| Revue: | The brazilian journal of infectious diseases |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000290925 |
| ISSN: | 1413-8670 |
| Autores: | Silva, Giovanni Faria1 Nishimura, Nancy F2 Coelho, Kunie Iabuki Rabello Soares, Elza Cotrim |
| Instituciones: | 1Universidade Estadual Paulista "Julio de Mesquita Filho", Faculdade de Medicina de Botucatu, Botucatu, Sao Paulo. Brasil 2Universidade Estadual de Campinas, Campinas, Sao Paulo. Brasil |
| Año: | 2005 |
| Periodo: | Abr |
| Volumen: | 9 |
| Número: | 2 |
| Paginación: | 142-149 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | Progression of chronic hepatitis C is known to be associated with some factors, but influence of HCV genotypes is still controversial. Association between HCV genotypes and other risk factors was examined to determine which factors are associated with progression of infection. One hundred consecutive anti-HCV positive volunteer blood donors were evaluated for several risk factors, examined for HCV genotypes, and submitted to hepatic biopsy and biochemical exams.HCV genotyping were carried out in 89 patients and hepatic biopsy in 78. Transmission routes were found to be illicit intravenous drug use (26%), Gluconergan® use in a non-safe manner (48%) and blood transfusion (15%). HCV genotype was 1 in 45%, 3 in 40%, and it was not associated with the stage of fibrosis or with inflammatory activity. There was no significant association of factors related to infection, chronic alcohol use, or duration of illness, with progression of the lesion. There was a significant association of aminotransferase levels and the fibrosis stage. Univariate analysis showed that the age at contamination, patient's age, GT-gamma, and aminotransferase levels over three times the upper normal limits, were associated with fibrosis stages 2 to 4. Multivariate analysis detected age (odds ratio=1.19), and GT-gamma (odds ratio=2.02) as independent factors |
| Disciplinas: | Medicina |
| Palabras clave: | Gastroenterología, Bioquímica, Genética, Hepatitis C, Hepatitis crónica, Donadores de sangre, Genotipos, Epidemiología, Fibrosis, Factores de riesgo |
| Keyword: | Medicine, Chemistry, Gastroenterology, Biochemistry, Chronic hepatitis, Hepatitis C, Genotypes, Epidemiology, Blood donors, Fibrosis, Risk factors, Genetics |
| Texte intégral: | Texto completo (Ver HTML) |
