RISK OF TRANSMISSION OF HEPATITIS-B AND C VIRUSES IN UPPER GASTROINTESTINAL ENDOSCOPY – A HOSPITAL BASED STUDY

Risk of Transmission of Hepatitis-B and C Viruses

Abstract

Background: A study was carried out at Gastroenterology department Military Hospital, Rawalpindi, from 6th June to 24th October 2002, to assess the risk of upper gastrointestinal endoscopic procedure as a route of transmission of HBV and HCV.

Methods: One hundred consecutive patients reporting for endoscopy at Gastroenterology department, MH, Rawalpindi, fulfilling the inclusion and exclusion criteria were selected. Their base-line HBV and HCV status were assessed prior to endoscopy. They were then recalled after 04 months to re-assess the HBV and HCV status.

Results: Two patients (2%) tested positive for HBsAg, and none for Anti HCV antibodies, after 04 months of the procedure. One of the HBsAg positives had a history of unchecked blood transfusion after the endoscopy.

Conclusion: Endoscopy is a very safe procedure provided strict disinfection techniques are followed. However, staff and patient education regarding preventive methods against HBV and HCV remains the cornerstone in avoiding their transmission.