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Parnita Harsh (Department of Molecular and Cell Biology University of Illinois at Urbana-Champaign Champaign IL) Vipin Gupta (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Saurabh Kedia (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Sawan Bopanna (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Sucharita Pilli (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Surendernath (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Govind Kumar Makharia (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India) Vineet Ahuja (Department of Gastroenterology All India Institute of Medical Sciences New Delhi India)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.15 No.1
발행연도
2017.1
수록면
97 - 102 (6page)

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Background/Aims: Patients with inflammatory bowel disease (IBD) often require immunosuppressive therapy and bloodtransfusions and therefore are at a high risk of contracting infections due to hepatitis B (HBV) and hepatitis C (HCV) and humanimmunodeficiency virus (HIV). In the present study, we assessed the prevalence of these infections in patients with IBD. Methods: This retrospective study included 908 consecutive patients with IBD (ulcerative colitis [UC], n=581; Crohn’s disease[CD], n=327) who were receiving care at a tertiary care center. Ninety-five patients with intestinal tuberculosis (ITB) were recruitedas disease controls. Prospectively maintained patient databases were reviewed for the prevalence of HBV surface antigen,anti-HCV antibodies, and HIV (enzyme-linked immunosorbent assay method). HCV RNA was examined in patients whotested positive for anti-HCV antibodies. Prevalence data of the study were compared with that of the general Indian population(HBV, 3.7%; HCV, 1%; HIV, 0.3%). Results: The prevalence of HBV, HCV, and HIV was 2.4%, 1.4%, and 0.1%, respectively, in the908 patients with IBD. Among the 581 patients with UC, 2.2% (12/541) had HBV, 1.7% (9/517) had HCV, and 0.2% (1/499) hadHIV. Among the 327 patients with CD, 2.8% (8/288) had HBV, 0.7% (2/273) had HCV, and 0% (0/277) had HIV. One patient withCD had HBV and HCV coinfection. The prevalence of HBV, HCV, and HIV in patients with ITB was 5.9% (4/67), 1.8% (1/57),and 1.2% (1/84), respectively. Conclusions: The prevalence of HBV, HCV, and HIV in north Indian patients with IBD is similarto the prevalence of these viruses in the general community. Nonetheless, the high risk of flare after immunosuppressive therapymandates routine screening of patients with IBD for viral markers.

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참고문헌 (19)

참고문헌 신청
Ahuja V / 2012 / Inflammatory bowel disease: the Indian augury / Indian J Gastroenterol 31:294~296 google schola Gisbert JP / 2011 / Review article: prevention and management of hepatitis B and C infection in patients with inflammatory bowel disease / Aliment Pharmacol Ther 33:619~633 google schola Viazis N / 2010 / Course of inflammatory bowel disease in patients infected with human immunodeficiency virus / Inflamm Bowel Dis 16:507~511 google schola National HIV counseling and testing services (Hcts) guidelines / National AIDS Control Organization Website google schola Hepatitis in India: burden, strategies and plans / National Centre for Disease Control Web site google schola

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