Epidemiologic survey of positive HIV, HCV, HBV tests among patients admitted for cardiac surgery and invasive procedures, In Emam Ali Hospital, in Kermanshah

Blood-borne infections are important threatening problems for health care staff which needs more attention. Heart surgery and invasive heart procedures are major risks for transmission of viruses like HBV, HCV, and HIV to patients and medical staff. Therefore this study was performed to assess prevalence of such infections in these patients. This descriptive survey included all the patients who had been admitted for cardiac surgery or invasive cardiac procedures in Emam Ali Hospital in Kermanshah from 1999 to 2003. Data collected from medical records, were analyzed by means of T and X2 tests. P. value <0.005 regarded significant. Among 6820 cases, 112 patients had positive HBV and HCV tests (1.6 percent) with 89 HBV positive (1.3 percent) and 31 HCV positive (0.45 percent) cases. (8 patents were both HCV and HBV positive) 76 patients were male (74%), and the remainder were female.No HIV positive patient was detected. Positive cases were more common in hospitalized patients, those with history of previous surgery and blood transfusion, addicts and housekeepers. Data analysis by means of X2 test showed significant correlation between presence of HCV and HBV infection with history of transfusion (p. value=0.001) and previous surgery (P. value=0.015) but not with addiction (p. value=0.675). The variables of education level and job were not found to be risk factors. prevalence of hepatitis among cardiac Patients is similar to general population, so performing routine HBV, HCV, HIV tests in high risk groups should be regarded more important.