Occupational Medicine Quarterly Journal
فصلنامه علمی تخصصی طب کار
tkj
Medical Sciences
http://tkj.ssu.ac.ir
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2251-7189
2251-8274
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fa
jalali
1401
6
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gregorian
2022
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14
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fulltext
en
بررسی فراوانی هپاتیت B و C در رانندگان وسایل نقلیه سنگین
در مرکز ایران ( یزد)
Hepatitis B and Hepatitis C in large vehicle drivers in center of Iran (Yazd)
عمومى
General
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="vertical-align:baseline"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> جزو بیماریهای چالشبرانگیز در حوزه سلامت بهخصوص در کشورهای درحالتوسعه است. در شهر یزد در مرکز ایران میزان بروز هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> کمتر از 8/0 درصد و هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مزمن کمتر از 5/0درصد میباشد. در بین رانندگان وسایل نقلیه سنگین، ریسک فاکتورهایی وجود دارند که احتمال عفونت با هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> را افزایش میدهند. پرداختن به این قضیه ازاینجهت اهمیت دارد که عوارض بلندمدت هپاتیت مانند سیروز و انسفالوپاتی میتوانند باعث بروز تصادفات رانندگی شوند. هدف این مطالعه بررسی میزان شیوع هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در رانندگان وسایل نقلیه سنگین میباشد.</span></span><b><span dir="LTR" style="font-family:"Times New Roman","serif""></span></b></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="vertical-align:baseline"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش مطالعه: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه مقطعی توصیفی ۵۱۶ راننده وسیله نقلیه سنگین در سال ۱۳۹۸، ازنظر </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">HB</span><span dir="LTR" new="" roman="" style="font-family:" times="">S </span><span dir="LTR" new="" roman="" style="font-family:" times="">Ag</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">HCV Ab</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> موردبررسی قرار گرفتند. برای همه بیمارانی که نتایج مثبت داشتند، تستهای عملکرد کبد، معاینه بالینی و سونوگرافی شکم انجام شد.</span></span><span dir="LTR" style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="vertical-align:baseline"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">هشت راننده (۶/۱درصد) تست مثبت ازنظر </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">HB</span><span dir="LTR" new="" roman="" style="font-family:" times="">S </span><span dir="LTR" new="" roman="" style="font-family:" times="">Ag</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و هفت راننده (۴/۱ درصد) تست مثبت ازنظر </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">HCV Ab</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> داشتند. ارتباط قابلتوجهی بین تعداد سفرها در ماه و ابتلا به هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> وجود داشت (048/0</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P-value =</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) رانندگانی که سفرهای بیشتری داشتند در ریسک بالاتری از ابتلا به هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بودند. هیچکدام از بیماران مبتلابه سیروز نبودند.</span></span><span dir="LTR" style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="tab-stops:36.0pt"><span style="vertical-align:baseline"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شیوع هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در بین رانندگان وسایل نقلیه سنگین به ترتیب ۶/۱ درصد و ۴/۱درصد بود.یافتهها نشان میدهد که شیوع هپاتیت </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">B</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">C</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در رانندگان وسایل نقلیه سنگین، نسبت به جمعیت کلی ایران بیشتر است(</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">14</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">0/0</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:#0e101a">P-value= </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). <span style="color:black">عوارض بالقوه هپاتیت، مانند سیروز و انسفالوپاتی میتوانند باعث حوادث جادهای شوند و به همین دلیل پیشگیری، تشخیص بهموقع و درمان بیماری در این قشر جامعه حائز اهمیت است.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Hepatitis B and C are major health problems in many countries, especially developing areas. The frequency of hepatitis B is less than 0.8%, and chronic hepatitis C is less than 0.5% in the general population of Yazd in the center of Iran. Large vehicle drivers have some risk factors for acquiring hepatitis B and C infection. This is important because viral hepatitis complications, including cirrhosis and encephalopathy, may lead to road accidents. This study aims to determine the frequency of hepatitis B and C in large vehicle drivers.</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><i><span style="background:white"><span new="" roman="" style="font-family:" times="">Material and Methods<span style="border:none windowtext 1.0pt; padding:0cm">:</span></span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">In this cross-sectional descriptive study, 516 inter-province large vehicle drivers were tested for HBS Ag and HCV Ab in 2018. Liver function tests, physical examination, and abdominal sonography were done for all subjects with positive HBS Ag and/or anti- HCV.</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span new="" roman="" style="font-family:" times="">Results: </span></span></i></b><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Eight drivers (1.6%) had HBS Ag, and 7 cases (1.4%) had HCV Ab. There was a significant relation between hepatitis B and journey numbers in the month (P-value=0.048); when the drivers have more journeys, they are at higher risk for hepatitis B. None of the patients had cirrhosis.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span calibri="" style="font-family:"><b><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></i></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">:</span></span></span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">The hepatitis B and C frequency among large vehicle drivers was 1.6% and 1.4%, respectively. Our findings indicate that hepatitis B and C frequency is significantly higher than in the general Iranian population (P-value=0.014 (. </span></span> Hepatitis complication such as Cirrhosis and hepatic encephalopathy cause traffic accidents. <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">So prevention, diagnosis, and treatment of viral hepatitis are important in this group.</span></span></span></span></span></span><br>
هپاتیت B, هپاتیتC ,رانندگان ماشینهای سنگین
Hepatitis C, Hepatitis B, Driver
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http://tkj.ssu.ac.ir/browse.php?a_code=A-10-1147-1&slc_lang=en&sid=1
Mohammadkazem
Amirbeigy
محمد کاظم
امیربیگی تفتی
amirbaigy@yahoo.com