Titre : | Ongoing transmission of hepatitis B virus infection among inmates at a state correctional facility (2005) |
Titre traduit : | (Transmission en cours de l'infection par levirus de l'hépatite B chez les détenus dans un établissement correctionnel d'état) |
Auteurs : | A. J. KHAN ; E. P. SIMARD ; W. A. BOWER ; H. L. WURTZEL ; M. KHRISTOVA ; K. D. WAGNER ; K. E. ARNOLD ; O. V. NAINAN ; M. LAMARRE ; B. P. BELL |
Type de document : | Article : Périodique |
Dans : | American Journal of Public Health (Vol.95 n°10, 2005) |
Article en page(s) : | 1793-1799 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
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) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 33 |
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. |
Numéro Toxibase : | 1301282 |
Centre Emetteur : | 13 OFDT |
Cote : | Abonnement |
Lien : | http://ajph.aphapublications.org/cgi/content/abstract/95/10/1793 |
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