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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Risk factors for hepatitis C virus infection among Egyptian healthcare workers in a national liver diseases referral centre
Transactions of the Royal Society of Tropical Medicine and Hygiene, Volume 106, No. 2, Year 2012
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Description
Little is known about the prevalence of hepatitis C virus (HCV) among healthcare workers (HCW) in Egypt, where the highest worldwide prevalence of HCV exists. The prevalence of HCV, hepatitis B virus and Schistosoma mansoni antibodies was examined in 842 HCWs at the National Liver Institute in the Nile Delta, where >85% of patients are HCV antibody-positive. The mean age of HCWs was 31.5 years and they reported an average of 0.6 ± 1.2 needlesticks/HCW/year. The prevalence of anti-HCV, hepatitis B surface antigen (HBsAg) and co-infection was 16.6%, 1.5% and 0.2%, respectively. HCV-RNA was present in 72.1% of anti-HCV-positive HCWs, and all but one subject were infected with HCV genotype 4. Schistosoma mansoni antibodies were present in 35.1%. The anti-HCV rate increased sharply with age and employment duration, but not among those with needlestick history. After adjusting for other risk factors, the anti-HCV rate was higher among older HCWs [P< 0.001; risk ratio (RR) = 1.086, 95% CI 1.063-1.11], males (P= 0.002; RR = 1.911, 95% CI 1.266-2.885) and those with rural residence (P< 0.001; RR = 2.876, 95% CI 1.830-4.52). Occupation (P= 0.133), duration of employment (P= 0.272) or schistosomal antibody positivity (P= 0.152) were not significant risk factors for anti-HCV positivity. In conclusion, although one in six HCWs had been infected with HCV, the infections were more likely to be community-acquired and not occupationally related. © 2011 Royal Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Abdelwahab, Sayed F.
Egypt, Minya
Faculty of Medicine
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
Rewisha, Eman Ahmed
Egypt, Shibin el Kom
Menoufia University
Hashem, Mohamed S.
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
United States, Baltimore
University of Maryland School of Medicine
Sobhy, Maha
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
Galal, Iman F.
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
Allam, Walaa Ramadan
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
NNH Mikhail, Nabiel N.H.
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
Egypt, Asyut
Assiut University
Galal, Gehan
Egypt, Giza
Egyptian Company for Blood Transfusion Services Egyblood
El-Tabbakh, Mohamed
Egypt, Shibin el Kom
Menoufia University
El-Kamary, Samer S.
United States, Baltimore
University of Maryland School of Medicine
Waked, I. A.
Egypt, Shibin el Kom
Menoufia University
Strickland, George Thomas
United States, Baltimore
University of Maryland School of Medicine
Statistics
Citations: 51
Authors: 12
Affiliations: 5
Identifiers
Doi:
10.1016/j.trstmh.2011.10.003
ISSN:
00359203
e-ISSN:
18783503
Research Areas
Genetics And Genomics
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
Egypt