American Association for the Surgery of Trauma. Annual meeting. San Diego CA USA, 1994/09/29.
We evaluated the presence of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and rapid plasma reagin (RPR) among patients admitted to our trauma unit from April 15 to June 30,1993.
Of 984 patients tested, we found 255 (26%) had evidence of exposure to one or more of these agents :
HIV, 4% ;
HBV, 20% ;
HCV, 14% ;
and RPR, 1%. Thirty-eight percent of patients had more than one positive serology, 75% of the HIV patients, 49% of the HBV patients, and 66% of the HCV patients.
There was no difference between penetrating and nonpenetrating trauma with respect to any of the viruses.
The risk factors for HIV-positive patients were non-White race, positive drug screen, positive alcohol screen, and city resident.
Risk factors for HBV patients were non-White race, positive drug screen, and city resident.
Risk factors for HBC patients were male sex, non-White race, positive alcohol screen, positive drug screen, and city resident.
The risk of blood-borne infections in this group of patients is substantial.
Mots-clés Pascal : Traumatisme, Epidémiologie, Homme, Anticorps, Prévalence, Maryland, Virus immunodéficience humaine, Virus hépatite B, Virus hépatite C, SIDA, Sang, Anticorps anaphylactique, Immunopathologie, Etats Unis, Amérique du Nord, Amérique, Lentivirinae, Retroviridae, Virus, Hepadnaviridae, Flaviviridae, Virose, Infection, Immunodéficit, Immunité humorale
Mots-clés Pascal anglais : Trauma, Epidemiology, Human, Antibody, Prevalence, Maryland, Human immunodeficiency virus, Hepatitis B virus, Hepatitis C virus, AIDS, Blood, Skin sensitizing antibody, Immunopathology, United States, North America, America, Lentivirinae, Retroviridae, Virus, Hepadnaviridae, Flaviviridae, Viral disease, Infection, Immune deficiency, Humoral immunity
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Cote : 96-0000388
Code Inist : 002B16N. Création : 01/03/1996.