Testing for hepatitis B and C virus infection before upper gastrointestinal endoscopy: justification for dedicated endoscope and room for hepatitis patients

Hepatogastroenterology. 2010 Jul-Aug;57(101):797-800.

Abstract

Background/aims: Endoscopic interventions have become a significant tool in the diagnosis and treatment of gastrointestinal disorders. In order to avoid transmission of associated diseases, cleaning and disinfection/sterilization procedures of endoscopes and accessories are crucial. Hepatitis B virus and Hepatitis C virus infections are among the most common viral infections globally and maintain their position as a serious public health problem.

Methodology: One thousand patients visiting our gastroenterology department were diagnosed and, except for cirrhosis, were enrolled in this study. For patients with HBsAg and Anti-HCV positive, Aspartate Aminotransferase, Alanine Aminotransferase, hemogram and prothrombin time were examined and ultrasonography was performed.

Results: Five hundred and seventy three patients (57.3%) were female and 427 patients (42.7%) were male. Among 1000 patients in total, 39 patients were detected to have hepatitis (3.9%). Of these patients, 28 (2.8%) had HBsAg (+), 10 (1%) had Anti-HCV (+), 1 (0.1%) had both HBsAg (+) and Anti-HCV (+).

Conclusions: It would be beneficial to include a determination of hepatitis serology of patients prior to endoscopy in daily practice. In addition, like dialysis machines, there is a need for further studies evaluating the cost effectiveness of using separate endoscopy devices allocated to groups of patients with HBV, HCV or to those who do not carry hepatitis.

MeSH terms

  • Adult
  • Comorbidity
  • Endoscopes, Gastrointestinal / microbiology*
  • Endoscopy, Gastrointestinal
  • Equipment Contamination / prevention & control*
  • Female
  • Gastrointestinal Diseases / epidemiology
  • Hepatitis B / diagnosis
  • Hepatitis B / epidemiology
  • Hepatitis B / transmission*
  • Hepatitis C / diagnosis
  • Hepatitis C / epidemiology
  • Hepatitis C / transmission*
  • Humans
  • Male
  • Middle Aged