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学科主题: 临床医学
题名:
Frequencies of hepatitis B and C infections among haemodialysis and peritoneal dialysis patients in Asia-Pacific countries: analysis of registry data
作者: Johnson, David W.1,2; Dent, Hannah2; Yao, Qiang3; Tranaeus, Anders; Huang, Chiu-Chin4; Han, Dae-Suk5; Jha, Vivekanand6; Wang, Tao7; Kawaguchi, Yoshindo8; Qian, Jiaqi9
关键词: end-stage renal failure ; environmental transmission ; haemodialysis ; hepatitis B ; hepatitis C
刊名: NEPHROLOGY DIALYSIS TRANSPLANTATION
发表日期: 2009-05-01
DOI: 10.1093/ndt/gfn684
卷: 24, 期:5, 页:1598-1603
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Transplantation ; Urology & Nephrology
研究领域[WOS]: Transplantation ; Urology & Nephrology
关键词[WOS]: VIRUS-INFECTION ; POSITIVE PATIENTS ; RENAL-DISEASE ; RISK-FACTORS ; TRANSMISSION ; PREVALENCE ; EPIDEMIOLOGY
英文摘要:

Background. The impact of dialysis modality on the rates and types of infectious complications has not been well studied. The aim of the present investigation was to evaluate the rates of hepatitis C virus (HCV) and hepatitis B virus (HBV) infections in peritoneal dialysis (PD) and haemodialysis (HD) patients in the Asia-Pacific region.

Methods. The study included the most recent period-prevalent data recorded in the national or regional dialysis registries of the 10 Asia-Pacific countries/areas (Australia, New Zealand, Japan, China, Taiwan, Korea, Thailand, Hong Kong, Malaysia and India), where such data were available. Longitudinal data were also available for all incident Australian and New Zealand patients commencing dialysis between 1 April 1995 and 31 December 2005. Rates of HCV and HBV infections were compared by chi-square, Poisson regression and Kaplan-Meier survival analyses, as appropriate.

Results. Data were obtained on 201 590 patients (HD 173 788; PD 27 802). HCV seroprevalences ranged between 0.7% and 18.1% across different countries and were generally higher in HD versus PD populations (7.9% +/- 5.5% versus 3.0% +/- 2.0%, P = 0.01). Seroconversion rates on dialysis were also significantly higher in HD patients (incidence rate ratio PD versus HD 0.33, 95% CI 0.13-0.75). HCV infection was highly predictive of mortality in Japan (relative risk 1.37, 95% CI 1.15-1.62, P = 0.003) and in Australia and New Zealand (adjusted hazards ratio 1.29, 95% CI 1.05-1.58). HBV infection data were limited, but less clearly influenced by dialysis modality.

Conclusions. Dialysis modality selection significantly influences the risk of HCV infection experienced by end-stage renal failure patients in the Asia-Pacific region. No such association could be identified for HBV infection.

语种: 英语
WOS记录号: WOS:000265275000041
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67175
Appears in Collections:北京大学第三临床医学院_肾内科_期刊论文

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作者单位: 1.Univ Queensland, Princess Alexandra Hosp, Dept Renal Med, Brisbane, Qld 4102, Australia
2.Univ Adelaide, Discipline Publ Hlth, Australia & New Zealand Dialysis & Transplant Reg, Adelaide, SA, Australia
3.Baxter Healthcare Pty Ltd, Shanghai, Peoples R China
4.China Med Univ Hosp, Dept Med, Div Nephrol, Taichung, Taiwan
5.Yonsei Univ, Coll Med, Dept Internal Med, Div Nephrol, Seoul, South Korea
6.Postgrad Inst Med Educ & Res, Dept Nephrol, Chandigarh 160012, India
7.Jikei Univ, Sch Med, Dept Hypertens & Nephrol, Tokyo, Japan
8.Peking Univ, Hosp 3, Div Nephrol, Beijing 100871, Peoples R China
9.Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Div Renal, Shanghai 200030, Peoples R China

Recommended Citation:
Johnson, David W.,Dent, Hannah,Yao, Qiang,et al. Frequencies of hepatitis B and C infections among haemodialysis and peritoneal dialysis patients in Asia-Pacific countries: analysis of registry data[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION,2009,24(5):1598-1603.
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