ABSTRACT
BACKGROUND: In Egypt, there is no legislation for deceased donor transplant; therefore, programs provide living donation only. One possible barrier against living liver donation may be the attitude of the health-care professional. This study aimed to (1) assess the level of knowledge and attitude toward liver donation and transplantation among health-care professional in an University Hospital in Upper Egypt and (2) analyze the variables that affect such an attitude. MATERIALS AND METHODS: This was a cross-sectional survey study with 300 health-care professionals. RESULTS: The mean (standard deviation) age was 27.4 (5.3) years. Two hundred (66.7%) were females, and 257 (85.7%) were Muslims. A total of 222 (74%) were residents in University Hospitals. Of the sample, 104 (34.7%) would donate a living liver part, 122 (40.7%) discussed the matter of organ donation and transplantation with their family, and 134 (44.7%) did not discuss this issue with their family. About 40% knew the attitude of their religion toward organ donation. Most (94.7%) health professionals were <40 years and did not know the attitude of their religion toward this issue. Single persons had more correct information regarding living organ donation and transplantation. More Muslims know the attitude of their religion toward living organ donation and transplantation. CONCLUSIONS: Independent predictors of accepting living liver donation are being younger, knowledge of religion attitude, and media coverage satisfaction ( P = 0.006, odd ratio [OR] = 0.2; P = 0.000, OR = 0.39; and P = 0.016; OR = 0.38).
Subject(s)
Attitude of Health Personnel , Health Knowledge, Attitudes, Practice , Islam/psychology , Liver Transplantation/psychology , Living Donors/psychology , Personnel, Hospital/psychology , Tissue and Organ Procurement/statistics & numerical data , Adult , Age Factors , Cross-Sectional Studies , Egypt , Female , Humans , Liver Transplantation/statistics & numerical data , Living Donors/statistics & numerical data , Male , Personnel, Hospital/statistics & numerical data , Surveys and QuestionnairesABSTRACT
The aim of this study was to determine the clinicopathologic features and Hepatitis B virus genotypes in HBV-infected patients in the Upper Egypt. Eighty-three HBsAg-positive patients (28 carriers, 14 with chronic hepatitis, 32 with liver cirrhosis and 9 with hepatocellular carcinoma) were enrolled. Blood was collected and serum samples obtained were screened for Hepatitis markers genotyping was conducted for 6 HBV genotypes (A through F) using a method for genotyping HBV by primer specific polymerase chain reaction. Genotype D was the only genotype detected in different clinical forms of chronic HBV infection (carriers, chronic hepatitis, cirrhosis and hepatocellular carcinoma) and, in all patients who had elevated or normal alanine aminotransferase levels and in all ages. HBeAg was absent in 78 patients suggesting the presence of pre-core or core mutations. Positive correlation was found among serum levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), histological activity index and grade of hepatitis. This study provides the first indication about the clinicopathologic features of HBV-infected patients in the Upper Egypt. It also reports the predominance of genotype D in this region.