Kalp cerrahisi hastalarýnda Hepatit B, Hepatit C ve insan immün yetmezlik virüsü seroprevalansý
Yazýþma Adresi, Yrd Doç, Kemalettin Erdem, Abant Ýzzet, Baysal Üniversitesi, Týp Fakültesi, Kalp Ve, Damar Cerrahisi, Kemalettin Erdem, Tekin Taþ, Yaþar Tekelioðlu, Onursal Buðra
(+26 others)
unpublished
Özet Amaç: Kalp Damar Cerrahisi kliniðimize baþvuran ve açýk kalp cerrahisi uygulanan hastalarda Hepatit B yüzey antijeni (HBsAg), Hepatit C antikorlarý (antiHCV) ve Ýnsan immun yetmezlik virüs antikorlarý (antiHIV) seroprevalansýnýn araþtýrýlmasý amaçlanmýþtýr. Materyal ve Metot: Kalp Damar Cerrahisi kliniðimizde Ekim 2006-Ocak 2012 tarihleri arasýnda elektif ya da acil açýk kalp cerrahisi uygulanan 480 hastanýn kayýtlarý hasta dosyalarý üzerinden HBsAg, antiHCV ve antiHIV açýsýndan
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... f olarak deðerlendirildi. Toplanan verilerin istatistiksel olarak deðerlendirilmesi SPSS (15.0) programýnda student t testi ve Ki-kare testi kullanýlarak yapýldý. Bulgular: Çalýþmaya alýnan 480 hastanýn 320 (%66,7)'si erkek, 160 (%33,3)'ý kadýndý. Erkeklerin yaþ ortalamasý 61±11, kadýnlarýn 59±14 idi. Beþ (%1) hastada HBsAg pozitif olarak bulundu. antiHCV pozitif 6 (%1.2) hasta tespit edildi. Hiçbir hastada antiHIV pozitifliðine rastlanmadý. Kadýn ve erkek hastalar arasýnda HBsAg, antiHCV, antiHIV seropozitiflikleri açýsýndan istatistiksel olarak anlamlý bir fark saptanmadý (sýrasýyla p=0.547, p=0.186, p=0,975, p=1.00 ve p=0.082). Sonuç: Abant Ýzzet Baysal Üniversitesi Saðlýk Araþtýrma ve Uygulama Hastanesi'nde açýk kalp ameliyatý yapýlan hastalarda HBV seroprevelansý genel populasyondan daha düþük, HCV seroprevalansý genel populasyonla aynýyken, antiHIV seropozitifliðine rastlanmamýþtýr. Abstract The Hepatitis B, Hepatitis C and human immunodeficiency virus seroprevalence of cardiac surgery patients Background: It is aimed to investigate the seroprevalence of HBsAg, antiHCV and antiHIV of patients undergoing open heart surgery in our cardiovascular surgery clinic. Methods: The medical records of 480 patients who underwent elective or emergency open heart surgery between October 2006-January 2012 in our clinic were retrospectively evaluated in terms of HBsAg, antiHCV and antiHIV. Statistical analysis of collected data was performed by using the SPSS software (15.0) with Student's t test and chi-square test. Results: Of the 480 patients included in the study, 320 (66.7%) were male and 160 (33.3%) were female. The mean age of men was 61±11 and the mean age of women was 59±14. Five (1%) patients were positive for HBsAg and 6 (1.2%) patients were positive for antiHCV. None of the patients had antiHIV positivity. No statistically significant difference was found between the male and female patients in terms of HBsAg, antiHBs, antiHCV, and antiHIV seropositivities (p = 0.547, p = 0.186, p = 0.975, p = 1.00 and p = 0.082, respectively). Conclusion: The seroprevalence of HBV was found to be lower, and the seroprevalence of HCV was found to be similar in comparison to the general population in patients undergoing open heart surgery in Abant Izzet Baysal University Hospital of Health Research and Practice and no antiHIV seropositivity was detected.
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