Seroprevalences and Associated Factors of Viral Infections (HIV, Hepatitis B and C) among Pregnant Women Attending Antenatal Care at the Yaoundé Central Hospital
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 20, Issue 1
Abstract
Aims: A viral infection is a proliferation of a harmful virus inside the body. HIV infection, viral hepatitis B (HBV) and C (HCV) constitute a public health problem. They affect millions of people worldwide and particularly in Sub-Saharan Africa, and sometimes share common modes of transmission, among which vertical transmission. The objective of this study was to assess seroprevalences and associated factors of these infections among pregnant women. Study Design: We carried out a cross-sectional and analytical study. Place and Duration of Study: Antenatal care clinic (ANC) of the Obstetrics and Gynecology Unit, at the Yaoundé Central Hospital (Cameroon) from 1st January to 30th June 2016. Methodology: We consecutively enrolled 360 women attending ANC. Blood samples were collected to screen for HIVAb, HBsAg and HCVAb through rapid diagnostic tests, and confirmed at the “Centre Pasteur” laboratory of Cameroon. Data were processed using Excel 2007, EpiData Analysis Version 3.2 and STATA version 12.0 (Texas USA 2001) softwares. Odds ratios were used to assess strength of the association between variables. Statistical significance was accepted for P value less than 0.05. Results: The mean age was 27.99 +/- 5.63 years, ranging from 15 and 47 years. The prevalence of HIVAb, HBsAg and HCVAb were 13.1% (n = 47), 9.4% (n = 34) and 1.7% (n = 6) respectively. We had 1.4% and 0.6% of HIV/HBV and HIV/HCV co-infections respectively. Independent risk factors associated with HIV were: the level of primary study (OR: 7.97; 95% CI = 2.23 - 28.49; P = 0.001) and multiple sexual partners (OR: 4 79; 95% CI = 1.79 - 12.79, P = 0.002). Multiple sexual partners was the Independent risk factor associated with HBsAg (OR: 11.62; 95% CI = 5.057 - 26.731; P = <0.001). No factor was associated with HCVAb. Conclusion: Increased awareness, promotion of screening and / or treatment of infections and immunization against HBV in the general population, and in women of childbearing age in particular, would reduce their impact and therefore prevent their horizontal and vertical transmission.
Authors and Affiliations
Florent Ymele Fouelifack, Ruth Oumbe Metchiem, Jeanne Hortence Fouedjio, Robinson Enow Mbu
Cardiovascular and Respiratory Responses of Apparently Healthy Participants to Cervical Traction in Sitting Position Using Different Weights
Background and Aim: Cervical Traction (CT) is a vital physiotherapeutic modality in the management of cervical musculoskeletal disorders. This study determined the cardio-respiratory responses to CT using different perce...
Real-World Observations with Dronedarone Compared to Other Anti-Arrhythmic Drugs in Recurrent Atrial Fibrillation
Background: Many clinical trials have shown that dronedarone which is a potent ion channels blocker is effective in the prevention of atrial fibrillation (AF) relapses. Objective: The aim of this report is to evaluate th...
Common Musculoskeletal Injuries in Athletes and Its Relation with Body Mass Index (BMI) in Jeddah Society
Aims: To study the types of sports injuries in different age groups and its prevalence in the Saudi society, especially in the city of Jeddah, thus comparing them with the BMI of the different age groups. Study Design:...
Comparison of the Quality of Life of Vulnerable Children Resident in Household and Those Resident in Institution in Jos Nigeria
Background: There are over 143 million orphans globally, however, sub-Saharan Africa/Asian regions account for over 80% of the global burden (143 million orphans), Nigeria inclusive with over 10 million orphans. This has...
Adverse Drug Reaction Reporting by Different Categories of Healthcare Workers in Nnewi, Nigeria: Awareness, Knowledge and Attitudes
Aim: To determine the level of awareness, knowledge and attitudes among health workers in different settings of health care in Nnewi, Nigeria towards the reporting of adverse drug reactions (ADRs). Methods: A descriptive...