Alkol ve uyuşturucu madde bağımlıları tedavi merkezinde hepatit ve HIV enfeksiyonlarının taranması

Amaç: HBsAg, anti HCV ve anti HIV pozitifliğinin, bir Alkol ve Uyuşturucu Madde Bağımlıları Tedavi Merkezi'nde (AMATEM) tedavi edilen hastalarda, bir çok risk faktörüne sahip olmaları nedeniyle daha yüksek olması beklenebilir. Bu çalışmada, hastanede yatan hastalarda bu serolojik belirteçlerin taranması amaçlandı.Gereç ve Yöntem: Çalışmaya 2016 yılında Bursa AMATEM ünitesinde yatarak tedavi gören alkol, intravenöz veya intravenöz olmayan madde bağımlılığı öyküsü olan toplam 434 hasta dahil edildi. Hasta dosyaları geriye dönük olarak HBsAg, anti HCV, anti HIV pozitifliği ve demografik özellikler açısından tarandıBulgular: Çalışmaya alınan 434 hastanın ortalama yaşları 31,95 ± 11,42 yıl, HbsAg ve anti HCV pozitifliği ise sırasıyla % 2,8 ve % 1,4 idi. Hastaların hiçbirinde HIV pozitifliği saptanmadı. Hastaların% 59,2'sinde ailede uyuşturucu kullanımı öyküsü vardı. Sonuç: Hepatit B veya hepatit C prevalansının, 9-12 yaş aralığında madde kullanmaya başlayanlarda veya evsiz, sosyal destek almayan ve yalnız yaşayan hastalarda yüksek olduğu bulundu. Bu enfeksiyonların AMATEM’de taranması halk sağlığı açısından önemli olup bu hastalıkların önlenmesini ve tedavisini sağlayacaktır.

Anahtar Kelimeler:

Bağımlılık, HBV, HCV, HIV

Screening of hepatitis and HIV infections in an alcohol and drug addiction treatment center

Purpose: Positivity of HBsAg, anti HCV, and anti HIV can expected to be higher in patients treated in an Alcohol and Drug Addiction Treatment Center (ADATC) as they have many risk factors. In this study, screening of these serologic markers in hospitalised patients was aimed.Material and Methods: A total of 434 patients with a history of alcohol, injecting or noninjecting drug abuse who received treatment in Bursa ADATC unit in 2016 were included in the study. Patient’s files were retrospectively screened for HBsAg, anti HCV, anti HIV positivity and demographic features. Results: Of the 434 patients included in the study with a mean age of 31.95 ± 11.42 years. HbsAg and anti HCV positivity were 2.8%, and 1.4% respectively. None of the patients had HIV positivity. 59.2% of the patients had a family history of drug use. Conclusion: It was found that the prevalence of hepatitis B or hepatitis C was higher in the patients who had begun drug use in 9-12 age range, or in the patients who were homeless, who had no social support and living alone. Screening of these infections in ADATC is important for public health which will provide prevention and treatment of these diseases.

Keywords:

Addiction, HBV, HCV, HIV,

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