Hepatitis a seropositivity and characteristics among healthcare workers in a training and research hospital in Istanbul

Year 2016, Volume: 3 Issue: 8, 296 - 300, 15.08.2016

Ayse Tekin , Ahmet Melih Sahin , Cem Basmaci Nuray Uzun Kes Emine Sonmez

https://doi.org/10.17546/msd.72369

Abstract

Objective: In this study, we investigated the relationship between the socioeconomic status, living conditions, life span, working life timeand the seropositivity of HEPATITIS A Virus (HAV) infection among our hospital staff members.

Material and Methods: Anti-HAV IgG  testing of randomly selected 167 healthcare workers were examined in 2012-2013. All participants answered on a questionnaire consisting questions on transmission routes and socioeconomic status.

Results: Overall HAV seropositivity was found to be %43.1 among healthcare workers with a mean age of 33.4for subjects with positive results and 27.4 years with negative results. Observed risk factors for seropositivity were the life span, professional working life time, life time in Istanbul, history of living in rural areas and frequent toilet usage outside of the house (p < 0.05).  The factors that are inversely associated with seropositivity were educational level of parents, being born in Aegean-Mediterranean region, bottled water share in drinking water consumption and being a physician (p < 0.05).

Conclusion: HAV infections  contniue to be a serious problem.Vaccination must be considered for seronegative healthcare workers and the public.

Keywords

Hepatitis A Virus, Health Care Workers; Risk Factors; Prevalence; Seroepidemiologic Studies; Turkey

Hepatitis a seropositivity and characteristics among healthcare workers in a training and research hospital in Istanbul

Abstract

References

• WHO, Global analysis and assesment of sanitation and drinking water (GLAAS):The challenge of extending and sustaining services. 2012 ISBN:9789241503365. http://apps.who.int/iris/bitstream/10665/44849/1/9789241503365_eng.pdf?ua=1
• Tosun S. Hepatit A virüs enfeksiyonu, “Tabak F, Tosun S (eds). Viral Hepatit”, p.215-46, Viral Hepatitle Savaşım Derneği Yayını, İstanbul Medikal Yayıncılık, İstanbul (2013).
• Sidal M, Unuvar E, Oğuz F, Cihan C, Onel D, Badur S. Age-specific seroepidemiology of hepatitis A, B and E infections among children in İstanbul, Turkey. Eur J Epidemiol 2001;17(2):141-144.
• Aldenizli C, Çavuşlu Ş, Altunay H, Özsoy MF, Yüksel D, Badur S, et al. İstanbul’da A ve E hepatitlerin seroprevalansı. Viral Hepatit Dergisi 1998(1):31-36.
• Mıstık R. Türkiye’de viral hepatit epidemiyolojisi - Yayınların irdelenmesi, “Tabak F, Balık İ, Tekeli E (eds). Viral Hepatit”, p.9-50, Viral Hepatitle Savaşım Derneği Yayını, İstanbul Medikal Yayıncılık, İstanbul (2007).
• Mıstık R, Balık İ: Türkiye’de viral hepatitlerin epidemiyolojik analizi. Ed:Tekeli E, Balık İ:Viral Hepatit 2003. Roche, İstanbul 2003;9-56.
• Dökmetaş İ. HAV Enfeksiyonunun epidemiyolojisi - Yayınların irdelenmesi, “Tabak F, Balık İ, Tekeli E (eds). Viral Hepatit”, p.51-61, Viral Hepatitle Savaşım Derneği Yayını, İstanbul Medikal Yayıncılık, İstanbul (2007).
• Koçdoğan FY, İstanbul’da farklı yaş gruplarında Hepatit A prevalansı ve sosyo-ekonomik faktörlerle ilişkisi. Uzmanlık Tezi. Haydarpaşa EAH, 2006, İstanbul.
• Öncü S, Öztürk B, Aydemir M, Öncü S, Sakarya S. Sağlık çalışanları ve öğrencilerinde Anti HAV IgG prevalansı. Viral Hepatit Dergisi 2004(3):162-165.
• Kanra G, Tezcan S, Badur S; Turkish National Study Team: Hepatitis A seroprevalence in a random sample of the Turkish population by simultaneous EPI cluster and comparison with surveys in Turkey. Turk J Pediatr 2002;44(3):204-210.
• Akbulut A: HAV İnfeksiyonu. Ed: Tekeli E, Balık İ: Viral Hepatit 2003. Roche, İstanbul, 2003;57-84
• Özkınay F, Kurugöl Z, Koturoglu G ve ark. İzmir’de farklı yaş gruplarında hepatit A prevalansı ve sosyoekonomik faktörlerle ilişkisi. Adana II. Ulusal Çocuk İnfeksiyon Hastalıkları Kongresi Kongre kitabı 2001, Adana: 50-52.
• Mehr AJ, Ardakani MJ, Hedayati M, Shahraz S, Mehr EJ, Zali MR : Age spesific seroprevalence of hepatitis A infection among children visited in pediatric hospitals of Tehran, Iran. Eur J Epidemiol 2004;19(3):275-278.
• Fix AD, Martin OS, Gallicchio L, Vial PA, Lagos R: Age-specific prevalence of antibodies to hepatitis A in Santiago, Chile; risk factors and shift in age of infection among children and young adults. Am J Trop Med Hyg 2002;66(5):628-632.
• Erdogan MS, Oktun M, Tatman-Otkun M, Akata F, Ture M: The epidemiology of hepatitis A virus infection in children, in Edirne, Turkey. Eur J Epidemiol 2004;19(3):267-73.
• Dominguez A, Bruguera M, Plans P, Espuñes J, Costa J, Plasencia A, et al. Declining hepatitis A seroprevalence in adults in Catalonia(Spain): a population- based study. BMC Infectious Diseases 2007;7:73
• Atabek ME, Fındık D, Gulyuz A, Erkul I: Prevalence of anti-HAV and anti HEV antibodies in Konya, Turkey. Health Policy 2004;67(3): 265-269.