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Somali'de Bulunan “Mogadişu Türkiye Recep Tayyip Erdoğan Eğitim ve Araştırma Hastanesi” Kliniklerine Başvuran Hastalarda Hepatit B ve Hepatit C Virüs Enfeksiyonu Seroprevalansının Retrospektif Olarak Değerlendirilmesi

Amaç: Somali Mogadişu'daki Türk hastanesine başvuranların hepatit B ve hepatit C seroloji bulgularını değerlendirmeyi ve mevcut prevalansının belirlenmesi. Gereç ve Yöntemler: Hastaların demografik bulguları ve hepatit test sonuçları (HBsAg, anti-HBs antikoru ve anti-HCV) dosyalarından geriye dönük olarak kaydedildi. Bulgular: Çalışmamıza yaş ortalaması 34 (31/61) yıl olan 75.903 (%49,8) erkek ve 76.363 (%50,2) kadın olmak üzere toplam 152.266 hasta dahil edildi. Anti-HCV için test edilen 67.749 hastanın 1.278'i (%1,9) pozitif bulundu. 27.208 hastanın (%32,2) HBV için doğal veya aşı bağışıklığı geliştirdiği bulundu. Anti-HCV (+) olanların genel olarak 55 yaşından büyük, HBsAg (+) olanların ise genellikle 55 yaşından küçük olduğu [OR: 6,02 (5,28-6,87): %95, CI] bulundu. Sonuç: Çalışmamızda Somali popülasyonunda HBsAg ve anti-HCV seroprevalansının (sırasıyla %8,2 ve %1,9) halen istenilen seviyelerin üzerinde olduğu söylenebilir. Anti-Hbs antikor düzeylerinin %32,2 düzeyinde olması, aşılama programlarının geliştirilmesinin ve yaygınlaştırılmasının önemini vurgulamaktadır.

Anahtar Kelimeler:

HBV, HCV, Seroprevalans, Somali

Evaluation and Comparison of the Seroprevalence of Hepatitis B and Hepatitis C Virus Infection in Patients Admitted to Clinics at the “Mogadishu, Turkey Recep Tayyip Erdogan Training and Research Hospital” in Somalia

Objective: To evaluate hepatitis B and hepatitis C serology findings and to determine the current prevalence of those who had applied to the Turkish hospital in Mogadishu, Somalia. Material and Method: The demographic findings and hepatitis test results (HBsAg, antiHBs antibody, and anti-HCV) of the patients were recorded retrospectively from their files. Results: A total of 152,266 patients, 75,903 (49.8%) male and 76,363 (50.2%) female, with a mean age of 34 (31/61) years, were included in our study. 1,278 (1.9%) of 67,749 patients who were tested for anti-HCV were found to be positive. 27,208 patients (32.2%) were found to have developed natural or vaccine immunity for HBV. It was found that those with anti-HCV (+) were generally older than 55 years and that those with HBsAg (+) were generally younger than 55 years [OR: 6.02 (5.28-6.87): 95%, CI]. Conclusion: In our study, it can be said that HBsAg and anti-HCV seroprevalence (8.2% and 1.9%, respectively) in the Somalia population is still above desired levels. The fact that anti-Hbs antibody levels are at 32.2% underscores the importance of the development and popularization of vaccination programs.

Keywords:

HBV, HCV, Seroprevalence, Somali,

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