Naila Bukhari, Gul Hassan, Zakia Sharafat, Umair Wadood.
Frequency Of Hepatitis B, And HIV Infections In Patients Undergoing Elective Gyanaecological Surgery.
J Med Sci Jan ;24(2):87-90.

Objective: To find the frequency of Hepatitis B,C and HIV infection in patients undergoing Elective Gyanaecological surgery. Introduction: In our community, the surgical equipment’s are usually contaminated and at times blood transfusions are improperly screened. It results in the spread of not only viral hepatitis but HIV infection as well.. This study was carried out to find the frequency of HBV, HCV and HIV in patients undergoing elective gynae surgery. Methods: This study was conducted at Gynae department of Khyber Teaching Hospital Peshawar. Over a period of six months (July 2013 to Dec, 2013) a total of 100 patients were studied. In their pre-operative work up, viral screening included tests for HBsAg, Anti HCV and Anti HIV antibodies. Immune-chromatography (ICT) method was used for initial screening while ELISA and Westonblot tests were used as confirmatory tools. Results: Total 100 patient were studied. Out of these 10(10%) were HBs Ag +ve and 5 cases (5%) were HCV Ab +ve. Only one patient (1%) was HIV Ab +ve. Ear piercing was present in all cases. Blood transfusion and dental surgery for HBV were 8%,3% respectively (5%,2% for HCV respectively). The risk factor for HIV infection could not be ascertained (probably it was via sexual route). Conclusion: The frequencies of HBV and HCV infections are increasing in our female patients. Similarly HIV infection is also not uncommon. Beside HBV and HCV, the screening for HIV antibodies should also be included in the routine work up of pre-operative patients.

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