1.Community Health Department, University Alioune Diop of Bambey, Bambey City, Senegal
2.Army Health Service, Camp Dial Diop Dakar, Senegal
3.Faculty of Health Sciences, Gaston Berger University, Saint-Louis, Senegal
4.Public Health Department, Cheikh Anta Diop University, Dakar, Senegal
5.WHO Mali
*: socef@who.int (IS Fall),
纸质出版:2014-12
Scan QR Code
HBsAg seroprevalence among Senegalese militaries[J]. MMR, 2014,1(4):203-207.
Ndiaye et al.: HBsAg seroprevalence among Senegalese militaries. Mil Med Res 2014
Background:
2
Chronic hepatitis is a major public health problem. The hepatitis B virus is the primary cause
and Hepatitis B and C together are responsible for 60% of cirrhosis and 80% of hepatocellular carcinomas. This study measured the prevalence of HBsAg among Senegalese military to develop a strategy to prevent cirrhosis and hepatocellular carcinoma in the army.
Methods:
2
We conducted a descriptive cross-sectional study among Senegalese army staff aged 25 to 60 years and divided this group into three strata: 25-34
35-44 and 45-60 years. A sample of 1224 participants was selected following a two-level stratification. The mark of surface HBs antigen (Ag) was performed on 1195 participants using chemiluminescence (qualitative Architect HBs Ag of Abbott Diagnostics Laboratories Germany) and enzyme immunoassay (Determines HBsAg) methods. The presence of HBsAg was analyzed according to age
marital status
alcohol consumption and glomerular filtration rate. Epi-info6 and R software were used
respectively
for data capture and analyses. A Chi-square test was performed to compare proportions considering an alpha significance level of 5% and a confidence interval of 95%.
Results:
2
The average age was 39.8±9.2 years. Participants in the age groups of 25-34 years
45-60 years and 35-44 years were 30.7%
34.4% and 34.9% of the sample
respectively. Married persons accounted for 82.6% of participants
and 17.08% were single. Most participants were educated (99%)
and 56% had reached at least the secondary school level. Alcohol consumption was at 11.5%. The HBsAg prevalence rate was 10.8% [9.1% to 12.7%] with a significant difference between age groups (P<0.001)
which ranged from 5.6% for 45-60 years
9.62% in the 25-34 years group and 16.9% for the 35-44 years group. Marital status and alcohol consumption did not affect the carriage of HBsAg. The prevalence of HBsAg was more common among participants who had a glomerular filtration rate greater than 90 ml/min. Transaminases rate exceeded the normal threshold in 43 participants (3.6%). The increase was 6.6% [2.7% to 11.8%] of HBsAg carriers and 3.2% [1.2% to 6.7%] of alcohol users.
Conclusion:
2
The high prevalence of HBsAg in the military requires the implementation of an accessible prevention and care program to reduce the risk of cirrhosis and hepatocellular carcinoma. This program will contribute to reducing the burden of communicable diseases
such as hepatitis and HIV/AIDS
and non-communicable diseases in the armed forces.
Lemoine M , Nayagam S , Thursz M : Viral hepatitis in resource-limited countries and access to antiviral therapies . Future Virol 2013 , 8 : 371 - 380 .
Jemal A , Bray F , Forman D , O'Brien M , Ferlay J , Center M , Parkin DM : Cancer burden in Africa and opportunities for prevention . Cancer 2012 , 118 : 4372 - 4384 .
Zanetti AR , Van Damme P , Shouval D : The global impact of vaccination against hepatitis B: a historical overview . Vaccine 2008 , 26 : 6266 - 6273 .
Allain JP , Candotti D , Soldan K , Sarkodie F , Phelps B , Giachetti C , Shyamala V , Yeboah F , Anokwa M , Owusu-Ofori S , Opare-Sem O : The risk of hepatitis B virus infection by transfusion in Kumasi, Ghana . Blood 2003 , 101 : 2419 - 2425 .
Global status report on noncommunicable diseases 2010 . Geneva , WHO , 2011 . Available at: http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf . Accessed on 03 May 2013 .
Lemoine M , Nayagam S , Thursz M : Viral hepatitis in resource-limited countries and access to antiviral therapies: current and future challenges . Future Virol 2013 , 8 : 371 - 380 .
Lavanchy D : Evolving epidemiology of hepatitis C virus . Clin Microbiol Infect 2011 , 17 : 107 - 115 .
Ferlay J , Shin HR , Bray F , Forman D , Mathers C , Parkin DM : Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008 . Int J Cancer 2010 , 127 : 2893 - 2917 .
WHO . Hepatitis B www.who.int/csr/disease/hepatitis/HepatitisB_whocdscsrlyo 2002_2. pdf www.who.int/csr/disease/hepatitis/HepatitisB_whocdscsrlyo 2002_2. pdf . Accessed 11 January 2013 .
UN Development Program . www.hdr.undp.org/en/statistics www.hdr.undp.org/en/statistics . Accessed 12 October 2012 .
International Agency for Research on Cancer . GLOBOCAN factsheet 2008 . http://globocan.iarc.fr http://globocan.iarc.fr . Accessed 11 January 2013 .
WHO . Prevention and control of viral hepatitis infection: framework for global action . www.who.int/csr/disease/hepatitis/GHP_framework.pdf www.who.int/csr/disease/hepatitis/GHP_framework.pdf . Accessed 2 September 2012 .
El-Serag HB : Epidemiology of viral hepatitis and hepatocellular carcinoma . Gastroenterology 2012 , 142 : 1264 - 1273 .
de Martel C , Ferlay J , Franceschi S , Vignat J , Bray F , Forman D , Plummer M : Global burden of cancers attributable to infections in 2008: a review and synthetic analysis . Lancet Oncol 2012 , 13 : 607 - 615 .
Lo G , Diawara PS , Diouf NN , Faye B , Seck MC , Sow K , Sarre SM , Ndiaye HD , Toure Kane NC , Mboup S : Prévalence de l’antigène de surface du virus de l’hépatite B (AgHBs) chez les femmes enceintes au laboratoire de l’Hôpital Militaire de Ouakam (HMO), Dakar . Médecine d’Afrique Noire 2012 , 59 : 241 - 244 .
World Health Organization . Instrument STEPS de l’OMS pour la surveillance des facteurs de risque des maladies chroniques(STEPS) . www.who.int/chp/steps www.who.int/chp/steps .
Cockcroft DW , Gault MH : Prediction of creatinine clearance from serum creatinine . Nephron 1976 , 16 : 31 - 41 .
National Kidney Foundation : K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification . Am J Kidney Dis 2002 , 39 : S1 - S266 .
Agence Nationale d’Accréditation et d’Évaluation en Santé . Diagnostic de l’insuffisance rénale chronique chez l’adulte. Recommandations pour la pratique clinique . Paris : ANAES 2002 , 124 .
Kiire CF : The epidemiology and prophylaxis of hepatitis B in sud-saharan Africa: a review from tropical and subtropical Africa . Gut 1996 , 38 : S5 - S12 .
Uneke CJ , Ogbu O , Inyama PU , Anyanwu GI , Njoku MO , Idoko JH : Prevalence of hepatitis-B surface antigen among blood donors and human immunodeficiency virus-infected patients in Jos, Nigeria . Mem Inst Oswaldo Cruz 2005 , 100 : 13 - 16 .
Hodges M , Sanders E , Aitken C : Seroprevalence of hepatitis markers: HAV, HBV, HCV, and HBV amongst primary school children in Freetown Sierra Leone . West Afr J Med 1998 , 17 : 36 - 37 .
Programme National de lutte contre les hépatites (PNLH) . Ministère de la Santé et de l’action sociale, Sénégal . www.hépatites.sn/index.php www.hépatites.sn/index.php . Accessed 23 September 2014 .
Lo G , Diouf NN , Sow-Sall A , Ndiaye-Diop H , Diawara PS , Faye B , Seck MC , Mbengue AS , Ndiaye-Sow K , Thiam M , Sarre SM , Touré-Kane C , Mboup S : Prévalence de l’antigène de surface du virus de l’hépatite B au laboratoire de l’hôpital militaire de Ouakam entre 2006 et 2010 . Médecine d’Afrique Noire 2014 , 61 : 87 - 93 .
Rapport national de surveillance combinée VIH/sida dans les Armées. Ministère de la santé et de la prévention . CNLS Sénégal 2006 , 1 : 194 .
Diouf ML , Diouf B , Niang A , Ka EH , Pouye A , Seck A , Raphenon G , Moreira-Diop T : Prevalence of hepatitis B and C viruses in a chronic hemodialysis center in Dakar . Dakar Med 2000 , 45 : 1 - 4 .
Huang JF , Chuang WL , Dai CY , Ho CK , Hwang SJ , Chen SC , Lin ZY , Wang LY , Chang WY , Yu ML : Viral hepatitis and proteinuria in an area endemic for hepatitis B and C infections: another chain of link? J Intern Med 2006 , 260 : 255 - 262 .
Mocroft A , Neuhaus J , Peters L , Ryom L , Bickel M , Grint D , Koirala J , Szymczak A , Lundgren J , Ross MJ , Wyatt CM , Insight Smart Study Group , Esprit Study Group : Hepatitis B and C co-infection are independent predictors of progressive kidney disease in HIV-positive, antiretroviral-treated adults . PLoS One 2012 , 7 : e40245 . doi: 10.1371/journal.pone.0040245 http://doi.org/10.1371/journal.pone.0040245 .
Lee JJ , Lin MY , Yang YH , Lu SN , Chen HC , Hwang SJ : Association of hepatitis C and B virus infection with CKD in an endemic area in Taiwan: a cross-sectional study . Am J Kidney Dis 2010 , 56 : 23 - 31 .
Lai KN , Li PK , Lui SF , Au TC , Tam JS , Tong KL , Lai FM : Membranous nephropathy related to hepatitis B virus in adults . N Engl J Med 1991 , 324 : 1457 - 1463 .
George E , Nadkarni GN , Estrella MM , Lucas GM , Sperati CJ , Atta MG , Fine DM : The impact of hepatitis C coinfection on kidney disease related to human immunodeficiency virus (HIV): a biopsy study . Medicine (Baltimore) 2011 , 90 : 289 - 295 .
0
浏览量
9
Downloads
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621