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Abbreviations: CKD, chronic kidney disease; ESRD, end stage
renal disease; HCV, hepatitis C virus; HIV, human immunodefciency
virus; ICT, immunochromatographic test; SPSS, statistical package
for social sciences
Introduction
Dialysis is a process of removing waste and excess water from
blood; and is using primarily as an artifcial replacement for lost of
kidney function in people with kidney failure. Hemodialysis is routinely
using as renal replacement therapy for end stage renal disease (ESRD)
patients.
1
In 2012, 2.1 million patients worldwide were estimated to
require hemodialysis and this number is expected to increase by 7%
annually.
2
Prolonged vascular exposure puts hemodialysis patients
at increased risk for infection by blood-borne pathogens, including
hepatitis C virus (HCV) and human immunodefciency virus (HIV)
from contaminated devices, equipments, supplies, and environmental
surfaces or attending personnel’s.
3,4
Regular detection of HIV,
and HCV may play an important role in control and prevention of
transmission.
5
This study was sought to determine the frequency
of anti-HIV1/2, and anti-HCV seropositivity among hemodialysis
patients attending Kosti Renal Dialysis Center in Kosti city of Sudan
in order to provide data and guidance about the size and extent,
prevention, and control of this problems.
Materials and methods
This a cross sectional, hospital base study, carried out in Kosti Renal
Dialysis center during the period from 15 August to 20 November
2017. A total of 100 blood samples were collected from hemodialysis
patients. Each sample was left at room temperature for a few minutes
then centrifuged at 3000 revolutions per minutes (rpm) for 10 minutes
to obtain serum.
6
Each serum sample was tested for anti-HCV, and
anti-HIV1/2 using lateral fow immunochromatographic tests kits
(Humasis) according to manufacture instructions.
7,8
Ethical statement
This was approved by Department of Microbiology, University of
El Imam El Mahdi. Verbal consent was taken from each participant.
Statistical analysis
The collected data were analyzed using statistical package for
social sciences (SPSS) software version 21 and presented in form
of tables. Chi square test was performed and P value of ≤ 0.05 was
considered signifcant in a comparative data.
Results
The frequency of anti-HCV, and anti-HIV1/2 were 5% (5/100), and
0% (0/100) respectively as shown in Table 1. There is non signifcant
difference in the frequency of anti-HCV between men and women, P
value more than 0.05 as seen in Table 2. Also our study results did
not provide suffcient evidence to conclude the possibility of HCV
infection are increase with the duration of hemodialysis, as displayed
in Table 3.
Table 1 Frequency of anti-HCV, and anti-HIV1/2 among Hemodialysis patients
Frequency Anti-HCV Anti-HIV1/2
Positive 5%(5/100) 0% (0/100)
Negative 95%(95/100) 100%(100/100)
Total 100 100
J Microbiol Exp. 2018;6(3):141‒143. 141
© 2018 Almugadam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License,
which permits unrestricted use, distribution, and build upon your work non-commercially.
Seropositivity of human immunodefciency virus and
hepatitis c virus among hemodialysis patients
Volume 6 Issue 3 - 2018
Babiker Saad Almugadam,
1
Rayan Nader
Ali,
1
Tasneem Rhamt Allah,
1
Elnaim Bushra
Ahmed,
1,2
Osama Abdelwahid Abdelmwla
3
1
Department of Microbiology, Faculty of Medical Laboratory
Sciences, University of El Imam El Mahdi, Kosti city, Sudan
2
Department of Medical Laboratory Investigations, Kosti Police
Hospital, Sudan
3
Department of Medical Laboratory Investigations, Kosti
Teaching Hospital, Sudan
Correspondence: Babiker Saad Almugadam, Department of
Microbiology, Faculty of Medical Laboratory Sciences, University
of El Imam El Mahdi, Kosti city, Sudan, Tel 00249917717034,
Email Babiker888@yahoo.com
Received: March 12, 2018 | Published: May 17, 2018
Abstract
Background: Hemodialysis patients are exposing to many harms as blood borne
viruses. This study was sought to determine the frequency of anti-HIV1/2, and anti-HCV
seropositivity among hemodialysis patients attending Kosti Renal Dialysis Center.
Materials and methods: A total of 100 blood samples (68 men ,and 32 women) were
included in this study that was carried out in Kosti Renal Dialysis center, during the period
from 15 August to 20 November 2017. Each sample was tested for anti-HCV , and anti-
HIV1/2 by immunochromatographic tests (Humasis) according to manufacture instructions.
Results: The frequency of anti-HCV, and anti-HIV1/2 were 5% (5/100), and 0% (0/100)
respectively. There is non signifcant difference in the frequency of anti-HCV between men
(4.4%) and women 6.3% or among the duration of hemodialysis.
Conclusions: Hemodialysis can expose patients to harms, and infections. Emergence of
Blood borne pathogenic infections among hemodialysis patients has become a major public
health threat worldwide. Continuous surveillance and implementation of control program
can aid in the elimination and eradication of these problems.
Key words: CKD, ICT, Hemodialysis, HCV, HIV, Sudan
Journal of Microbiology & Experimentation
Research Article
Open Access