJ, Epling C, Dement J, Hunt D. Risk of sharp de- vice-related blood and body fluid exposure in operating rooms. Infect Control Hosp Epidemiol 2008; 29: 1139- 1148.
  • Okpalugo CE, Oguntibeju OO. Prevalence of human im- munodeficiency virus and hepatitis B virus in preoperative patients: Potential risk of transmission to health profes- sionals. Pak J Biol Sci 2008; 11: 298-301.
  • Berguer R, Heler PJ. Strategies for preventing sharps inju- ries in the operating room. Surg Clin N Am 2005; 85: 1299–1305.
  • Halpern SD, Asch DA, Shaked A, Stock P, Blumberg EA. Inadequate hepatitis B vaccination and post-exposure evaluation among transplant surgeons: Prevalence, corre- lates, and implications. Ann Surg 2006; 244: 305-309.
  • Mingoli A, Sapienza P, Sgarzini G, Modini C. Letters to the editor. Ann Surg 1999; 230: 736–738.
  • Caillot JL, Voiglio EJ. First clinical study of a new virus- inhibiting surgical glove. Swiss Med Wkly 2008; 138: 18– 22.
  • Fry ED. Occupational blood-borne diseases in surgery. Am J Surg 2005; 190: 249-254.
  • Rantala M, van de Laar1 MJW. Surveillance and epidemi- ology of hepatitis B and C in Europe a review. Eurosur- veillance 2008; 13: 1-8.
  • Ertem M, Dalar Y, Çevik U, Şahin H. Injury or body fluid splash incidence rate during three months period in elec- tive surgery procedures, at Dicle University Hospital, Di- yarbakır, Turkey. Ulus Travma Acil Cerrahi Derg 2008; 14: 40-45.
  • Kargı E, Külah C, Hoşnuter M, Babuccu O, Tekerekoğlu B, Tekin İ. Plastik cerrahide hepatit B, hepatit C ve HIV enfeksiyonu riski. Düzce Tıp Fakültesi Dergisi 2003; 5: 14-17.
  • Ocak S, Kaya H, Çetin M, İnandı T. Antakya’da preoperatif hastalarda hepatit A ve B seropozitifliği, yaş ve cinsiyete göre dağılımı. Viral Hepatit Dergisi 2005; 10: 169-175.
  • Utkan A, Dayıcan A, Toyran A, Tümöz MA. Ortopedi ve travmatoloji hastalarında hepatit B, hepatit C ve HIV seroprevalansı. Acta Orthop Traumatol Turc 2006; 40:367-370.
  • Temiz H, Gül K. Kan vericilerinin HBsAg, anti-HCV, an- ti-HIV ve VDRL tTest sonuçlarının değerlendirilmesi. İnfeksiyon Dergisi 2008; 22: 79-82.
  • Saltzman DJ, Williams RA, Gelfand DV, Wilson SE. The surgeon and AIDS: Twenty years later. Arch Surg 2005; 140: 961-967.
  • http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F88 92433CFF71BE64510F6C8BC9896F9EC5A003E1BC Erişim tarihi: 23.02.2008.
  • Dua RS, Wajed SA, Winslet MC. Impact of HIV and AIDS on surgical practice. Ann R Coll Surg Engl 2007; 89: 354-358.
  • Aldemir M, Çaça İ, Akalın Ş, Süner A, Kaya Z. The eye splash injuries of echinococcal fluid during surgery of pe- ritoneal echinococcosis: Our experiences due to two cases. Eur J Gen Med 2004; 1: 43-44.
  • Watson KJR. Surgeon, test (and heal) thyself: sharps inju- ries and hepatitis C risk. MJA 2004; 181: 366-367.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Sadullah Girgin This is me

Hakan Temiz This is me

Ercan Gedik This is me

Kadri Gül This is me

Publication Date December 1, 2009
Submission Date March 2, 2015
Published in Issue Year 2009 Volume: 36 Issue: 4

Cite

APA Girgin, S., Temiz, H., Gedik, E., Gül, K. (2009). Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı. Dicle Tıp Dergisi, 36(4), 283-287.
AMA Girgin S, Temiz H, Gedik E, Gül K. Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı. diclemedj. December 2009;36(4):283-287.
Chicago Girgin, Sadullah, Hakan Temiz, Ercan Gedik, and Kadri Gül. “Genel Cerrahi hastalarında Preoperatif HBsAg, Anti-HCV, Anti-HIV Seroprevalansı”. Dicle Tıp Dergisi 36, no. 4 (December 2009): 283-87.
EndNote Girgin S, Temiz H, Gedik E, Gül K (December 1, 2009) Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı. Dicle Tıp Dergisi 36 4 283–287.
IEEE S. Girgin, H. Temiz, E. Gedik, and K. Gül, “Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı”, diclemedj, vol. 36, no. 4, pp. 283–287, 2009.
ISNAD Girgin, Sadullah et al. “Genel Cerrahi hastalarında Preoperatif HBsAg, Anti-HCV, Anti-HIV Seroprevalansı”. Dicle Tıp Dergisi 36/4 (December 2009), 283-287.
JAMA Girgin S, Temiz H, Gedik E, Gül K. Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı. diclemedj. 2009;36:283–287.
MLA Girgin, Sadullah et al. “Genel Cerrahi hastalarında Preoperatif HBsAg, Anti-HCV, Anti-HIV Seroprevalansı”. Dicle Tıp Dergisi, vol. 36, no. 4, 2009, pp. 283-7.
Vancouver Girgin S, Temiz H, Gedik E, Gül K. Genel cerrahi hastalarında preoperatif HBsAg, Anti-HCV, Anti-HIV seroprevalansı. diclemedj. 2009;36(4):283-7.