İzmir Ege Doğumevi ve Kadın Hastalıkları Eğitim ve Araştırma Hastanesine başvuran gebe kadınlarda HBV, HCV ve HAV seroprevalansları: 2010-2011

Yıl 2017, Cilt: 74 Sayı: 1, 21 - 28, 01.03.2017

Şükran Köse Selma Gül Bengü Tatar Muzaffer Temur Başak Göl

Öz

Amaç: Bu çalışmada; İzmir Ege Doğumevi ve Kadın Hastalıkları Eğitim ve Araştırma Hastanesi’ne başvuran gebe kadınlarda hepatit B yüzey antijeni HBsAg , hepatit B yüzey antikoru anti-HBs , hepatit B core antikoru anti-HBcIgG , hepatit C antikoru anti-HCV ve hepatit A virüs antikoru anti-HAV IgG seroprevalanslarının araştırılması amaçlanmıştır.Yöntem: Bu çalışma; tanımlayıcı bir çalışma olarak planlanmıştır. Bu amaçla; İzmir Ege Doğumevi ve Kadın Hastalıkları Eğitim ve Araştırma Hastanesi Gebe Polikliniği’ne 01 Aralık 2010 - 30 Eylül 2011 tarihleri arasında başvuran ve Kan Alma Merkezi’ne yönlendirilen 2003 adet gebe kadın çalışma kapsamına alınmıştır. Çalışmaya katılmayı kabul edenlerden aydınlatılmış yazılı “Onam Formu” alınmıştır. Gebe kadınlara yaş, meslek, eğitim, aşılanma durumu ve risk faktörlerini içeren anket uygulanmıştır. Gebe kadınlara anket uygulandıktan pregnant women were evaluated in terms of HBsAg, antiHBs, anti-HBcIgG, anti-HCV and anti-HAV IgG antibodies. Blood samples were evaluated by ELISA technique.Results: The mean age of 2003 pregnant women participated in the study was detected as 27±3 1844 years. In terms of occupational distribution, 89.70% were housewives, 5.4% were workers, 3.6% were freelancers, 1.1% were officers and 0.2% were students. As risk factors, being an intrafamilial transmitted hepatitis carrier was 3.6%, having had c-section was 9.4%, having had other operations 4.3%. Four percent of pregnant women had history of hepatitis B vaccinetion. It was detected to HBsAg positivity in 1.14%, anti-HBs posivity in 17% past and recovered infection or vaccination , both antiHBcIgG and anti-HBs positivity in 13.4%, anti-HBs positivity in 3.6%, anti-HCV positivity in 0.7% and anti-HAV IgG positivity in 88.2% .Conclusion: Based on the rate of salt antiHBs 3.6% , the low rate of HBsAg positivity was not associated with efficient vaccination. Low HBsAg positivity suggests that pregnant women who participated in our study were aware of prevention of hepatitis andits transmission paths. It has been contemplated that other hepatitis seroprevalence studies that will be carried out will contribute health policies in terms of public health. düşüklüğü, çalışmamıza katılan gebelerde hepatit bulaş yolları ve korunma yolları hakkında farkındalık olduğunu düşündürmüştür. Yapılacak diğer hepatit seroprevalans açısından sağlık politikalarına yardımcı olacağı düşünülmektedir.pozitiflik düşüklük etkin çalışmalarının toplum sağlığı

Anahtar Kelimeler

gebelik, prevalans, hepatit B, hepatit C, hepatit A

HBV, HCV AND HAV seroprevalence ın pregnant women admıtted to Izmır Aegean Obstetrıcs and Gynecology Traınıng and Research Hospıtal: 2010-2011

Öz

Objective: In this study, it was aimed to investigate seroprevalence of hepatitis B surface antigen HBsAg , hepatitis B surface antibody anti-HBs , hepatitis B core antibody anti-HBcIgG , hepatitis C surface antibody anti-HCV and hepatitis A virus antibody anti-HAV IgG in pregnant women admitted to Izmir Aegean Obstetrics and Gynecology Training and Research Hospital.Methods: This study was planned as a descriptive study. 2003 pregnant women, who admitted to pregnancy clinic of Izmir Aegean Maternity and Gynaecology Training and Research Hospital and were directed to blood drawing centre between December 01, 2010 and September 30, 2011 were included in the study. A written consent form was obtained from whom accepted to participate in the study. A questionnarie which is included age, occupation, education, vaccination status and risk factors were applied to the pregnant women. After in the questionnaire, the blood samples which were taken from pregnant women were evaluated in terms of HBsAg, antiHBs, anti-HBcIgG, anti-HCV and anti-HAV IgG antibodies. Blood samples were evaluated by ELISA technique.Results: The mean age of 2003 pregnant women participated in the study was detected as 27±3 1844 years. In terms of occupational distribution, 89.70% were housewives, 5.4% were workers, 3.6% were freelancers, 1.1% were officers and 0.2% were students. As risk factors, being an intrafamilial transmitted hepatitis carrier was 3.6%, having had c-section was 9.4%, having had other operations 4.3%. Four percent of pregnant women had history of hepatitis B vaccinetion. It was detected to HBsAg positivity in 1.14%, anti-HBs posivity in 17% past and recovered infection or vaccination , both antiHBcIgG and anti-HBs positivity in 13.4%, anti-HBs positivity in 3.6%, anti-HCV positivity in 0.7% and anti-HAV IgG positivity in 88.2% .Conclusion: Based on the rate of salt antiHBs 3.6% , the low rate of HBsAg positivity was not associated with efficient vaccination. Low HBsAg positivity suggests that pregnant women who participated in our study were aware of prevention of hepatitis andits transmission paths. It has been contemplated that other hepatitis seroprevalence studies that will be carried out will contribute health policies in terms of public health

Anahtar Kelimeler

pregnancy, prevalence, hepatitis B, hepatitis C, hepatitis A

Kaynakça

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