High percentage of seronegative HCV infections in hemodialysis patients:: The need for PCR

被引:38
作者
Schröter, M [1 ]
Feucht, HH [1 ]
Schäfer, P [1 ]
Zöllner, B [1 ]
Laufs, R [1 ]
机构
[1] Univ Hamburg, Hosp Eppendorf, Inst Med Mikrobiol & Immunol, D-20246 Hamburg, Germany
关键词
hepatitis C virus; hepatitis C; hemodialysis; polymerase chain reaction; seroconversion;
D O I
10.1159/000150558
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Among patients undergoing maintenance hemodialysis, a high prevalence of hepatitis C virus (HCV) infection can be observed. In a prospective study, sera of 273 patients were examined for the presence of HCV infection by serological tests and by PCR. Thirty-five patients (12.8%) were HCV antibody positive, and in 31 of them HCV RNA could be detected by PCR. Among the 238 seronegative patients HCV infection was detected in 12 cases (5.0%) exclusively by PCR. Only in 1 of these patients seroconversion could be observed within the 18-month follow-up period. These findings demonstrate that in hemodialysis patients PCR is necessary for the diagnosis of HCV infection.
引用
收藏
页码:277 / 278
页数:2
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