medjournalМедицинский журналMedical Journal1818-426XБелорусский государственный медицинский университет10.51922/1818-426X.2022.4.138medjournal-164Research ArticleКлинический случайПричины инфицирования вирусом гепатита СCauses of hepatitis С infectionЮркевичИ. В.YurkevichI. V.

Минск

6 городская клиническая больницаBelarus20221806202504138143Copyright © Юркевич И.В., 20252025Юркевич И.В.Yurkevich I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medjournal.ejournal.by/jour/article/view/164

Цель. Анализ наиболее вероятных причин инфицирования вирусом гепатита С (ВГС), полученных на основании данных эпидемиологического анамнеза пациентов. Материалы и методы. Обследовано 91 пациент, страдающих различными форма  ми ВГС-инфекции, у которых при сборе эпидемиологического анамнеза акцент делался на использование инъекционных психоактивных веществ, наличие гемотрансфузий, хирургических вмешательств, инвазивных лечебно-диагностических процедур, гемодиализ, трансплантация внутренних органов или костного мозга, нанесение татуировок, пирсинг, маникюр в местах лишения свободны, домашних условиях, других учреждениях с использованием потенциально не стерильных инструментов, контакт с кровью пациента с подтвержденным вирусным гепатитом С, незащищенные половые контакты. Результаты. Наиболее распространенными сочетаниями являются хирургические вмешательства с гемотрансфузией, парамедицинские манипуляции, хирургические вмешательства или инвазивные диагностические вмешательства. Заключение. В настоящее время парамедицинские манипуляции стали значимым фактором передачи ВГС.

Purpose. Analysis of the most probable causes of infection with the hepatitis C virus (HCV), obtained on the basis of epidemiological history of patients. Materials and methods. We examined 91 patients suffering from various forms of HCV infection, in whom, when collecting an epidemiological history, the emphasis was on the use of injectable psychoactive substances, the presence of blood transfusions, surgical interventions, invasive medical and diagnostic procedures, hemodialysis, transplantation of internal organs or bone marrow, tattooing, piercing , manicure in places of deprivation is free, at home, other institutions   using potentially non-sterile instruments, contact with the blood of a patient with confirmed viral hepatitis C, unprotected sex. Results. The most common combinations are surgery with blood transfusion, paramedical procedures, surgical interventions or invasive diagnostic interventions. Conclusion. Currently, paramedical manipulations are the dominant factors.

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The authors declare that there are no conflicts of interest present.