Abstract

BackgroundThe hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) and treponema pallidum (TP) are blood-borne pathogens. They can lead to nosocomial and occupational infections in health care settings. We aimed to identify the prevalence of and risk factors associated with HBV, HCV, HIV and TP infections among patients with eye diseases at a tertiary eye hospital in Southern China.MethodsFrom July 2011 to June 2012, a total of 26,386 blood units were collected from eye patients, including inpatients and the day surgery patients at Zhongshan Ophthalmic Center, one of the biggest eye hospitals in China. Based on the primary diagnoses from this period, the subjects were classified into different ocular disease groups. All blood samples were tested for HBsAg, anti-HCV, anti-HIV and anti-TP.ResultThe overall prevalence of HBV, HCV, TP and HIV was 9.79%, 0.99%, 2.43% and 0.11%, respectively. The prevalence of HBsAg was much lower among patients younger than 20 years compared to other age groups. In addition, the risk of HBsAg was associated with the male gender, ocular trauma and glaucoma. The prevalence of TP increased with age and the prevalence among patients older than 30 was higher than that in patients younger than 20 years.ConclusionsThe prevalence of HBV, HCV, HIV and TP in patients with eye diseases was identified. This information can be utilised to strengthen the health education and implementation of universal safety precautions to prevent the spread of blood-borne pathogens in health care settings.

Highlights

  • The prevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) and treponema pallidum (TP) in patients with eye diseases was identified. This information can be utilised to strengthen the health education and implementation of universal safety precautions to prevent the spread of blood-borne pathogens in health care settings

  • The transmission of blood-borne pathogens, e.g., the hepatitis B virus (HBV), the hepatitis C virus (HCV), the human immunodeficiency virus (HIV) and treponema pallidum (TP), has been well-documented in health care settings, where these pathogens have been reported to be transmitted from patients to hospital care personnel (HCP), from HCP to patients and from patient to patient

  • Characteristics of the Eye Patients The study recruited a total of 26,386 inpatients and/or surgery patients, who were tested the first time they came to the hospital

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Summary

Introduction

The transmission of blood-borne pathogens, e.g., the hepatitis B virus (HBV), the hepatitis C virus (HCV), the human immunodeficiency virus (HIV) and treponema pallidum (TP), has been well-documented in health care settings, where these pathogens have been reported to be transmitted from patients to hospital care personnel (HCP), from HCP to patients and from patient to patient. Infections by these pathogens are the most common and important chronic infectious diseases worldwide and remain a large health care burden globally. We aimed to identify the prevalence of and risk factors associated with HBV, HCV, HIV and TP infections among patients with eye diseases at a tertiary eye hospital in Southern China

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