Chinese Journal of Blood Purification ›› 2013, Vol. 12 ›› Issue (11): 617-620.doi: 10.3969/j.issn.1671-4091.2013.11.00

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The risk factors of maintenance hemodialysis patients with hepatitis C virus infection

  

  • Received:2013-06-27 Revised:2013-08-23 Online:2013-11-12 Published:2013-11-12

Abstract: [Abstract] Objective The aim was to investigate the incidence of hepatitis C virus infection among hemodialysis patients and find out the related risk factors. Methods We take 183 patients who are treated in our hemodialysis center over 3 months as the object of study and collect the information to analyze. Results 19 patients(10.38%) have infection in our center. Positive anti-HCV antibody was found in 13 patients, and HCV-RNA was found in 19 patients. Univariate analysis of the 2 groups indicated that the HCV infention was associated with more times of allopatric hemodialysis, longer duration on hemodialysis, total times on hemodialysis, dialyzer reuse, history of hepatitis B (P<0.05 ). Logistic analysis indicated that allopatric hemodialysis(OR=1.060,95%CI=1.019~1.103,P=0.004)and infection of HBV(OR=3.816,95%CI=1.119~13.009,P=0.032)were the independent risk factors of HCV infection. Conclusion Maintenance hemodialysis patients are high-risk groups of HCV infection. Adopting strict isolation and comprehensive measures(establish the specialzed rooms for HCV positive patients and HCV negative patients with separated machines, proper P/N ratio, avoid from sharing the same intravenous drug and reusing dialyzer, reducing allopatric hemodialysis)can reduce the HCV infection rate among hemodialysis patients.

Key words: Maintenance hemodialysis, Infection of Hepatitis C virus, Risk factors