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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR  
Year : 2013  |  Volume : 24  |  Issue : 3  |  Page : 587-588
Hepatitis B virus infection: Need for more attention in hemodialysis patients


1 Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, I. R. Iran
2 Baqiyatallah Research Center for Gastroenterology and Liver Disease, Baqiyatallah University of Medical Sciences, Tehran, I. R. Iran

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Date of Web Publication24-Apr-2013
 

How to cite this article:
Einollahi B, Alavian SM. Hepatitis B virus infection: Need for more attention in hemodialysis patients. Saudi J Kidney Dis Transpl 2013;24:587-8

How to cite this URL:
Einollahi B, Alavian SM. Hepatitis B virus infection: Need for more attention in hemodialysis patients. Saudi J Kidney Dis Transpl [serial online] 2013 [cited 2020 Aug 3];24:587-8. Available from: http://www.sjkdt.org/text.asp?2013/24/3/587/111074
To the Editor,

We read with great interest the published article by Etemadi et al [1] entitled "Prevalence and risk factors of hepatitis B infection among hemodialysis patients in Tabriz: A multicenter report" in your most valuable journal recently. Patients with end-stage renal disease and re­ceiving long-term hemodialysis might be vul­nerable to infection with blood-borne viruses, such as hepatitis B and C virus (HBV and HCV) infections. [2],[3] The sero-prevalence of HBV infection in patients on hemodialysis has decreased significantly due to the increasing adherence to universal precautions, increased quantity and improvements in the quality of dialysis unit staff, increasing use of erythropoietin and vaccination against HBV. [4]

There are some points that we would like to mention for better understanding the issue. The authors did not present any data regarding the history of vaccination against HBV infec­tion and, if they declared that the risk factors in hemodialysis centers were "dialysis independent parameters," they did not present the time of evaluation for HBsAg. It was better to check the HBsAg before start of hemodialysis. They mentioned that all of HBsAg posi­tive ones (13 HD patients) were HCV negative. We think that it means that transfusion was not a risk factor for acquiring the HBV infection in their study group. [1] Finally, we would like to suggest that the hemodialysis centers should separate the patients by devices, rooms and staff in all hemodialysis sessions: the HBV positive from the HBV negative ones. [5]

Conflict of interest: None

 
   References Top

1.Etemadi J, Somi MH, Ardalan MR, Hashemi SS, Soltani GG, Shoja MM. Prevalence and risk factors of hepatitis B infection among hemodialysis patients in Tabriz: A multicenter report. Saudi J Kidney Dis Transpl 2012; 23(3):609-13.  Back to cited text no. 1
    
2.Mahdavi-Mazdeh M. Controlling HCV infec­tion in hemodialysis units. Nephrol-Urol Mon 2011;3:311-2.  Back to cited text no. 2
    
3.Mostaghni AA, Soltanian A, Mokhtari E, Japoni S, Mehrabani D. Seroprevalence of hepatitis B virus among hemodialysis patients in Bushehr province, southern Iran: HBV seroprevalence in hemodialysis patients. Hepat Mon 2011;11: 200-2.  Back to cited text no. 3
    
4.Alavian SM, Tabatabaei SV. Effects of oral levamisole as an adjuvant to hepatitis B vaccine in adults with end-stage renal disease: A meta-analysis of controlled clinical trials. Clin Ther 2010;32:1-10.   Back to cited text no. 4
    
5.Joukar F, Besharati S, Mirpour H, Mansour-Ghanaei F. Hepatitis C and hepatitis B sero-prevalence and associated risk factors in hemodialysis patients in Guilan province, north of Iran: HCV and HBV seroprevalence in hemodialysis patients. Hepat Mon 2011;11:178-81.  Back to cited text no. 5
    

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Correspondence Address:
Behzad Einollahi
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran
I. R. Iran
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DOI: 10.4103/1319-2442.111074

PMID: 23640639

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