Yıl: 2010 Cilt: 21 Sayı: 4 Sayfa Aralığı: 396 - 400 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Transmission routes of chronic hepatitis C and their relation to HCV genotypes

Öz:
Amaç: Kronik hepatit C'li hastalarda hepatit C virusunun bulaş yolları araştırılmış ve virusun genotipleri ile bulaş yolları arasındaki ilişki incelenmiştir. Yöntem ve Gereç: Genotipleme,revers hibridizasyon, Line Probe assay, yöntemi ile gerçekleştirilmiştir. Bulgular: 108 HCV RNA pozitif hastada, dört farklı genotip ve bazı mix genotipler saptanmıştır.1b genotipi en yaygın genotip olarak bulunmuştur (n=82) Hastaların altısının 1a, altısının 3a, dördünün 2a/2c, üçünün 2a, birinin 4c/4d genotipinde oldu¤u belirlenmiştir. Altı hastada, üçü genotip 1a+1b, ikisi genotip 1b+4a, biri ise genotip 1b+2a şeklinde, mikst genotip saptanmıştır.Altı hastada mikst genotip belirlenmiştir. Bunların üçü 1a+1b, ikisi 1b+4a, biri de 1b+2a/2c genotipinde saptanmıştır. Bütün hasta gruplarında en yaygın genotip 1b idi.108 hastanın %38.8'inde kan ve kan ürünleri transfüzyonu, %16.6'sında cerrahi girişim, %15.7'sinde diş tedavisi ve %12.9'unda diyaliz öyküsü mevcuttu. Sonuç: Kan donörlerinde rutin kan testleri yaptırmaları zorunlu olmadan önce, HCV infeksiyonunun en yaygın bulaşma yolu kan transfüzyonu ile olmaktaydı. Çalışmamızda,dövme, piercing, iatrojenik infeksiyonlar ve damar içi ilaç kullanımı gibi, bulaş açısından risk faktörlerinin hiçbiri bu hastalarda kaydedilmemiştir. Cerrahi işlem öyküsü bulunan hastalarda en yaygın genotip 1b saptanmıştır. Tüm hasta populasyonunda genotip 1b %75.9 oranında saptanmıştır.
Anahtar Kelime:

Konular: Cerrahi

Kronik hepatit C virus infeksiyonlu hastalarda infeksiyon kaynakları ile hepatit C virus genotipleri arasındaki ilişki

Öz:
Background/aims: Hepatitis C virus transmission routes in chronic hepatitis C patients, the relationship between the viral genotype and the transmission routes were studied. Material and Methods: Genotyping was performed by using a commercial reverse hybridization method, Line Probe Assay. Results: Genotyping of 108 HCV RNA positive patients revealed four different types (1,2,3, and 4) and some mixed types. Subtype 1b was the most common (n=82). Subtype 1a and 3a were detected in six patients, 2a/2c was detected in seven patients, and 4c/4d was detected in one patient respectively. Six subjects revealed mixed infections. Three of them were 1a+1b, two of them were 1b+4a, and one of them was 1b+2a/2c.Genotype 1b was most common in all groups.In 38,8% of the 108 patients with a history of blood or blood product transfusions,16,6% of patients with a history of surgery, 15,7% of patients had an anamnesis of dental treatment and, 12,9% of patients receiving dialysis. Conclusion: Before the routine screening of blood donor practices became mandatory, the most common route of HCV infection was blood transfusions. The other risk factors of transmission such as tattoos, piercings, iatrogenic infections and intravenous drug usage have not been recorded for any of these patients in our study. The patient with a history of surgery had the genotype 1b as the most common genotype. The genotype 1b was determined in 75,9% of the whole patient population of the study.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Germer JJ, Rys PN, Thorvilson JN, Persing D. Determination of hepatitis C virus genotype by direct sequence analysis of products generated with the amplicon HCV test. J Clin Microbiol 1999; 37: 2625-30.
  • 2. Kurbanov F, Tanaka Y, Suqauchi F, et al. Hepatitis C virus molecular epidemiology in Uzbekistan. J Med Virol 2003; 69: 4367-75.
  • 3. Osella AR, Misciagna G, Guerra V, et al. Hepatitis C virus genotypes and risk of cirrhosis in Southern Italy. Clin Infect Dis 2001; 33: 70-5.
  • 4. Zali MR, Mayumi M, Raoufi M, Nowroozi A. Hepatitis C virus genotypes in the Islamic Republic of Iran: a preliminary study. East Med Health J 2000; 6: 372-7.
  • 5. Halfon P. HCV genotypes, classification, genotyping, epidemiology and clinical relevance. Clin Lab 2002; 2: 26-8.
  • 6. Turkoglu S. Hepatit C virusu. Viroloji, Seroloji. Viral Hepatit 2003. Viral Hepatitle Savasim Dernegi 2003; 186-98.
  • 7. Zein NN. Clinical significance of hepatitis C virus genotypes. Clin Microbiol Rev 2000; 13: 223-35.
  • 8. Zoulim F, Chevallier M, Maynard M, Trepo C. Clinical consequences of hepatitis C virus infection. Rev Med Virol 2003; 13: 57-68.
  • 9. Boom R, Sol CJA, Salimans MMM, et al. Rapid and simple method for purification of nucleic acids. J Clin Microbiol 1990; 28: 495-503.
  • 10. Azzario F, Ribero ML, Donato F, et al. Risk factors for acquiring HCV infection among donors. 8th International Symposium on Hepatitis C Virus & Related Viruses (Abstract) 2001; 294.
  • 11. Pawlotsky JM, Tsakiris L, Raudof-Thoravel F, et al. Relationship between hepatitis C virus genotypes and sources of infection in patients with chronic hepatitis C. J Infect Dis 1995; 171: 1607-10.
  • 12. Bronowicki JP, Venard V, Botte C, et al. Patient-to-patient transmission of hepatitis C virus during colonoscopy. N Engl J Med 1997; 337: 237-40.
  • 13. Duckworth GJ, Heptonstall J, Aitken C, for the Incident Control Team and others. Transmission of hepatitis C virus from a surgeon to a patient. Common Dis Public Health 1999; 2: 188-92.
  • 14. Esteban JI, Gomez J, Martell M, et al. Transmission of hepatitis C virus by a cardiac surgeon. N Engl J Med 1996; 334: 555-60.
  • 15. Allender T, Gruber A, Naghavi M, et al. Frequent patientto-patient transmission of hepatitis C virus in a haematology ward. Lancet 1995; 345: 603-7.
  • 16. Yildiz E, Oztan A, Sar F, et al. Molecular characterization of a full genome Turkish hepatitis C virus 1b isolate (HCVTR1): a predominant viral form in Turkey. Virus Genes 2002; 25: 169-77.
  • 17. Pujol FH, Devesa M, Loureiro CL, et al. Turnover of hepatitis C virus genotypes in hemodialysis patients. Arch Virol 1998; 143: 823-7.
  • 18. Shneeberger PM, Keur I, Van Loon AM, et al. The prevalence and incidence of hepatitis C virus infections among dialysis patients in the Netherlands: a nationwide prospective study. J Infect Dis 2000; 182: 1291-9.
  • 19. Benani A, Benjelloun S, Bourguia A, et al. HCV genotypes in chronically infected, cirrhotics, hemodialysed and hemophiliac Moroccan patients. 8th International Symposium on Hepatitis C Virus & Related Viruses (Abstract) 2001; 294.
  • 20. Terrault NA. Sexual activity as a risk factor for hepatitis C. Hepatol 2002; 36 (Suppl): 99-105.
  • 21. Wejstal R. Sexual transmission of hepatitis C virus. J Hepatol 1999; 31 (Suppl): 92-5.
  • 22. Medeiros-Filho JE, Mello IMVGC, Pinho JRR, et al. Evidence of intrafamilial transmission of hepatitis C virus: analysis of relatives and spouses of hepatitis C virus patients. 8th International Symposium on Hepatitis C Virus & Related Viruses (Abstract) 2001; 297.
  • 23. Ross RS, Viazov S, Renzing-Köhler K, Roggendorf M. Changes in the epidemiology of hepatitis C infection in Germany: shift in the predominance of hepatitis C subtypes. J Med Virol 2000; 60: 122-5.
  • 24. Cakaloglu Y. Hepatit C virus infeksiyonu, epidemiyolojipatogenez-klinik tedavi. In: Kilicturgay K, ed. Viral Hepatit 94. Viral Hepatitle Savasim Dernegi 1994; 191-235.
  • 25. Tumminelli F, Marcellin P, Rizzo S, et al. Shaving as potential source of hepatitis C virus infection. Lancet 1995; 345: 658.
  • 26. Bozdayi AM, Aslan N, Bozdayi G, et al. Molecular epidemiology of hepatitis B, C and D viruses in Turkish patients. Arch Virol 2004; 149(11): 2115-29. Epub 2004 Jul 15.
APA KESKİN F, ÇİFTÇİ S, TÜRKOĞLU S, Badur s (2010). Transmission routes of chronic hepatitis C and their relation to HCV genotypes. , 396 - 400.
Chicago KESKİN Fehriye,ÇİFTÇİ SEVGİ,TÜRKOĞLU Salih,Badur selim Transmission routes of chronic hepatitis C and their relation to HCV genotypes. (2010): 396 - 400.
MLA KESKİN Fehriye,ÇİFTÇİ SEVGİ,TÜRKOĞLU Salih,Badur selim Transmission routes of chronic hepatitis C and their relation to HCV genotypes. , 2010, ss.396 - 400.
AMA KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s Transmission routes of chronic hepatitis C and their relation to HCV genotypes. . 2010; 396 - 400.
Vancouver KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s Transmission routes of chronic hepatitis C and their relation to HCV genotypes. . 2010; 396 - 400.
IEEE KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s "Transmission routes of chronic hepatitis C and their relation to HCV genotypes." , ss.396 - 400, 2010.
ISNAD KESKİN, Fehriye vd. "Transmission routes of chronic hepatitis C and their relation to HCV genotypes". (2010), 396-400.
APA KESKİN F, ÇİFTÇİ S, TÜRKOĞLU S, Badur s (2010). Transmission routes of chronic hepatitis C and their relation to HCV genotypes. Turkish Journal of Gastroenterology, 21(4), 396 - 400.
Chicago KESKİN Fehriye,ÇİFTÇİ SEVGİ,TÜRKOĞLU Salih,Badur selim Transmission routes of chronic hepatitis C and their relation to HCV genotypes. Turkish Journal of Gastroenterology 21, no.4 (2010): 396 - 400.
MLA KESKİN Fehriye,ÇİFTÇİ SEVGİ,TÜRKOĞLU Salih,Badur selim Transmission routes of chronic hepatitis C and their relation to HCV genotypes. Turkish Journal of Gastroenterology, vol.21, no.4, 2010, ss.396 - 400.
AMA KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s Transmission routes of chronic hepatitis C and their relation to HCV genotypes. Turkish Journal of Gastroenterology. 2010; 21(4): 396 - 400.
Vancouver KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s Transmission routes of chronic hepatitis C and their relation to HCV genotypes. Turkish Journal of Gastroenterology. 2010; 21(4): 396 - 400.
IEEE KESKİN F,ÇİFTÇİ S,TÜRKOĞLU S,Badur s "Transmission routes of chronic hepatitis C and their relation to HCV genotypes." Turkish Journal of Gastroenterology, 21, ss.396 - 400, 2010.
ISNAD KESKİN, Fehriye vd. "Transmission routes of chronic hepatitis C and their relation to HCV genotypes". Turkish Journal of Gastroenterology 21/4 (2010), 396-400.