Is Pre-Endoscopy Hepatitis B and C Testing Useful?

Abstract

Keywords

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Endoskopi Öncesi Hepatit B ve Hepatit C Testi Gerekli mi?

Abstract

Amaç: Endoskopik ișlemler öncesi HBV ve HCV seroprevelansını belirlemek ve endoskopik ișlemler sırasında HepatitB ve HepatitC transmisyonunu değerlendirmek. Materyal ve Metod: Mide Kanserinde Erken Tanı Pilot Projesi kapsamında üst gastrointestinal endoskopi uylanan toplam 2690 katılımcı bu çalıșmaya alındı. Katılımcıların tıbbi kayıtları, demografik özellikleri ve endoskobik tanıları gözden geçirildi. Endoskopik ișlem öncesi tüm katılımcıların HBsAg ve anti-HCV serolojileri çalıșıldı. Bulgular: HBS(+) seroprevelansı %2.7,HCV(+) seroprevelansı %0.2 olarak bulundu. HBV enfeksiyon prevelansı orta endemisitede bulundu. HCV(+) oranı daha once endoskopi uygulanalarda daha yüksek bulundu (p = 0.020). Sonuç: Endoskopi öncesi hastaların hepatit serolojilerinin belirlenmesi hepatit B ve Hepatit C virus bulașmasından kaçınmak için faydalıdır.

Keywords

• Hepatit B, Hepatit C, Transmisyon, Endoskopi

References

1. Marcellin P: Hepatitis B and hepatitis C in 2009. Liver Int 2009; 29 Suppl 1:1-8.
2. Liu Z, Hou J. Hepatitis B virus (HBV) and hepatitis C virus (HCV) dual infection. Int J Med Sci. 2006;3(2):57-62. Epub 2006 Apr 1.
3. Martin C, Lilian H, Irma E, Ibarra R, Irma H, Fernandez G, Jorge E: Prevalence of HBV infection and risk factors in a rural community of Mexico. Am J trop Med Hyg 2001,65(6):759-763.
4. Alavian S, Fallahian F, Lankarani K. Comparison of seroepidemiology and transmission modes of viral hepatitisB in Iran and Pakistan. Hepat Mon. 2008;7(4):233-8.
5. Vural S, UrgancI N, Uyar T, Kayaalp N. The Seroprevalance of Hepatitis B and C Vırus İnfectıonın In Pediatrıic Oncology Patıent. Turkiye Klinikleri J Gastroenterohepatol. 2001;12(3):157-63
6. Degertekin H, Gunes G. Horizontal transmission of hepatitis B virus in Turkey. Public Health. 2008;122(12): 1315-7.
7. Ishino Y, Ido K, Sugano K:
8. Contamination with hepatitis B virus DNA in gastrointestinal endoscope channels:risk of infection on reuse after on-site cleaning. Endoscopy 2005; 37:548-551.

9. Deflandre J, Cajot O, Brixko C, Crine M, Labalue J, Senterre JM: Risk of contamination by hepatitis C of endoscopes utilized in gastroenterology hospital service.Rev Med Liege 2001; 56:696-698.
10. Dietze B, Kircheis U, Schwarz I, Martiny H: Freely accessible endoscope channels improve efficacy of cleaning.Endoscopy 2001; 33:523-528.
11. Ortiz V, Sala T, Argüello L, et al:
12. Comparison of the efficacy of cleaning and disinfection of videoscopes: mechanized versus manual Article in Spanish. Gastroenterol Hepatol 2000; 23:412-415.
13. Bécheur H, Harzic M, Colardelle P, et al: Hepatitis C virus contamination of endoscopes and biopsy forceps. Gastroenterol Clin Biol 2000; 24:906-910.
14. Pajkos A, Vickery K, Cossart Y: Is biofilm accumulationon endoscope tubing a contributor to the failureof cleaning and decontamination? J Hosp Infect 2004;58:224-229.
15. Bader L, Blumenstock G, Birkner B, et al: HYGEA(Hygiene in gastroenterology-- endoscope reprocessing):Study on quality of reprocessing flexible endoscopes inhospitals and in the practice setting. Z Gastroenterol2002; 40:157-170.
16. Harmankaya O, Cetin B, Obek A, Seber E: Low prevalence of hepatitis C virus infection in hemodialysisunits: effect of isolation? Ren Fail 2002; 24:639-644.
17. Karkar A: Hepatitis C in dialysis units: the Saudi experience.Hemodial Int 2007; 11:354-367.
18. Morris J, Duckworth GJ, Ridgway GL: Gastrointestinal endoscopy decontamination failure and the risk of transmission of blood-borne viruses: a review. J Hosp Infect2006; 63:1-13.
19. Dore GJ, Haber PS: Tell me it ain't so: patient-to-patient transmission of hepatitis C in an endoscopy clinic. Hepatology 2008; 48:1333-1335.
20. Shin A, Cho ER, Kim J, et al: Factors associated with awareness of infection status among chronic hepatitis B and C carriers in Korea. Cancer Epidemiol Biomarkers Prev 2009; 18:1894-1898.
21. Gulsen MT, Beyazit Y, Guclu M, Koklu S. Testing for hepatitis B and C virus infection before upper gastrointestinal endoscopy: justification for dedicated endoscope and room for hepatitis patients. Hepatogastroenterology. 2010 Jul-Aug;57(101):797-800.