FREQUENCY OF HEPATITIS B, C AND HIV INFECTIONS IN PATIENTS UNDERGOING ELECTIVE GYANAECOLOGICAL SURGERY
Keywords:
Hepatitis B, Immunochromatography method, ELISA, HIV AbAbstract
Objective: To find the frequency of Hepatitis B,C and HIV infection in patients undergoing Elective Gyanaecological
surgery.
Introduction: In our community, the surgical equipment’s are usually contaminated and at times blood transfusions are
improperly screened. It results in the spread of not only viral hepatitis but HIV infection as well.. This study was carried
out to find the frequency of HBV, HCV and HIV in patients undergoing elective gynae surgery.
Methods: This study was conducted at Gynae department of Khyber Teaching Hospital Peshawar. Over a period of
six months (July 2013 to Dec, 2013) a total of 100 patients were studied. In their pre-operative work up, viral screening
included tests for HBsAg, Anti HCV and Anti HIV antibodies. Immune-chromatography (ICT) method was used for initial
screening while ELISA and Westonblot tests were used as confirmatory tools.
Results: Total 100 patient were studied. Out of these 10(10%) were HBs Ag +ve and 5 cases (5%) were HCV Ab +ve.
Only one patient (1%) was HIV Ab +ve. Ear piercing was present in all cases. Blood transfusion and dental surgery for
HBV were 8%,3% respectively (5%,2% for HCV respectively). The risk factor for HIV infection could not be ascertained
(probably it was via sexual route).
Conclusion: The frequencies of HBV and HCV infections are increasing in our female patients. Similarly HIV infection
is also not uncommon. Beside HBV and HCV, the screening for HIV antibodies should also be included in the routine
work up of pre-operative patients.
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