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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Background: Hepatitis C virus infection in hemodialysis patients is mainly associated with prolonged vascular access, and contaminated equipment and as well as due to breakdown of universal precautionary procedures.The study aims on the prevalence of Hepatitis C Virus among hemodialysis patients by Enzyme Linked Immunoassay (ELISA) and Quantitative Hepatitis C RNA real Time PCR. Methods: This retrospective record-based study is done from January 2023to December 2023, A total of 191 patients on maintenance haemodialysis were screened and tested for anti-HCV antibodies by 3rd generation ELISA and quantitative HCV RNA detection by real time-PCR as per CDC guidelines. Results: Out of 191, Anti-HCV antibodies were positive in 27patients, comprising 20 (74%) males and 7 (26%) females. HCV RNA was detected in 20patients, 16(80%) males and 4(20%) females, with highest prevalence among 41-60 years (55%). Conclusion: This study can help health professionals to treat patients with HCV on hemodialysis more effectively. Also reinforces the need for establishing effective prevention programs, which could lead to a reduction in the prevalence of HCV among patients on hemodialysis. In the absence of vaccine, routine screening and adherence to standard testing protocol for current HCV infection, infection control practice is the key strategy for preventing HCV transmission in hemodialysis units.
Agarwal S K, Dash S C, Gupta S, Pandey R M. Hepati- tis C virus infection in haemodialysis: the 'no-isolation' policy should not be generalized. Nephron Clin Pract 2009;111: c133-c140. https://doi.org/10.1159/000191208
Aman K, Al-Dubai S A, Aman R, Hawash A, Alshagga M, Kassim S. Prevalence and associated factors of hepatitis C virus infection among renal disease patients on maintenance hemodialysis in three health centers in Aden, Yemen: A cross sectional study. Saudi J Kidney Dis Transpl 2015;26:380-5. https://doi.org/10.4103/1319-2442.152555.
Centers for Disease Control and Prevention (CDC) (2013). Testing for HCV infection: an update of guidance for clinicians and laboratorians
Flamm., S. L. (2003). Chronic Hepatitis C Virus Infection. JAMA. 289: 2413-2417 https://doi.org/10.1001/jama.289.18.2413
Koirala S R, Malla R R, Khakurel S, Singh R P. Prevalence of hepatitis B, hepatitis C and HIV infections among chronic renal failure patents on hemodialysis. Post Grad Med J NAMS 2009;9:6-13.
Lok A S, Chien D, Choo Q L, Chan T M, Chiu E K, Cheng I K, et al., Antibody response to core, envelope and non- 648 structural hepatitis C virus antigens: comparison of immunocompetent and immunosuppressed patients. Hepatology 1993;18:497-502.
Makhlough A, Mohdavi M, Roshan P. Epidemiology and Treatment of Hepatitis C infection in Hemodialysis patients. J Clin Excellence. 2013;1(1):26–43.
Masuko K, Okuda K, Meguro T, et al., Hepatitis C virus antibodies, viral RNA and genotypes in sera from patients on maintenance haemodialysis. J Viral Hepat 1994; 1:65-71. https://doi.org/10.1111/j.1365-2893.1994.tb00063.x
Strader D B, Wright T, Thomas D L, Seeff L B. (2004). Diagnosis, management, and treatment of hepatitis C. Hepatology.39:1147-1171. https://doi.org/10.1002/hep.20119
Sy T, Jamal M M. Epidemiology of hepatitis C virus (HCV) Infection. Int J MedSci. 2006;3(2):41–6. https://doi.org/10.7150/ijms.3.41
Yen T, Keeffe E B, Ahmed A (2003) J Clin Gastroentero l36: 47-53