Hepatitis C virus infection in patients and family members attending two primary care clinics in Puebla, Mexico.

ABSTRACT

BACKGROUND: Approximately 180 million persons (~2.8%) globally are estimated to be infected by hepatitis C virus (HCV). HCV prevalence in Mexico has been estimated to be between 1.2 and 1.4%. The aim of present work was to determine the prevalence of HCV infection in patients and family members attending two primary care clinics in Puebla, Mexico. MATERIAL AND METHODS: Patients and their accompanying family members in two clinics were invited to participate in this study between May and September 2010. RESULTS: A total of 10,214 persons were included in the study; 120 (1.17%) persons were anti-HCV reactive. Of the reactive subjects, detection of viral RNA was determined in 114 subjects and 36 were positive (31%). The more frequent risk factors were having a family history of cirrhosis (33.1%) and having a blood transfusion prior to 1995 (29%). After a multiple logistic regression analysis only transfusion prior to 1995 resulted significant to HCV transmission (p = 0.004). The overall detected HCV genotypes were as follows 1a (29%), 1b (48.5%), 2/2b (12.8%), and 3a (6.5%). CONCLUSION: The HCV prevalence in this population is in agreement with previous studies in other regions of Mexico.