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Seroprevalence and Predictors of Hepatitis B Virus Infection among Pregnant Women Attending Routine Antenatal Care in Arba Minch Hospital South Ethiopia

机译:埃塞俄比亚南部阿尔巴明奇医院接受常规产前检查的孕妇的血清阳性率和乙肝病毒感染的预测因素

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摘要

Hepatitis B virus (HBV) is a serious cause of liver disease affecting millions of people throughout the world. When HBV is acquired during pregnancy, prenatal transmission can occur to the fetus. Therefore, this study is aimed at estimating seroprevalence and associated factors of HBV infection among pregnant women attending Antenatal Clinic (ANC) of Arba Minch Hospital, Southern Ethiopia. A facility based cross-sectional study was conducted on 232 pregnant women visiting ANC from February to April, 2015. Data regarding sociodemographic and associated factors were gathered using questionnaire. Serum samples were tested for hepatitis B surface antigen (HBsAg) by Enzyme Linked Immunosorbent Assay. Data was analyzed using SPSS version 20. The overall seroprevalence of HBV infection was 4.3% (95% CI: 2.2–6.9%). Multivariate analysis showed that history of abortion (AOR = 7.775; 95% CI: 1.538–39.301) and having multiple sexual partners (AOR = 7.189; 95% CI: 1.039–49.755) were independent predictors of HBsAg seropositivity. In conclusion, the prevalence of HBV infection is intermediate. Therefore, screening HBV infection should be routine part of ANC; health information on having single sexual partner for women of childbearing age and on following aseptic techniques during abortion should be provided to health facilities working on abortion.
机译:乙型肝炎病毒(HBV)是引起全世界数百万人的肝脏疾病的严重原因。在怀孕期间获得HBV时,胎儿会发生产前传播。因此,本研究旨在评估埃塞俄比亚南部Arba Minch医院产前诊所(ANC)孕妇的血清阳性率和HBV感染相关因素。 2015年2月至4月,对232名访问ANC的孕妇进行了基于设施的横断面研究。使用问卷调查收集了有关社会人口统计学和相关因素的数据。通过酶联免疫吸附试验检测血清样本的乙型肝炎表面抗原(HBsAg)。使用SPSS 20版对数据进行了分析。HBV感染的总体血清阳性率为4.3%(95%CI:2.2–6.9%)。多变量分析表明,流产史(AOR = 7.775; 95%CI:1.538–39.301)和有多个性伴侣(AOR = 7.189; 95%CI:1.039–49.755)是HBsAg血清阳性的独立预测因子。总之,HBV感染的患病率处于中等水平。因此,筛查HBV感染应成为ANC的常规部分。应向从事人工流产的医疗机构提供有关育龄妇女单身伴侣和人工流产时遵循无菌技术的健康信息。

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