摘要
AIM: To describe the risk profile of patients in hospita with hepatitis C virus (HCV) infection in Poland. METHOD: Using a structured questionnaire, all patients with confirmed HCV infection were interviewed about the risk factors. RESULTS: Among the 250 patients studied, transfusion before 1993 was the primary risk factor in 26%, intravenous drug use setting in 9% and occupational exposure in health-care in 9%. Women were more likely to have a history of occupational exposure or transfusion before 1993 and less likely to undergo minor surgery. Known nosocomial risk factors (transfusion before 1993, dialysis) were responsible for 27% of infections, probable nosocomial factors (transfusions after 1992, minor surgery) for 14% and further 9% were occupationally acquired infections. CONCLUSION: A careful history investigation can identify a known or probable risk factor for HCV acquisition in 59% of patients with HCV infection. Preventive activities in Poland should focus on infection control measures in health-care setting.
瞄准: 与丙肝在医院里描述病人的风险侧面在波兰的病毒(HCV ) 感染。方法:用一张结构化的问询表,有证实的 HCV 感染的所有病人关于风险因素被会见。结果:在学习的 250 个病人之中,在 1993 前的输送是在 26% 的主要风险因素,在 9% 的静脉内的药使用背景和在在 9% 的保健的职业暴露。女人们是更可能的在 1993 前并且不太多半有职业暴露或输送的历史经历次要的外科。已知的医院的风险因素(在 1993 前的输送,分离) 为 27% 感染负责,可能的医院的因素(在 1992 以后的输送,次要的外科) 为 14% 并且进一步, 9% 是职业结盟获得的感染。结论:小心的历史调查能识别一知道或为在有 HCV 感染的 59% 病人的 HCV 获得的可能的风险因素。在波兰的预防活动应该在保健设定集中于感染控制措施。
基金
Supported by the grant from the Medical University of Bialystok,Poland,No.3-56876L