Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil

A hemodialysis population from a dialysis unit in the city of Recife, Northeastern Brazil, was screened to assess the prevalence of hepatitis C virus (HCV) infection and to investigate the associated risk factors. Hemodialysis patients (n = 250) were interviewed and serum samples tested for anti-HCV...

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Main Authors: Ana Cecília C de Albuquerque, Maria Rosângela CD Coêlho, Edmundo PA Lopes, Marcilio Figueiredo Lemos, Regina Célia Moreira
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2005-08-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762005000500003
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author Ana Cecília C de Albuquerque
Maria Rosângela CD Coêlho
Edmundo PA Lopes
Marcilio Figueiredo Lemos
Regina Célia Moreira
author_facet Ana Cecília C de Albuquerque
Maria Rosângela CD Coêlho
Edmundo PA Lopes
Marcilio Figueiredo Lemos
Regina Célia Moreira
author_sort Ana Cecília C de Albuquerque
collection DOAJ
description A hemodialysis population from a dialysis unit in the city of Recife, Northeastern Brazil, was screened to assess the prevalence of hepatitis C virus (HCV) infection and to investigate the associated risk factors. Hemodialysis patients (n = 250) were interviewed and serum samples tested for anti-HCV antibodies by enzyme-linked immunosorbent assay (ELISA). All samples were also tested for HCV RNA by reverse transcriptase nested polymerase chain reaction (RT-nested-PCR). Out of 250 patients, 21 (8.4%) were found to be seropositive by ELISA, and 19 (7.6%) patients were HCV RNA positive. HCV viraemia was present in 90.5% of the anti-HCV positive patients. The predominant genotype was HCV 1a (8/19), followed by 3a (7/19), and 1b (4/19). None of the anti-HCV negative patients were shown to be viraemic by the PCR. Univariate analysis of risk factors showed that time spent on hemodialysis, the number of blood transfusions and a blood transfusion before November 1993 were associated with HCV positivity. However, multivariate analysis revealed that blood transfusions before November 1993 were significantly associated with HCV infection in this population. Low prevalence levels were encountered in this center, however prospective studies are necessary to confirm these findings.
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spelling doaj.art-d1ac985ab96f421f8084f5964d01d3982023-09-03T07:25:00ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602005-08-01100546747010.1590/S0074-02762005000500003Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, BrazilAna Cecília C de AlbuquerqueMaria Rosângela CD CoêlhoEdmundo PA LopesMarcilio Figueiredo LemosRegina Célia MoreiraA hemodialysis population from a dialysis unit in the city of Recife, Northeastern Brazil, was screened to assess the prevalence of hepatitis C virus (HCV) infection and to investigate the associated risk factors. Hemodialysis patients (n = 250) were interviewed and serum samples tested for anti-HCV antibodies by enzyme-linked immunosorbent assay (ELISA). All samples were also tested for HCV RNA by reverse transcriptase nested polymerase chain reaction (RT-nested-PCR). Out of 250 patients, 21 (8.4%) were found to be seropositive by ELISA, and 19 (7.6%) patients were HCV RNA positive. HCV viraemia was present in 90.5% of the anti-HCV positive patients. The predominant genotype was HCV 1a (8/19), followed by 3a (7/19), and 1b (4/19). None of the anti-HCV negative patients were shown to be viraemic by the PCR. Univariate analysis of risk factors showed that time spent on hemodialysis, the number of blood transfusions and a blood transfusion before November 1993 were associated with HCV positivity. However, multivariate analysis revealed that blood transfusions before November 1993 were significantly associated with HCV infection in this population. Low prevalence levels were encountered in this center, however prospective studies are necessary to confirm these findings.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762005000500003prevalencerisk factorshemodialysisgenotypeshepatitis C viruspolymerase chain reactionRecifeBrazil
spellingShingle Ana Cecília C de Albuquerque
Maria Rosângela CD Coêlho
Edmundo PA Lopes
Marcilio Figueiredo Lemos
Regina Célia Moreira
Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
Memorias do Instituto Oswaldo Cruz
prevalence
risk factors
hemodialysis
genotypes
hepatitis C virus
polymerase chain reaction
Recife
Brazil
title Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
title_full Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
title_fullStr Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
title_full_unstemmed Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
title_short Prevalence and risk factors of hepatitis C virus infection in hemodialysis patients from one center in Recife, Brazil
title_sort prevalence and risk factors of hepatitis c virus infection in hemodialysis patients from one center in recife brazil
topic prevalence
risk factors
hemodialysis
genotypes
hepatitis C virus
polymerase chain reaction
Recife
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762005000500003
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