Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/8009 |
Resumo: | The infection of hepatitis C virus (HCV) is a major public health problem that affects 130-150 million people, chronically, worldwide. HCV infection is highly prevalent among individuals with chronic reanl disease (CKD). The objectives of this study were estimate the prevalence of the infection with hepatitis C in hemodialysis patients of the State of Tocantins, analyze the risk factors associated with HCV infection and characterize circulating genotypes in this population. The study was conducted in 394 patients who were being treated in the hemodialysis centers of the State of Tocantins, from October 2014 to February 2015. The patients were interviewed, the questions were about sociodemographic characteristics and risk factors for HCV infection and blood samples were collected. All samples were tested for antibodies to HCV (anti-HCV) by means of enzyme-linked immunosorbent assay (ELISA). The anti-HCV reagents samples were submitted to the detection of viral RNA by reverse transcription polymerase chain reaction (RT_PCR) and genotyped by line probe assay method (LiPA). The prevalence of HCV infection in hemodialysis patients was 2.8% (95% CI: 1.47 to 5.09). The viral RNA was detected in two of the eleven anti-HCV positive samples and identified the genotype 1, subtype 1a in these samples. The treatment time of seropositive patients was on average 105.19 months, and the negatives of 61.23 months. In univariate analysis, prison records and history of sexually transmitted disease were significantly associated with HCV infection. After the multivariate analysis, only the history of STDs remained associated. The results of this study showed a significant reduction of HCV infection in hemodialysis centers of the State of Tocantins, but the prevalence that was found (2.8%) is almost double that seen in the general population of Brazil (1.38%). Therefore, control strategies and prevention of hepatitis C in hemodialysis patients are extremely important to prevent that infection in the sector of dialysis. |
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Carneiro, Megmar Aparecida dos Santoshttp://lattes.cnpq.br/8398563469665169Carneiro, Megmar Aparecida dos Santos: http://lattes.cnpq.br/8398563469665169Martins, Regina Maria BringelFiacadori, Fabíolahttp://lattes.cnpq.br/5828040952356339Cordeiro, Valéria Maciel2017-12-04T10:43:48Z2015-12-11CORDEIRO, V. M. Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins. 2015. 80 f. Dissertação (Mestrado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/8009The infection of hepatitis C virus (HCV) is a major public health problem that affects 130-150 million people, chronically, worldwide. HCV infection is highly prevalent among individuals with chronic reanl disease (CKD). The objectives of this study were estimate the prevalence of the infection with hepatitis C in hemodialysis patients of the State of Tocantins, analyze the risk factors associated with HCV infection and characterize circulating genotypes in this population. The study was conducted in 394 patients who were being treated in the hemodialysis centers of the State of Tocantins, from October 2014 to February 2015. The patients were interviewed, the questions were about sociodemographic characteristics and risk factors for HCV infection and blood samples were collected. All samples were tested for antibodies to HCV (anti-HCV) by means of enzyme-linked immunosorbent assay (ELISA). The anti-HCV reagents samples were submitted to the detection of viral RNA by reverse transcription polymerase chain reaction (RT_PCR) and genotyped by line probe assay method (LiPA). The prevalence of HCV infection in hemodialysis patients was 2.8% (95% CI: 1.47 to 5.09). The viral RNA was detected in two of the eleven anti-HCV positive samples and identified the genotype 1, subtype 1a in these samples. The treatment time of seropositive patients was on average 105.19 months, and the negatives of 61.23 months. In univariate analysis, prison records and history of sexually transmitted disease were significantly associated with HCV infection. After the multivariate analysis, only the history of STDs remained associated. The results of this study showed a significant reduction of HCV infection in hemodialysis centers of the State of Tocantins, but the prevalence that was found (2.8%) is almost double that seen in the general population of Brazil (1.38%). Therefore, control strategies and prevention of hepatitis C in hemodialysis patients are extremely important to prevent that infection in the sector of dialysis.A infecção pelo o vírus da hepatite C (HCV) é um importante problema de saúde pública, que acomete cronicamente 130-150 milhões de pessoas em todo o mundo. Essa infecção é altamente prevalente entre os indivíduos com doença renal crônica (DRC). Os objetivos deste estudo foram estimar a prevalência da infecção pelo vírus da hepatite C nos pacientes em hemodiálise do Estado do Tocantins, analisar os fatores de risco associados à infecção pelo HCV e caracterizar os genótipos circulantes nesta população. O estudo foi conduzido em 394 pacientes que estavam em tratamento nos centros de hemodiálise do Estado do Tocantins, de outubro de 2014 a fevereiro de 2015. Os pacientes foram entrevistados sobre características sociodemográficas e fatores de risco para a infecção pelo HCV e amostras de sangue foram coletadas. Todas as amostras foram testadas para detecção de anticorpos específicos (antiHCV), por meio do ensaio imunoenzimático (ELISA). As amostras anti-HCV reagentes foram submetidas à detecção do RNA viral pela reação em cadeia pela polimerase por transcrição reversa (RT-PCR) e genotipadas pelo método line probe assay (LiPA). A prevalência da infecção pelo HCV em pacientes em tratamento hemodialítico foi de 2,8% (IC 95%: 1,47-5,09). O RNA viral foi detectado em duas, das 11 amostras anti-HCV positivas, e identificado o genótipo 1, subtipo 1a nestas amostras. O tempo de tratamento dos pacientes soropositivos foi em média 105,91 meses, e dos negativos de 61,23 meses. Na análise univariada, antecedentes de prisão e história de infecções sexualmente transmissíveis (IST) foram estatisticamente associados à infecção pelo HCV. Após análise multivariada, somente IST permaneceu associada. Os resultados deste estudo mostraram uma redução significativa da infecção pelo HCV nos centros de hemodiálise do Estado do Tocantins, mas a prevalência encontrada (2,8%) é quase o dobro da verificada na população geral do Brasil (1,38%). Portanto, estratégias de controle e prevenção da hepatite C em pacientes em hemodiálise são importantes para prevenir essa infecção dentro do ambiente dialítico.Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-11-30T17:00:29Z No. of bitstreams: 2 Dissertação - Valéria Maciel Cordeiro - 2015.pdf: 2898371 bytes, checksum: bc056e412813de8d558bc6d88fb95848 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-12-04T10:43:48Z (GMT) No. of bitstreams: 2 Dissertação - Valéria Maciel Cordeiro - 2015.pdf: 2898371 bytes, checksum: bc056e412813de8d558bc6d88fb95848 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-12-04T10:43:48Z (GMT). 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dc.title.eng.fl_str_mv |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
dc.title.alternative.eng.fl_str_mv |
Prevalence of hepatitis C virus infection in hemodialysis patients in the State of Tocantins |
title |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
spellingShingle |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins Cordeiro, Valéria Maciel Hepatite C Hemodiálise Tocantins Hepatitis C Hemodialysis Tocantins CIENCIAS BIOLOGICAS::MICROBIOLOGIA |
title_short |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
title_full |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
title_fullStr |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
title_full_unstemmed |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
title_sort |
Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins |
author |
Cordeiro, Valéria Maciel |
author_facet |
Cordeiro, Valéria Maciel |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Carneiro, Megmar Aparecida dos Santos |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8398563469665169 |
dc.contributor.referee1.fl_str_mv |
Carneiro, Megmar Aparecida dos Santos |
dc.contributor.referee1Lattes.fl_str_mv |
: http://lattes.cnpq.br/8398563469665169 |
dc.contributor.referee2.fl_str_mv |
Martins, Regina Maria Bringel |
dc.contributor.referee3.fl_str_mv |
Fiacadori, Fabíola |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5828040952356339 |
dc.contributor.author.fl_str_mv |
Cordeiro, Valéria Maciel |
contributor_str_mv |
Carneiro, Megmar Aparecida dos Santos Carneiro, Megmar Aparecida dos Santos Martins, Regina Maria Bringel Fiacadori, Fabíola |
dc.subject.por.fl_str_mv |
Hepatite C Hemodiálise Tocantins |
topic |
Hepatite C Hemodiálise Tocantins Hepatitis C Hemodialysis Tocantins CIENCIAS BIOLOGICAS::MICROBIOLOGIA |
dc.subject.eng.fl_str_mv |
Hepatitis C Hemodialysis Tocantins |
dc.subject.cnpq.fl_str_mv |
CIENCIAS BIOLOGICAS::MICROBIOLOGIA |
description |
The infection of hepatitis C virus (HCV) is a major public health problem that affects 130-150 million people, chronically, worldwide. HCV infection is highly prevalent among individuals with chronic reanl disease (CKD). The objectives of this study were estimate the prevalence of the infection with hepatitis C in hemodialysis patients of the State of Tocantins, analyze the risk factors associated with HCV infection and characterize circulating genotypes in this population. The study was conducted in 394 patients who were being treated in the hemodialysis centers of the State of Tocantins, from October 2014 to February 2015. The patients were interviewed, the questions were about sociodemographic characteristics and risk factors for HCV infection and blood samples were collected. All samples were tested for antibodies to HCV (anti-HCV) by means of enzyme-linked immunosorbent assay (ELISA). The anti-HCV reagents samples were submitted to the detection of viral RNA by reverse transcription polymerase chain reaction (RT_PCR) and genotyped by line probe assay method (LiPA). The prevalence of HCV infection in hemodialysis patients was 2.8% (95% CI: 1.47 to 5.09). The viral RNA was detected in two of the eleven anti-HCV positive samples and identified the genotype 1, subtype 1a in these samples. The treatment time of seropositive patients was on average 105.19 months, and the negatives of 61.23 months. In univariate analysis, prison records and history of sexually transmitted disease were significantly associated with HCV infection. After the multivariate analysis, only the history of STDs remained associated. The results of this study showed a significant reduction of HCV infection in hemodialysis centers of the State of Tocantins, but the prevalence that was found (2.8%) is almost double that seen in the general population of Brazil (1.38%). Therefore, control strategies and prevention of hepatitis C in hemodialysis patients are extremely important to prevent that infection in the sector of dialysis. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-12-11 |
dc.date.accessioned.fl_str_mv |
2017-12-04T10:43:48Z |
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dc.identifier.citation.fl_str_mv |
CORDEIRO, V. M. Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins. 2015. 80 f. Dissertação (Mestrado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2015. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8009 |
identifier_str_mv |
CORDEIRO, V. M. Prevalência da infecção pelo vírus da hepatite C em hemodialisados no Estado do Tocantins. 2015. 80 f. Dissertação (Mestrado em Medicina Tropical e Saúde Publica) - Universidade Federal de Goiás, Goiânia, 2015. |
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http://repositorio.bc.ufg.br/tede/handle/tede/8009 |
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por |
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por |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Universidade Federal de Goiás |
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UFG |
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Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG) |
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Universidade Federal de Goiás |
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