ASYMPTOMATIC HBS AG IN CHILDREN 0-2 YEARS OF AGE AND SEROPREVALANCE OF HEPATITIS B VIRUS IN THE PEDIATRIC CLINICS PERSONNEL

There are approximately 350 million chronic HBV carriers in all over the world. 40% of transmission are seen at the newborn period and of those, approximately 90% become chronic carriers. The chronic HBV carrier state is 5-10% in our country and it becomes 2-5 fold among the health-care personnel. In this study, at the Pediatric Clinics of Þiþli Etfal Hospital, 238 infants of the age group of 0-2 years having any other complaints but hepatitis were selected and screened for HBsAg and besides 65 health care personnel working in the same pediatric department were screened for all HB markers. As a result, HBsAg positivity rates and carrier state were in accordingly 9.2% among the children and 16.9% among the health personnel. The seropositivity rate among the health care personnel was 72.3%. These results show the high risk rate of our society and especially the health care personnel and the importance of the urgent prophylaxis for HBV infection.

0-2 YAÞ GRUBU ÇOCUKLARDA ASEMPTOMATÝK HBS AG VE ÇOCUK KLÝNÝKLERÝ SAÐLIK PERSONELÝNDE HEPATÝT B VÝRÜS SEROPREVALANSI

Bugün dünyamýzda 350 milyon kronik HBV taþýyýcýsý olduðu, hastalýðýn bulaþanýnýn %40 kadarýnýn yenidoðan döneminde görüldüðü ve bu enfekte bebeklerinde %90 oranýnda kronik HBV taþýyýcýsý olduðu bilinmektedir. Ülkemizde HBsAg taþýyýcýlýðý %5-10 arasýnda olup, profilaktik önlemlerin uygulanmadýðý saðlýk personelinde normal popülasyondan 2-5 kat daha fazla taþýyýcýlýk görülmektedir. Bu çalýþmada, Þiþli Etfal Hastanesi II. Çocuk Kliniðinde hepatit dýþý çeþitli nedenler ile takip ve tedavi edilen 0-2 yaþ grubu 238 çocukta asemptomatik HBsAg ve ayný klinikte çalýþan 65 saðlýk personelinde ise HBV prevelansýný saptamak ve literatür ile karþýlaþtýrmak amaçlandý. 0-2 yaþ grubunda %9.2, saðlýk personelinde ise %16.9 HBsAg taþýyýcýlýðýnýn saptanmasý ve yine saðlýk personelinde seropozitiflik oranýnýn %72.3 bulunmasý toplumumuzun ve özellikle saðlýk personelimizin HB enfeksiyonu açýsýndan büyük risk altýnda olduðunu ve bir an önce koruyucu önlemlerin alýnmasý gerekliliðini göstermektedir.