Reporting the Undiagnosed Cases of Hepatitis B and Hepatitis C Viruses among Patients Undergoing Elective Eye Surgery in a Specialized Eye Hospital in Egypt

Dahab, Ahmed A.; Youssef, Mohamed M.; Eid, Hany Mohamed; Elsadi, Khaled W

doi:10.1155/2019/3985865

Cited by 5 publications

(3 citation statements)

References 9 publications

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“…In this study, we described the HCV status and risk factors associated with anti-HCV antibodies among 500 patients admitted to the internal medicine and surgery Ain Shams hospitals in Cairo, Egypt, as well as among 50 HCWs from these two hospitals. We found a 19.80% prevalence of HCV antibodies among participating patients, which is high compared to available estimates among hospital patients from other countries that are typically below 5% [ 16 – 21 ], but in accordance with the previously observed high prevalence of HCV among Egyptian hospital patients [ 14 , 22 ]. In participating HCWs, we found a lower prevalence of 8.0%, although this is again higher than estimates from other countries [ 23 – 28 ].…”

Section: Discussionsupporting

confidence: 89%

Hepatitis C virus infection and risk factors among patients and health-care workers of Ain Shams University hospitals, Cairo, Egypt

et al. 2021

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Background Hospitals are suspected of playing a key role in HCV epidemic dynamics in Egypt. This work aimed at assessing HCV prevalence and associated risk factors in patients and health-care workers (HCWs) of Ain Shams University (ASU) hospitals in Cairo. Methods We included 500 patients admitted to the internal medicine or surgery hospital from February to July, 2017, as well as 50 HCWs working in these same hospitals. Participants were screened for anti-HCV antibodies and HCV RNA. A questionnaire was administered to collect data on demographic characteristics and medical/surgical history. For HCWs, questions on occupational exposures and infection control practices were also included. Results The overall prevalence of anti-HCV antibodies was 19.80% (95% CI: 16.54–23.52) among participating patients, and 8.00% (95% CI: 0.48–15.52) among participating HCWs. In HCWs, the only risk factors significantly associated with anti-HCV antibodies were age and profession, with higher prevalence in older HCWs and those working as cleaners or porters. In patients, in a multivariate logistic regression, age over 50 (aOR: 3.4 [1.9–5.8]), living outside Cairo (aOR: 2.1 [1.2–3.4]), admission for liver or gastro-intestinal complaints (aOR: 4.2 [1.8–9.9]), and history of receiving parenteral anti-schistosomiasis treatment (aOR: 2.7 [1.2–5.9]) were found associated with anti-HCV antibodies. Conclusions While HCV prevalence among patients has decreased since the last survey performed within ASU hospitals in 2008, it is still significantly higher than in the general population. These results may help better control further HCV spread within healthcare settings in Egypt by identifying at-risk patient profiles upon admission.

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Section: Discussionsupporting

confidence: 89%

Hepatitis C virus infection and risk factors among patients and health-care workers of Ain Shams University hospitals, Cairo, Egypt

et al. 2021

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“…(12) Lower anti-HCV prevalence of 12.4% was reported in a cross-section study conducted on patients admitted for elective eye surgery in a specialized eye hospital in Cairo. (14) The percentage of anti-HCV positivity was significantly higher among old aged HCWs than younger HCWs (17.3% vs 6.6%, respectively). Older HCWs had approximately 3-fold higher risk for anti-HCV positivity (OR=2.951, p=0.029).…”

Section: Discussionmentioning

confidence: 85%

Hepatitis C among Hospital Personnel and Patients at a General Hospital in Kafr Elsheikh Governorate, Egypt

Brakat¹,

Bakr

Hashish

et al. 2021

Journal of High Institute of Public Health

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Background: To fight against hepatitis C virus (HCV) epidemic in Egypt, it is crucial to understand the actual HCV situation. Hospitals have been accused as being an epicenter for sustained HCV spread in Egypt. Health care workers (HCWs) as well as patients admitted to hospitals are at special risk of acquiring HCV infection compared to the general population. Aim: To compare between the occurrence of hepatitis C in hospital personnel and patients at a general hospital in Kafr Elsheikh Governorate with reference to associated risk factors among both groups. Methods: This cross-sectional study was conducted from January through December 2018 on 203 hospital personnel and 197 patients admitted to Desouk General Hospital in Kafr Elsheikh Governorate, Egypt. A questionnaire for socio-demographic characteristics and HCV risk factors was filled for each participant. For HCWs, questions on occupational exposure were added. A blood sample was withdrawn from each participant to be tested for anti-HCV by enzyme-linked immunosorbent assay (ELISA) test. Results:The occurrence of anti-HCV among patients was significantly higher than among hospital personnel (18.8% vs 9.4%). Old age, low level of education, rural residence and living in bad housing conditions were significantly associated with anti-HCV positivity among both hospital personnel and patients. However, other parameters as male sex, insufficient income, illicit drug use (IDU), hemodialysis, blood transfusion, hospital admission and receiving any drug by injection or infusion were significant risk parameters for anti-HCV positivity among patients only. Conclusion:The occurrence of HCV in Egypt was substantially high among studied patients. Thus, continuous monitoring and screening of Egyptians are recommended especially after the implementation of the initiative of 100 Million Healthy Lives for HCV control.

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“…13 The prevalence of Anti-HCV positivity was found to be 12.4% in Egypt which included 3067 patients who applied for elective eye surgery. [14][15][16] In a report from India; Anti-HCV seropositivity was found in 11 patients (0.1%) in the preoperative screenings of 7316 patients before elective cataract surgery. 17 These rates from the middle-east region are similar to the values we obtained in our study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of anti-HCV seroprevalence of patients who underwent cataract surgery and other ophthalmic procedures

ÖZGÜR,

MUTLU YILMAZ

2023

Anatolian Current Medical Journal

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Aims: The aim of this study is to evaluate the Anti-HCV seroprevalence in patients who underwent cataract surgery and to compare the prevalence with other ophthalmic surgery procedures. Methods: Patients who underwent ophthalmic surgeries between January 2017 and January 2023 and were preoperatively screened for anti-HCV by ELISA test were included in this study. Patients who underwent cataract surgery formed the study group and other patients were compared as the control group. All data were obtained from the database of the institute and were retrospectively evaluated. Results: A total of 15799 cases were included in the study, and 69.9% had cataracts whereas 30.1% had non-cataract surgery. The mean age of the patients was 63.24±16.04 years. The rate of Anti-HCV seropositive patients was 0.48% (n=53) in the cataract surgery group, and 0.42% (n=20) in those who had non-cataract surgery. However, the difference was not statistically significant (p=0.696). The overall rate of Anti-HCV seropositive cases was %0.46. Conclusion: Even though there was no significant difference between the two groups, the Anti-HCV was positive for almost 1 in 200 ophthalmic procedures. We strongly recommend preoperative screening due to the severity of HCV infection and the risk of surgical transmission.

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Reporting the Undiagnosed Cases of Hepatitis B and Hepatitis C Viruses among Patients Undergoing Elective Eye Surgery in a Specialized Eye Hospital in Egypt

Cited by 5 publications

References 9 publications

Hepatitis C virus infection and risk factors among patients and health-care workers of Ain Shams University hospitals, Cairo, Egypt

Hepatitis C virus infection and risk factors among patients and health-care workers of Ain Shams University hospitals, Cairo, Egypt

Hepatitis C among Hospital Personnel and Patients at a General Hospital in Kafr Elsheikh Governorate, Egypt

Comparison of anti-HCV seroprevalence of patients who underwent cataract surgery and other ophthalmic procedures

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