Prevalence Characteristics Of Chronic Hepatitis B In Outhospital Patients Based A Short-term Survey In Gansu

OBJECTIVE: The aim of this study was to survey basic information of chronic hepatitis B (CHB) in outhospital patient and to analyze the clinical epidemiological characteristics of CHB in Gansu.METHODS: The retrospective descriptive cpidemiological method was used.RESULTS: The clinical data of305outhospital patients with CHB in Gansu were recruited.(1) Gender distribution:183outhospital patients (60%) were male,122outhospital patients (40%) were female。The ratio of male and female incidence was1.5:1.(2) Age distribution: the majority age of outhospital patients were rang from21to40years old and from41to60years old.(3) Occupational distribution:32.1%of the total number of outhospital patients included agriculture, forestry, animal husbandry and fishery production staff.(4) Urban/rural distribution: rural residents had a higher prevalence with accounting for62.3%.(5) Risk factors of HBV infection: non-occupational exposure acupuncture is much higher than any of the other risk factors, which was accounting for98.4%.(6) HepB vaccination situation: the rate of outhospital patients B vaccination is about8.9%, which was significantly lower than the average rate of hepatitis B vaccination of the national survey.(7) The positive rate of HbsAg, HbeAg, HbeAb among of305outhospital patients with CHB was75.7%,23.0%and44.9%respectively.(8)59.0%outhospital patients were the HBV DNA-positive.(9) Most of outhospital patients in this survey with ALT, AST normal level.(10) Treatment history:41.3%outhospital patients received antiviral treatment.CONCIUSION: The age rang of outhospital patients with CHB in Gansu distributed among from21to60-year-old. Male of CHB outhospital patients has high incidence. The prevention work should be focusd on the young adult male. The high incidence of CHB was the rural population, so let the people in rural and remote mountainous areas to know the way of CHB infection and make a strengthen step toward the hepatitis B vaccine vaccination is quite necessary. Non-occupational exposure acupuncture that included non-disposable syringes, tattoo, pierced ears and other risk factors is much higher than any other risk factor in this survey. Health prevention education should be strengthened for the public in Cansu.