Phylogenetic investigation for the risk of hepatitis C virus transmission to surgical and dental patients

Blood loss during treatment carries a potential risk for the transmission of blood‐borne pathogens in hospital patients. To determine whether nosocomial transmission of hepatitis C virus (HCV) occurs in surgical wards and dental hospitals, we tested anti‐HCV antibodies and HCV RNA in sera from these...

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Veröffentlicht in:Journal of viral hepatitis 2001-03, Vol.8 (2), p.148-153
Hauptverfasser: Enomoto, A., Yoshino, S., Hasegawa, H., Komatsu, T., Sasahara, H., Takano, S., Esumi, M.
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container_end_page 153
container_issue 2
container_start_page 148
container_title Journal of viral hepatitis
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creator Enomoto, A.
Yoshino, S.
Hasegawa, H.
Komatsu, T.
Sasahara, H.
Takano, S.
Esumi, M.
description Blood loss during treatment carries a potential risk for the transmission of blood‐borne pathogens in hospital patients. To determine whether nosocomial transmission of hepatitis C virus (HCV) occurs in surgical wards and dental hospitals, we tested anti‐HCV antibodies and HCV RNA in sera from these patients and analysed the hypervariable region 1 (HVR1) sequence of HCV phylogenetically in the HCV RNA‐positive patients. Five of 83 patients from a surgical ward were positive for HCV RNA, and six patients from one dental hospital and nine patients from a second were found to be positive for HCV RNA during the examination period. The HVR1 sequences were amplified from these patients’ serum, and after subcloning, multiple clones of the HVR1 sequence from each patient were determined. The phylogenetic analysis of these sequences showed that HVR1 species from each patient could be classified into one to three genetic clusters of HVR1 quasi‐species and that these clusters were independent of each other among patients. Thus, there was no evidence of HCV transmission in our study, and unrecognized transmission of HCV may be a rare event in surgical and dental patients at university hospitals.
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To determine whether nosocomial transmission of hepatitis C virus (HCV) occurs in surgical wards and dental hospitals, we tested anti‐HCV antibodies and HCV RNA in sera from these patients and analysed the hypervariable region 1 (HVR1) sequence of HCV phylogenetically in the HCV RNA‐positive patients. Five of 83 patients from a surgical ward were positive for HCV RNA, and six patients from one dental hospital and nine patients from a second were found to be positive for HCV RNA during the examination period. The HVR1 sequences were amplified from these patients’ serum, and after subcloning, multiple clones of the HVR1 sequence from each patient were determined. The phylogenetic analysis of these sequences showed that HVR1 species from each patient could be classified into one to three genetic clusters of HVR1 quasi‐species and that these clusters were independent of each other among patients. 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subjects Adult
Aged
Amino Acid Sequence
dental hospital
Dental Service, Hospital
Disease Transmission, Infectious
Female
Hepacivirus - chemistry
Hepacivirus - genetics
Hepatitis C - blood
Hepatitis C - transmission
Hepatitis C - virology
Hepatitis C Antibodies - blood
Hepatitis C virus
Humans
hypervariable region 1
Japan
Male
Middle Aged
Molecular Sequence Data
nosocomial transmission
phylogenetic analysis
Phylogeny
Risk Factors
RNA, Viral - analysis
Sequence Alignment
Surgery Department, Hospital
surgical ward
Viral Proteins - classification
Viral Proteins - genetics
title Phylogenetic investigation for the risk of hepatitis C virus transmission to surgical and dental patients
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