Use este identificador para citar ou linkar para este item: http://repositorio.bc.ufg.br/handle/ri/18176
Tipo do documento: Artigo
Título: Decline of hepatitis C infection in hemodialysis patients in central Brazil: a ten years of surveillance
Autor: Carneiro, Megmar Aparecida dos Santos
Teles, Sheila Araujo
Matos, Márcia Alves Dias de
Ferreira, Renata Carneiro
Naghettine, Alessandra Vitorino
Silva, Simonne A.
Lampe, Elisabeth
Yoshida, Clara Fumiko Tachibana
Bastos, Regina Maria Bringel
Resumo: Hepatitis C virus (HCV) has been a significant problem for hemodialysis patients. However this infection has declined in regions where the screening for anti-HCV in blood banks and hemodialysis-specific infection control measures were adopted. In Brazil, these measures were implemented in 1993 and 1996, respectively. In addition, all studied units have implemented isolation of anti-HCV positive patients since 2000. In order to evaluate the impact of these policies in the HCV infection prevalence, accumulated incidence, and risk factors in hemodialysis population of Goiânia City, Central Brazil, all patients were interviewed and serum samples tested for HCV antibodies in 1993, 1996, 1999, and 2002. In the first six years (1993-1999), anti-HCV prevalence increased from 28.2 to 37.2%, however a strong decrease in positivity was detected between 1999 and 2002 (37.8 vs 16.5%) when the measures were fully implemented. Also, a decrease of the anti-HCV accumulated incidence in cohorts of susceptible individuals during 1993-2002 (71%), 1996-2002 (34.2%), and 1999-2002 (11.7%) was found. Analysis of risk factors showed that length of time on hemodialysis, blood transfusion before screening for anti-HCV and treatment in multiple units were statistically associated with anti-HCV (p < 0.05). Our study showed a significant decline of hepatitis C infection in hemodialysis patients of Central Brazil, ratifying the importance of public health strategies for control and prevention of hepatitis C in the hemodialysis units.
Palavras-chave: Hepatitis C
Hemodialysis
Prevalence
Incidence
Risk factors
Central Brazil
País: Brasil
Unidade acadêmica: Faculdade de Enfermagem - FEN (RG)
Citação: CARNEIRO, Megmar A. S.; TELES, Sheila A.; DIAS, Márcia A.; FERREIRA, Renata C.; NAGHETTINE, Alessandra V.; SILVA, Simone A.; LAMPE, Elisabete; YOSHIDA, Clara F. T.; MARTINS, Regina M B . Decline of hepatitis C infection in hemodialysis patients in central Brazil: a ten years of surveillance. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 100, n. 4, p. 345-349, July 2005.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1590/S0074-02762005000400002
Identificador do documento: 10.1590/S0074-02762005000400002
URI: http://repositorio.bc.ufg.br/handle/ri/18176
Data de publicação: Jul-2005
Aparece nas coleções:FEN - Artigos publicados em periódicos

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