Davoodi L, Babamahmoodi F, Taghavi S M, Torab Beygi K, Ghandi S, Talebi Moghaddam M. Open-Heart Surgery and Viral Risk: Investigation of the Prevalence of HIV, HBV, and HCV in Patients Undergoing Heart Surgery. J Mazandaran Univ Med Sci 2025; 35 (248) :82-88
URL:
http://jmums.mazums.ac.ir/article-1-21392-en.html
Abstract: (13 Views)
Background and purpose: Bloodborne infectious diseases, particularly HBV, HCV, and HIV, are major global health concerns. Patients undergoing open-heart surgery are at a higher risk of infection due to the extensive use of injections and other invasive procedures and laboratory tests. This study aimed to investigate the prevalence of these infections among patients undergoing open-heart surgery.
Materials and methods: This descriptive–analytical study was conducted on 500 patients who underwent coronary artery bypass grafting (CABG) or open-heart surgery. Data were collected on high-risk behaviors, history of blood transfusion, family history, and viral markers, and analyzed using SPSS version 16. Additionally, coronary risk factors, including diabetes, hypertension, lipid profile disorders, and history of myocardial infarction, were assessed.
Results: Among the patients, 54.5% were male and 45.5% were female, with the majority aged between 51 and 60 years. The prevalence of HBV, HCV, and HIV was 8%, 1%, and 0.2%, respectively. HBV infection was slightly more common in women, while HCV was more frequent in men; women also accounted for a higher proportion of HIV cases. Younger age was associated with a higher prevalence of HBV and HIV, whereas HCV was more common in older patients. Injection drug use was positively associated with HIV and HCV, and a history of blood transfusion was linked to higher rates of HCV and HIV. The single HIV case was associated only with multiple sexual partners. A history of dialysis was related to increased prevalence of HIV and HCV but a lower prevalence of HBV. Lower educational level was correlated with higher prevalence of all three infections.
Conclusion: This study highlights the importance of preoperative screening among high-risk patients. Further research in diverse healthcare settings could help identify high-risk groups more precisely and minimize unnecessary testing and associated costs.
Type of Study:
Brief Report |
Subject:
Epidemiology