Diaconescu, Alexandru Christian; Olteanu, Dan
June 2011
Romanian Medical Journal;2011, Vol. 58 Issue 2, p124
Academic Journal
HCV infection in hemodialysis patients and kidney transplant recipients is a major cause of morbidity and mortality, hepatitis C being the most common liver disease in hemodialysis patients. High prevalence of HCV+ in dialysis patients results in a higher probability of new infection with the same viral genotype. In countries with high seroprevalence internal reports are not uniform. The european trend is in decline in the incidence and prevalence of HCV in hemodialysis. In Europe, the prevalence of HCV infection among hemodialysis population is always higher than the general population, but variable with the region: lower prevalence in the northern countries. Some studies indicate a parallel decrease in the last 10 years in incidence with the prevalence of infection in dialysis centers while others report a maintaining high incidence. In some countries, as is the case of Romania both prevalence and incidence remain very high, indicating that the major route of nosocomial transmission is probably due to limited resources and in a rapidly growing dialysis population. Some authors recommend isolation measures in the centers with high prevalence of infection.


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