Screening of hepatitis and HIV infections in an alcohol and drug addiction treatment center

Yıl 2020, Cilt: 13 Sayı: 1, 177 - 186, 21.01.2020

Ozgur Dagli

https://doi.org/10.31362/patd.644886

Öz

Purpose: Positivity of HBsAg, anti HCV, and
anti HIV can expected to be higher in patients treated in an Alcohol and Drug Addiction Treatment Center (ADATC)
as they have many risk factors. In this study, screening of these serologic
markers in hospitalised patients was aimed.

Material
and Methods: A
total of 434 patients with a history of alcohol, injecting or noninjecting drug
abuse who received treatment in Bursa ADATC unit in 2016 were included in the
study. Patient’s files were retrospectively screened for  HBsAg, anti HCV,  anti HIV positivity and demographic features.

Results: Of the 434 patients included in the
study  with a mean age of 31.95 ± 11.42
years. HbsAg and anti HCV positivity were 2.8%, and 1.4% respectively. None of
the patients had HIV positivity. 59.2% of the patients had a family history of
drug use.

Conclusion:
It was found that the prevalence of
hepatitis B or hepatitis C was higher in the patients who had begun drug use in
9-12 age range, or in the patients who were homeless, who had no social support
and living alone. Screening of these infections in ADATC is important for
public health which will provide prevention and treatment of these diseases.

Anahtar Kelimeler

Addiction, HBV, HCV, HIV

Alkol ve uyuşturucu madde bağımlıları tedavi merkezinde hepatit ve HIV enfeksiyonlarının taranması

Öz

Amaç: HBsAg, anti HCV ve anti HIV
pozitifliğinin, bir Alkol ve Uyuşturucu Madde Bağımlıları Tedavi Merkezi'nde
(AMATEM) tedavi edilen hastalarda, bir çok risk faktörüne sahip olmaları
nedeniyle daha yüksek olması beklenebilir. Bu çalışmada, hastanede yatan
hastalarda bu serolojik belirteçlerin taranması amaçlandı.

Gereç ve Yöntem: Çalışmaya 2016 yılında Bursa AMATEM
ünitesinde yatarak tedavi gören alkol, intravenöz veya intravenöz olmayan  madde bağımlılığı öyküsü olan toplam 434
hasta dahil edildi. Hasta dosyaları geriye dönük olarak HBsAg, anti HCV, anti
HIV pozitifliği ve demografik özellikler açısından tarandı

Bulgular: Çalışmaya alınan 434 hastanın
ortalama yaşları 31,95 ± 11,42 yıl, HbsAg ve anti HCV pozitifliği ise sırasıyla
% 2,8 ve % 1,4 idi. Hastaların hiçbirinde HIV pozitifliği saptanmadı.
Hastaların% 59,2'sinde ailede uyuşturucu kullanımı öyküsü vardı.

Sonuç: Hepatit B veya hepatit C
prevalansının, 9-12 yaş aralığında madde kullanmaya başlayanlarda veya  evsiz, sosyal destek almayan ve yalnız
yaşayan hastalarda yüksek olduğu bulundu. Bu enfeksiyonların AMATEM’de
taranması halk sağlığı açısından önemli olup bu hastalıkların önlenmesini ve
tedavisini sağlayacaktır.

Anahtar Kelimeler

Bağımlılık, HBV, HCV, HIV

Kaynakça

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