Historique
Article de Périodique
Ongoing transmission of hepatitis B virus infection among inmates at a state correctional facility (2005)
(Transmission en cours de l'infection par levirus de l'hépatite B chez les détenus dans un établissement correctionnel d'état)
Auteur(s) :
KHAN, A. J. ;
SIMARD, E. P. ;
BOWER, W. A. ;
WURTZEL, H. L. ;
KHRISTOVA, M. ;
WAGNER, K. D. ;
ARNOLD, K. E. ;
NAINAN, O. V. ;
LAMARRE, M. ;
BELL, B. P.
Année
2005
Page(s) :
1793-1799
Langue(s) :
Anglais
Refs biblio. :
33
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
HEPATITE
;
PRISON
;
ENQUETE
;
SEXE
;
ETUDE TRANSVERSALE
;
INJECTION
;
PREVALENCE
Résumé :
Objectives. We sought to determine hepatitis B virus (HBV) infection prevalence, associated exposures, and incidence among male inmates at a state correctional facility. Methods. A cross-sectional serological survey was conducted in June 2000, and susceptible inmates were retested in June 2001. Results. At baseline, 230 inmates (20.5%; 95% confidence interval [CI]=18.2%, 22.9%) exhibited evidence of HBV infection, including 11 acute and 11 chronic infections. Inmates with HBV infection were more likely than susceptible inmates to have injected drugs (38.8% vs 18.0%; adjusted prevalence odds ratio [OR]=3.0; 95% CI=1.9, 4.9), to have had more than 25 female sex partners (27.7% vs 17.5%; adjusted prevalence OR=2.0; 95% CI=1.4, 3.0), and to have been incarcerated for more than 14 years (38.4% vs 17.6%; adjusted prevalence OR=1.7; 95% CI=1.1, 2.6). One year later, 18 (3.6%) showed evidence of new HBV infection. Among 19 individuals with infections, molecular analysis identified 2 clusters involving 10 inmates, each with a unique HBV sequence. Conclusions. We documented ongoing HBV transmission at a state correctional facility. Similar transmission may occur at other US correctional facilities and could be prevented by vaccination of inmates. (Review' s abstract)
Affiliation :
Beth P. Bell, MD, MPH, Division of Viral Hepatitis, Mail Stop G-37, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, Ga 30333
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
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