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Affiliation(s)

1. Division of Total Quality Management and Institutional Development, Directorate of Public Health. Ministry of Health, Baghdad 10047, Republic of Iraq
2. Training and Development Division, Baghdad Al-rusafa directorate, Republic of Iraq

ABSTRACT

Hepatitis C&B still the major problem in hemodialysis patients and the challenge continues in dialysis centers to prevent spread among patients and workers, the worldwide reported incidence of anti-HC antibody in dialysis center was range from 10.5% -24% yearly and the prevalence range 5-85%. Also, HBs-antigen had the same problem but with less incidence and prevalence‏. For the purpose of evaluating the seroprevalence and seroconversion of anti-HC antibody and HBs-antigen in Haemodialysis centers‏ at Baghdad required action a retrospective incidence study from Nov. 2015 to Jan. 2016 on maintenance HD patients at hemodialysis centers in Al-kindi, Al-Karama and Baghdad Hospitals. The data obtained from patients records of hospitals‏ and we relied on laboratory test results for ELISA to determine the seroconversion and seroprevalence of anti-HC-antibody and HBs-Antigen‏. The study found the total prevalence of seropositive anti-HCV antibody in three centers were 251(28%), the seropositive patients of HBs-Ag were 14(2%) While the total seroconversion was 196 (21%) anti-HCV antibody and for HBs-Ag 4 (0.4%)‏; so there was serious risk of nosocomial infection particularly for hepatitis C in the hemodialysis centers in Baghdad and AL-kindi while the problem with HBV was under control‏ at same time The differences of seroconversion and seroprevalence of anti-HC antibody and HBs-antigen between the hospitals in the study may indicate to the level of infection control was applied in hospital.

KEYWORDS

Seroconversion, seroprevalence, hemodialysis, hepatitis.

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