Prevalence of hepatitis B and C among patients of chronic renal failure on hemodialysis, and role of appropriate screening test, in Sheikh Zayed Medical College/Hospital, Rahim Yar Khan

ABSTRACT

To determine prevalence of hepatitis-B and C among patients of CKD on hemodialysis in Sheikh Zayed hospital Rahim Yar khan and assess screening methodology for hepatitis-B and C before hemodialysis in this tertiary care hospital. This descriptive study conducted at the hemodialysis section of Sheikh Zayed Hospital, Rahim Yar Khan from January 2008 to December 2008. All the patients of chronic renal failure who were admitted in medical ward either from OPD, Emergency or from private clinic of consultants they were all screened for hepatitis-B and C by kit method using technique after getting consent for testing during 2008. A total of 190 patients were screened, all patients were re-evaluated for hepatitis-B and C detection on three months basis along with liver enzymes. Among 190 patients 82.6% belongs to RYK while only 17.4% are from other areas. Out of 190 patients 127 were males and 63 were females. And 45% were between the age of 30 to 50 years. 25% were above 50 years of age while 27% were below 30 years. Only one patient was above 80 year. Out of 190 patients 74.7% [142] were BC-ye. 18.9% [36] were c+ve. 5.8% [11] were B+ve. And only 0.5% [01] patient was BC+ve. Hepatitis-B and C detection should be repeated on six month interval along with liver enzyme as CRF patients are more exposed to Hepatitis-B and C. This study gives good idea about proper prevention in these patients where prognosis become more poor when CRF is superadded with B and C infections