RESUMO
According with Romanian public health surveillance system, the acute viral hepatitis is nominal reportable disease for what hospital admission is compulsory (Ord. MS 638/1978 and Ord. MS 386/1985); that why, for this condition controlling purpose, only the hospital admitted cases are reported. The acute viral hepatitis statistics do not reflect the morbidity in general population but in hospitalized population; these statistics are very dependent if ill people are hospitalized or not, and in the same time by the lack possibilities of laboratory diagnosis. The objective's study were: a) to describe the structure of laboratory-based diagnostics (using ELISA kits), b) to compare this one with diagnostics established for admitted ill people in infectious wards or clinics, using electroimmunodiffusion (EID) test. The most important findings reveal that from a total of 121 cases about three quarters has been identified as type B viral hepatitis, 20% as type A viral hepatitis and 8.3% were neither type A nor type B viral hepatitis (ELISA kits for hepatitis C diagnosis there was not available for us). According with our findings we think EID technique as etiologic diagnosis for acute viral hepatitis, have to be changed. We need instead a more sensitive and timeliness test; in the same time this has to be permissive from the financial point of view.
Assuntos
Anticorpos Anti-Hepatite/sangue , Antígenos de Hepatite/sangue , Hepatite Viral Humana/diagnóstico , Hospitalização , Doença Aguda , Adolescente , Adulto , Biomarcadores/sangue , Criança , Ensaio de Imunoadsorção Enzimática , Hepatite Viral Humana/epidemiologia , Humanos , Immunoblotting , Prevalência , Romênia/epidemiologia , Estudos SoroepidemiológicosAssuntos
Síndrome da Imunodeficiência Adquirida/economia , Infecções por HIV/economia , HIV-1 , Problemas Sociais/economia , Síndrome da Imunodeficiência Adquirida/epidemiologia , Adulto , Criança , Custos e Análise de Custo , Infecções por HIV/epidemiologia , Humanos , Romênia/epidemiologia , População Rural/estatística & dados numéricos , Problemas Sociais/estatística & dados numéricos , Fatores de Tempo , População Urbana/estatística & dados numéricosAssuntos
Vacina contra Sarampo/imunologia , Sarampo/epidemiologia , Sarampo/prevenção & controle , Adolescente , Criança , Pré-Escolar , Surtos de Doenças/estatística & dados numéricos , Humanos , Incidência , Lactente , Sarampo/mortalidade , Morbidade/tendências , Mortalidade/tendências , Romênia/epidemiologiaRESUMO
A study was performed on 756 serum samples collected from the umbilical cord of newborn infants. HBV markers were found in 4.63% of the tested subjects. Of these samples, 291 were tested for the HIV markers and 0.34% were found positive (versus 0 in the controls, most of them men from the same region). Results confirmed the possibility of vertical transmission of both viruses, HBV and HIV, in Romania.