بررسی شیوع انواع هپاتیت ویروسی و اپیدمیولوژی بالینی هپاتیت A و پیش آگهی آن در بیماران هپاتیتی بالغ بستری شده در بیمارستان رازی قائمشهر از ابتدای سال 1382 تا انتهای سال 1387

Background and purpose: Viral hepatitis is the leading cause of morbidity and mortality in human societies. Hepatitis Â, in particular is one of the most important health problems in the world. This disease occurs in societies with low to medium socioeconomic status. Ït is asymptomatic to mild in childhood but the infection pattern has changed and it occurs in adults with higher morbidity and mortality. This study was done to evaluate the prevalence of viral hepatitis and the clinical epidemiology in patients over 14 years old who contracted hepatitis Â. Materials and methods: The hospital records of all patients older than 14 years diagnosed with acute hepatitis were studied from 2003-2008. ÏgM Âb test, the clinical, paraclinical and prognosis data were extracted and analyzed. Results: Ôver all 439 patients were diagnosed with acute and chronic hepatitis, 40 patients (9.11%) with hepatitis Â, 261 patients with (59.45%) acute and chronic hepatitis B, 136 patients with (30.97%) chronic hepatitis Ç and 2 patients (0.45%) with acute hepatitis Ë. Ïn patients with hepatitis Â, 12 were female and 28 were male. Most of the patients were 14-19 years old. The most common symptoms were icterus, nausea and abdominal pain. None of the patients had normal ÂLT and ÂST tests. Ïn 36 patients direct bilirubin and in 37 patients indirect bilirubin were abnormal and 3 patients had unicteric hepatitis.19 patients (90%) had prolonged PT and 30 patients (92.5%) had prolonged PT and PTT, 3 patients (7.5%) died from fulminant hepatitis Â. Çonclusion: Ôur study showed that after hepatitis B and Ç, the most prevalent type of viral hepatitis was hepatitis  with increasing number of adult cases during the study period, as a result, the morbidity of this disease increased, therefore, a program for vaccination against hepatitis  is recommended.