PREVALENCE OF HEPATITIS ‘B’ AND ‘C’ IN ORTHOPAEDICS PATIENTS AT AYUB TEACHING HOSPITAL ABBOTTABAD

Authors

  • Muhammad Shoaib Khan
  • Muhammad Jamil
  • Sakhi Jan
  • Shoaib Zardad
  • Shahid Sultan
  • Ahmed Sohail Sahibzada

Abstract

Background: Hepatitis B and C is a common global health problem and is spreading rapidly indeveloping countries due to lack of health education, poverty and illiteracy. Both of these infectionscan be transmitted through blood or body fluids, tattooing, through infected instruments, unsafeshave by barbers and sexual contact. Medical personnel are most exposed to these infections. Thereshould be proper preventive measures to prevent its spread in the community. Methods: This is adescriptive study carried out from July 2003 to July 2004 on 1630 patients admitted in thedepartment of Orthopaedics Ayub Teaching Hospital Abbottabad. Patients of either sex, of all agesundergoing surgery were included in the study. All patients underwent screening for Hepatitis-B andHepatitis-C and confirmed by Elisa method in positive patients. Results: Out of 1630 patients 1205(73.92%) were male and 425 (26.07%) were female. Hepatitis B and C was present in 84 (5.15%)patients. Out of 84 infected patients 51 (3.12%) were suffering from hepatitis C and 33 (2.02%) weresuffering from hepatitis B. In 2 (0.12%) patients both hepatitis B and C infections were present. Outof 51 hepatitis C patients, 33 (64.71%) were male and 18 (35.29%) were female. Out of 33 hepatitisB patients, 28 (84.85%) were male and 5 (15.15%) were female patients. Among the predisposingfactors previous history of surgery was positive in 18 (21.43%) patients, history of blood transfusionin 13 (15.47%) patients, dental procedure was in 7 (8.33%) patients, and abroad visit in 4 (4.76%)patients. Conclusion: The prevalence of hepatitis B and C in orthopaedic patients is quite high withthe common risk factors: previous history of surgery or blood transfusion. Therefore, all patientswhich need surgery should be routinely screened for hepatitis B & C to prevent transmission to otherpatients, medical staff. There should be separate operation theatres facilities for these patients. Thereshould be policy by the Government for protection of medical personnel who are exposed to thesepatients and there should be compensation for those who get infected with these infections duringtheir service otherwise the medical personnel especially surgeons will hesitate doing surgeries onhepatitis B and C infected patients.Key Words: Prevalence, Hepatitis B, Hepatitis C, Orthopaedic patients

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