Türk ve Mülteci Gebelerde HBsAg, Anti-HBs, Anti-HCV ve Anti-HIV Seropozitifliklerinin Karşılaştırılması

Abstract

Aim: Our aim is to investigate the seropositivity of HBsAg, anti-HBs, anti-HCV and anti-HIV in pregnant women and compare the seropositivity of these parameters of refugee and Turkish pregnant women in our region. Material and Methods: In our study, HBsAg, anti-HBs, anti-HCV and anti-HIV results of Turkish and refugee pregnant women who presented at Karabuk University Training and Research Hospital between 2017-2019 were analyzed and compared retrospectively. Results: The 3382 pregnant women were comprised of 3152 (93.2%) Turkish and 230 (6.8%) refugee pregnant women. In all pregnant women, the rates of HBsAg, anti-HBs, anti-HCV and anti-HIV seropositivity were 0.68%, 37.2%, 0.08% and 0%, respectively. The rates of anti-HBs seropositivity between Turkish and refugee pregnant women were 38.4% and 22.2%, respectively, and the difference was significant (p<0.001). While anti-HBs seropositivity was found as 44.4% and 61.2% in the age groups ≤ 20 years and 21-30 years respectively, it is 14.4% and 19.4% in the age groups 31-40 years and over 40 years respectively. This difference between age groups was statistically significant (p<0.001). Conclusion: Seropositivity of anti-HBs was significantly higher in Turkish pregnant women than refugee pregnant women. Therefore especially for refugee pregnant women, hepatitis B vaccination programs should be followed up regularly and routine screening should be organized. In our study, a low rate of anti-HCV seropositivity was detected and anti-HIV seropositivity was not detected. However, anti-HCV and anti-HIV screening should be continued since these infections occur in our country and transmission from mother to infant will be reduced when protective measures are taken.