Hepatitis Type A and Hemodialysis

作者: WOLF SZMUNESS

DOI: 10.7326/0003-4819-87-1-8

关键词: Internal medicineHemodialysisHepatitis AHepatitisSeroepidemiologic StudiesHepatitis BPrevalenceMedicineDialysisBlood transfusionImmunologyGeneral Medicine

摘要: Four hundred sixty patients and staff from 15 U.S. dialysis centers were surveyed by the immune adherence hemagglutination technique for antibody to hepatitis A antigen (anti-HA). The age-standardized anti-HA prevalence was 42.9% in 42.1% staff. These rates are almost identical those of socioeconomically comparable urban volunteer blood donors never exposed settings. There no correlation between prevalences duration treatment or employment. Among 100 followed 1 year 92% 94% did not change their status. subjects with past histories multiple transfusions accidental inoculations blood-contaminated instruments without such histories. We conclude that virus rarely if every spreads parenteral mechanisms, there is epidemiologic evidence confirming existence chronic viremic carrier states, hemodialysis does play a significant role spread type hepatitis.

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