© Viral Hepatit Dergisi, Ga le nos Ya y› ne vi ta ra f›n dan ba s›l m›fl t›r. / Viral Hepatitis Journal, pub lis hed by Ga le nos Pub lis hing.
ABS TRACTObjective: Hepatitis A is the most common form of acute viral hepatitis in the world. Hepatitis E virus (HEV) clinical presentations range from asymptomatic infection to fulminant hepatitis which is frequently seen in pregnant women. The aim of this study is to determine the prevalence of hepatitis A and E transmitted fecal oral in adult population admitted to the hospital. Materials and Methods: It were retrospectively evaluated to test results of the patients admitted to the hospital for various reasons and requested to anti-HAV IgG and anti-HAV IgM, anti-HEV IgG and anti-HEV IgM assay between January December. It was studied by Advia Centaur XP Bayer-Siemens (Germany). Results: It was found as %85.2 (3310/3887) to Anti-HAV IgG seropositivity, %0.51 (20/3887) to Anti-HAV IgM seropositivity, %6.7 (18/270) Anti-HEV IgG seropositivity, %0.7 (2/270) Anti-HEV IgM seropositivity. HAV seropositive patients was admitted 42% to infectious diseases, 22.4% to internal medicine, 25.8 % to other internal branchs, 3.4% to general surgery, 4.5% other surgical branches and 1,9% to emergency service, respectively. HEV seropositive patients was admitted 39% to infectious diseases, 33% to general surgery, 17% to gastroenterology clinics, respectively. Conclusion: In this study was found to Anti-HAV IgG seropositivity was lower than the average of our country and Anti-HEV IgG seropositivity average country in adults. Protection from infection which transmitted fecal-oral rout, especially the beginning of HEV infections; cause of high mortality in pregnant, training, sanitation precautions and environmental hygiene must be actually considered.
GirişHepatit A virus (HAV) ve Hepatit E virus (HEV) primer olarak fekal oral yolla bulaşırlar (1). Virus kontamine gıda ve sular veya süt alımı sonrası kolayca bulaşabilmektedir (2). HAV, HEV'e göre daha dayanıklı olmakla birlikte dezenfektanlara ve ısıya karşı dirençli olduğundan bulaşıcılığı yüksektir. Her iki virus da genellikle akut, kişinin kendisiyle sınırlı, uzun süreli taşıyıcılık oluşturmayan enfeksiyonlara neden olurlar (1). Taşıyıcılık söz konusu olmamasına rağmen enfekte bireylerin dışkısında altı aydan uzun süreyle virus bulunabilmesi, uygunsuz sanitasyon koşullarında enfeksiyonun yayılmasında en önemli kaynağı oluşturmaktadır (3).