VIRAL-HEPATITIS IN FOREIGN RESIDENTS AND TRAVELERS IN NEPAL

被引：7

作者：

SCHWARTZ, E ^{[1
]}

INNIS, BL ^{[1
]}

SHLIM, DR ^{[1
]}

SNITBHAN, R ^{[1
]}

机构：

[1] CIWEC CLIN,KATMANDU,NEPAL

来源：

JOURNAL OF WILDERNESS MEDICINE | 1991年 / 2卷 / 02期

关键词：

VIRAL HEPATITIS; HEPATITIS-A INFECTION; ENTERICALLY TRANSMITTED NON-A; NON-B HEPATITIS INFECTION; IMMUNE GLOBULIN PROPHYLAXIS; INFECTIONS AMONG TRAVELERS; NEPAL;

D O I：

10.1580/0953-9859-2.2.88

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fifty-two consecutive patients presenting with viral hepatitis at a clinic for foreigners in Nepal were studied over a 21-month period from 1986 to 1988 to determine the etiology of viral hepatitis. Among travellers, all cases of hepatitis (n = 22) were hepatitis A. Of the 22 travellers who developed hepatitis A, one died and three required aero-medical evacuation from mountain areas. Among foreign residents, there were 25 cases of hepatitis A and five cases of non-A, non-B hepatitis. The non-A, non-B hepatitis cases occurred during the monsoon season, a time when increased numbers of cases of enterically-transmitted non-A, non-B hepatitis were seen among Nepali residents of the Kathmandu Valley. No cases of hepatitis B were seen. Among patients with hepatitis, seven had received immune globulin in the preceding six months. Of these immune globulin prophylaxis failures, two were cases of hepatitis A occurring between 17 and 21 weeks after administration of 5 ml of immune globulin; four were cases of presumed entrically transmitted non-A, non-B hepatitis. We conclude that hepatitis A and occasionally enterically transmitted non-A non-B hepatitis occur among foreigners in Nepal. Better immune globulin prophylaxis of hepatitis A may be achieved with a 5 ml dose given every four months.

引用

页码：88 / 93

页数：6

共 10 条

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