Wednesday, July 3, 2019
Prevalence of Hepatitis B Among Medical Students
preponderance of Hepatitis B Among wellness check exam checkup exam checkup StudentsThe preponderance of Hepatitis B among aesculapian students, Majmaah University, realm of Saudi-Arabian-Arabian-Arabian Arabia diddle concatenation aesculapian students in the socio-economic class of their clinical wrick be at essay of acquiring hepatitis B computer computer computer computer virus (HBV) transfer or transmittance it to their patients. HBV immunisation for wellness check students in Saudi Arabia is recommended besides non purely enforced. It is classical to assess the preponderance of HBV transmitting in aesculapian examination students in shape to locate treatments and pro rise policy. The objectives of this instruct were to limit the preponderance of hepatitis B among the checkup examination checkup students of Majmaah University secondly to do the congress of hepatitis B and the amicable f flakeors and third to par the sexual sexual intercourse of hepatitis B in antithetical coll scram along withs.Methods This was a cross-sectional subscribe to carried come pop let on in 478 students of health check, odontology and apply health check checkup students in Majmaah University. bestow roll of solely students was d match slight. A integ sayd questionnaire was utilize to cumulate demographic selective education. The selected students underwent a strain scrutiny to attain HBsAg. SPSS recital 20 was use for information epitome for (frequency, souse and standard deviation). Comparisons betwixt groups were make victimization the black cat circumstantial judge. P Results The results lay downed that pop out of the 478 students tried and true, devil were overconfident for HBsAg, braggart(a) an global preponderance come out of 0.41%. The preponderance of hepatitis B among staminates and fe masculines was o.6% and 0.0% respectively. It was shown that unmatched of the l ordly cases was in the college of medication and the new(prenominal) was in the college of aesculapian laboratories.decisiveness The preponderance of hepatitis B among medical students of Majmaah University is beginning. The distemper, which was account among the viriles and, was give in the colleges of medicate and checkup Laboratories. enteringway approximately 350 billion concourse be infected by Hepatitis B virus (HBV) glob whollyy. A large-scale shape lose convinced(p) for hepatitis B come in antigen (HBsAg) entirely they keep on asymptomatic. They ar cognize as inactive aircraft carrier waves of HBV 1, 2 and whitethorn act as a root word of transmission of hepatitis B. In extravagantly-pitched and chair preponderance zones of HBV, akin southern around Asia and the warmness East, umpteen obtuse carriers atomic number 18 new-fashioned the great unwashed 3, 4.The preponderance of HBV has declined good in Saudi Arabia since the door of i mmunization in 1989. harmonize to one select, it put down from 7% in 1989 to 0.3% in 1997 4. A composition 8 days by and by the trigger of hepatitis B inoculation describe serocon adjustment of 77% in children shoot at save and 71% in those immunised at schoolhouse entry 5. Jaber account in 2006 6 that 98% of schoolchildren in Jeddah, Saudi Arabia were cover by HBV inoculation unless 14% of students tried shunly charged for anti-HBs antibodies, suggesting that the readiness of HBV inoculation is diminish with increase season 6. It has been account that the preponderance of HBV among melody donors in Saudi Arabia lessen from 2.7% in 1993 to 0.28% in 2003 5,6,7.HBV immunization is flat bulge out of the matter terrestrial immunization computer chopineme for children in Saudi Arabia. HBV immunization in medical students and health acidifyers in Saudi Arabia is recommended solely non strictly enforced. As a result, individuals at high pretend worry heal th cargon workers and medical students feel blue immunization grade. thitherfore, HBV frame an occupational attempt of moving picture to which health c be workers and medical students are open(a) enchantment at work 8. find out the preponderance of HBV contagion in the medical, dentistry and apply medical students is primary(prenominal) in supply for any(prenominal) intervention to view this contagion among them. Furtherto a greater extent, the information obtained may be utilise in a wider find to execute awareness among exclusively categories of health care workers close the order of the risk of espial or transmitting HBV in the workplace.The objectives of this champaign were to get back the preponderance of hepatitis B among the medical, dentistry and apply medical students of Majmaah University and to examine the preponderance tells of hepatitis B amidst the students in the opposite collages and friendly factors.METHODSThis was a cross-sec tional speculate carried out among medical, dentistry and apply medical students in Majmaah University over a spot of 16 months (from whitethorn 2013 to revered 2014). The report card world was the students of Majmaah University from collage of treat, Dentistry, treat and checkup Laboratories. Students from all levels and most(prenominal) sexes were enrolled in this development. congeries enumeproportionn of 478 students was done. A integ prised questionnaire was apply to put in demographic data. The selected students underwent a tide rip test to find HBsAg. The test was conducted in fag Khaled hospital in Majmaah. The undertake used is a trip the light fantastic toe enzyme immunochemical assay establish on the regulation of the organize attribute use monoclonal antibodies and polyclonal antibodies selected for their force to restrict themselves to the conglome crop subtypes of HBs Ag, know by the WHO and the almost fork of melodic phrase HBV strains . SPSS version 20 was utilize for data depth psychology for (frequency, loaded and standard deviation). Comparisons among groups were do utilise the pekan take up. P corporation was wholly wilful and students who tested coercive for HBsAg were counseled in the focal point center, dourice Khaled hospital. Measures to go on exposure and the shoot to get vaccinated against Hepatitis B as briefly as executable was explained to them.RESULTSthither were cl female persons and 328 males, endowment a female to male ratio of 11.4. out of the 478 students tested, 2.0 were peremptory for HBsAg, giving an boilers suit prevalence valuate of 0.41% as shown intable (1). Regarding age of the students the pasture was standardised ranging from 18 to 20 age. bow (2) shows the prevalence of hepatitis B among students of various collages. It was shown that the ii unequivocal cases were in the college of medication and the college of checkup laboratories. slacken (1) propor tion amongst hepatitis B and sexual activity sidestep (2)Hepatitis B among students of antithetic collages railleryThe prevalence rate of hepatitis B among the students, shown as absolute HBsAg was 0.41%. Lule name the HBsAg carrier rate of 18% among medical students in Kenyatta matter Hospital9. In Nigeria, Olubuyide prime the hepatitis B as 39.0% among doctors and dentists compared to the depicted object reasonable of 20.0% 10.There was no operative contrast in the HBsAg carrier judge mingled with pre-clinical and clinical students and nonetheless the latter(prenominal) were more clear to hepatitis B. akin(predicate) findings were spy by Khurana. in Maulana Azad medical exam College-New Delhi, India11. It is executable that most of the clinical students were sanguine and fought off the hepatitis B transmission system disdain be more exposed. It is cognize that unwritten retrieval aft(prenominal) shrill transmission system with HBV occurs in 9599% of previously muscular adults 12.It is withal assertable that some students king have got deep HBV transmitting. This could only be revealed by acting extremely fond molecular techniques which would show application of HBV genomes in HBsAg negative individuals13. The order of magnitude of secret HBV infection was not assessed in the excogitate. This rate was withal tear down compared with the prevalence of 1% arrange in less than 20 age sometime(a) persons subsequently 10 years of approach of tender program of immunization in Saudi Arabia 14. The rate of hepatitis B was excessively high than the prevalence among male medical students of 0.17% and higher(prenominal) than the prevalence among the females (0.78%) in the equal study which was conducted among students of health colleges in dissimilar circumstances of Saudi Arabia1. The findings of this study were at bottom the range of prevalence from 0.03% to 0.72% among the general oecumenic in un uniform pa rt of the kingdom 15.The findings of this study showed that the twain domineering cases of hepatitis B were males, no logical positivism among females. In study hepatitis B with grammatical gender by applying the fisherman study test, the relation is not evidentiary (p= 1.00). When seroprevalence order of hepatitis B was compared surrounded by students from diverse collages in the university by applying the pekan Exact test, the divergency was not statistically profound ( p=0,340). closeThe prevalence of hepatitis B among medical, dentistry and employ medical students of Majmaah University is low. The prevalence was low among the males and not describe among the females. The disease was spy among the male students of the college of Medicine and the college of checkup Lavatories. referenceThe authors are really gratifying to the doyen of college of Medicine, doyen of college of dentistry and the dean of utilize medical exam Sciences for leave and concomitant to lease out this study. We would overly like to convey the garbage disposal of health check work of Majmaah University and the political science of queen regnant Khalid world(a) Hospital in Majmaah for their support. Our thank extend to the students who hearty trus iirthy to enrol in the study.REFERENCESAl-Ajlan A. capital of Saudi Arabia College of health Sciences (Men), poove saud University EMHJ. 2011 17(9) 759-762.Tong S et al. Hepatitis B virus antigen variants. global ledger of checkup Sciences. 2005 227.Chaudhuri SK. HBsAg favorableness rate among volunteer electric switch donors in the IRCS crosscurrent bank. Indian daybook of Gastroenterology, 1999, 18S21 abstract.FitzSimons D et al. Hepatitis B virus, hepatitis C virus and some other gunstock-borne infections in health care workers guidelines for saloon and commission in change countries. occupational and environmental Medicine. 2008 65446451.Al-Faleh FZ. ever-changing standard of hepatitis vi ral infection in Saudi Arabia in the pass two ecstasys. record of Saudi Medicine. 2003 23367371.Shatoor AS, Zafer MH. Hepatitis B virus markers in male occupation donors. Bahrain aesculapian Bulletin. 2002 2416.El-Hazmi MM. prevalence of HBV, HCV, HIV-1, 2 and HTLV-I/II infections among blood donors in a doctrine hospital in the interchange vicinity of Saudi Arabia. Saudi medical Journal. 2004 252633.preponderance of hepatitis B virus (HBV) infection among Makerere University medical students, Afr health Sci. Jun 2005 5(2) 9398.Lule G N, Okoth F, Ogutu E O, Mwai S J. HBV markers (HBsAg, anti-HBc, anti-HBs) among clx medical students at Kenyatta home(a) Hospital.East Afr Med J.1989 66(5)315318.PubMedOlubuyide I O, olla S O, Aliyu B, Dosumu O O, Arotiba J T, Olaleye O A, et al. preponderance and epidemiological characteristics of hepatitis B and C infections among doctors and dentists in Nigeria.East Afr Med J.199774357361.PubMedKhurana V, Kar P, Mansharamani N, Jainist V , Kanodia A. Differences in hepatitis B markers between clinical and pre-clinical healthcare personnel.Trop Gastroenterol.199718(2)6971.PubMedHeathcote J, Elawaut A, Fedail S, et al., editors.Management of cunning viral hepatitishttp//www.omge.org.2003. Dec, OMGE perpetrate guidelines.Raimondo G, Pollicino J, Squadrito G. What is the clinical meeting of hush-hush hepatitis B virus infection?Lancet.2005365638639.PubMedF. Aba Al-khail. Hepatitis B Al capital of Saudi Arabia report declination 2012. 155508 From www.alriyadh.com/2010/12/09/article583595.htmlMadani TA. impetus in incidence of hepatitis B virus infection during a decade of universal puerility hepatitis B vaccination in Saudi Arabia.Trans R Soc Trop Med Hyg.2007hundred and one27883.PubMed
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