학술논문

Epidemiology of hepatitis C virous infection in hemodialysis therapy / 透析医療におけるC型肝炎ウイルス (HCV) 感染症の疫学
Document Type
Journal Article
Source
日本透析療法学会雑誌 / Journal of Japanese Society for Dialysis Therapy. 1993, 26(4):557
Subject
CAPD
HCV感染症
維持透析
院内感染
Language
Japanese
ISSN
0911-5889
1884-6211
Abstract
The prevalence of hepatitis C virus (HCV) infection in hemodialysis and CAPD patients and health-care workers was examined with an enzyme immunoassay (Ortho Diagnostic Systems). The anti-HCV positive rate was 13.6% (147/1, 080). The frequency increased with the duration of hemodialysis therapy, regardless of the presence or absence of blood transfusion. An accumulation of hemodialysis patients with anti-HCV was seen in a few beds of several units. The frequency of HCV seropositivity of health-care workers was 1.4% (2/138) while that of CAPD patients was 2.4% (2/85). These findings indicate that there may be another mode of transmission of HCV, in addition to blood transfusion. The infection route seems to be from patient to patient, and the chance of infection seems to relate to transmission of HCV positive blood by the use of contaminated instruments or by the unclean manipulation. Consequently, strict adherence to HBV guidelines must be maintained in order to prevent HCV infection.