Özet:

One of the important problems in hemodialysis patients is the HBV and HCV infections. While as a result of various precautions that has been undertaken, the HBV threat is decreasing, HCV infection risk is increasing continuously. In this study various parameters were investigated effecting HBV and HCV infections. HBs Ag and anti- HCV positivities were found to bv 19.7% (14/71) and 36.6% (26/71) respectively, while no relationship was found between HBV and dialysis duration or blood transfusions; the increase in ALT values and HBV positivity were found to be interrelated importatly. As regard to the HCV, no relation was found with blood tranfusions when hemodialysis patients were taken into consideration as a whole group, but dialysis duration and increases in ALT were strong factors that effect HCV prevalence. The results suggest that HCV infection can be carried by means other than blood transfusion. On the contrary, when patients were grouped according to the number of blood transfusions, it was found that while anti- HCV positivitiy was 28% in 29 patient with 1-9 units anad 33% in 21 patients with 10 to 20 units of blood transfusion, the prevalence increased to 52% in 21 patients who had been transfused more than 20 units of blood. This last finding suggests that at least in the last group, blood transfusions can play a role in the transmission of HCV infection among hemodialysis patients.

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