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Epidemiology of hepatitis C in Croatia in the European context

World Journal of Gastroenterology 2015年第32期21卷 9476-9493页

作者： Tatjana Vilibic-Cavlek Jasmina Kucinar Bernard Kaic Maja Vilibic nenad pandak Ljubo Barbic Vladimir Stevanovic Jasmina Vranes Department of Virology Croatian National Institute of Public Health and School of Medicine University of Zagreb Department of Microbiology Istria County Institute of Public Health Department of Epidemiology Croatian National Institute of Public Health Vrapce University Psychiatric Hospital Department of Infectious Diseases General Hospital "Dr Josip Bencevic" School of Medicine University of Osijek Department of Microbiology and Infectious Diseases with Clinic Faculty of Veterinary Medicine University of Zagreb Department of Microbiology Public Health Institute "Dr Andrija Stampar" and School of Medicine University of Zagreb

We analyzed prevalence, risk factors and hepatitis C virus(HCV) genotype distribution in different population groups in Croatia in the context of HCV epidemiology in Europe, with the aim to gather all existing information on HCV infection in Croatia which will be used to advise upon preventive measures. It is estimated that 35000-45000 of the Croatian population is chronically infected with HCV. Like in other European countries, there have been changes in the HCV epidemiology in Croatia over the past few decades. In some risk groups(polytransfused and hemodialysis patients), a significant decrease in the HCV prevalence was observed after the introduction of routine HCV screening of blood/blood products in 1992. Injecting drug users(IDUs) still represent a group with the highest risk for HCV infection with prevalence ranging from 29% to 65%. Compared to the prevalence in theCroatian general population(0.9%), higher prevalence rates were found in prison populations(8.3%-44%), human immunodeficiency virus-infected patients(15%), persons with high-risk sexual behavior(4.6%) and alcohol abusers(2.4%). Low/very low prevalence was reported in children and adolescents(0.3%) as well as in blood donors(0%-0.009%). In addition, distribution of HCV genotypes has changed due to different routes of transmission. In the general population, genotypes 1 and 3 are most widely distributed(60.4%-79.8% and 12.9%-47.9%, respectively). The similar genotype distribution is found in groups with high-risk sexual behavior. Genotype 3 is predominant in Croatian IDUs(60.5%-83.9%) while in the prison population genotypes 3 and 1 are equally distributed(52.4% and 47.6%). Data on HCV prevalence and risk factors for transmission are useful for implementation of preventive measures and HCV screening.

关键词： Hepatitis C Seroprevalence Genotypes Croatia Europ

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Emerging and neglected zoonoses in transplant population

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World Journal of Transplantation 2020年第3期10卷 47-63页

作者： Anna Mrzljak Rafaela Novak nenad pandak Irena Tabain Lucija Franusic Ljubo Barbic Maja Bogdanic Vladimir Savic Danko Mikulic Jadranka Pavicic-Saric Vladimir Stevanovic Tatjana Vilibic-Cavlek Department of Medicine Merkur University HospitalZagreb 10000Croatia School of Medicine University of ZagrebZagreb 10000Croatia Depatment of Medicine The Royal Hospital MuscatMuscat 111Oman Department of Virology Croatian Institute of Public HealthZagreb 10000Croatia General Hospital Dubrovnik Dubrovnik 20000Croatia Department of Microbiology and Infectious Diseases with Clinic Faculty of Veterinary MedicineUniversity of ZagrebZagreb 10000Croatia Poultry Center Croatian Veterinary InstituteZagreb 10000Croatia Department of Abdominal and Transplant Surgery Merkur University HospitalZagreb 10000Croatia Department of Anesthesiology and Intensive Medicine Merkur University HospitalSchool of MedicineUniversity of ZagrebZagreb 10000Croatia Department of Virology Croatian Institute of Public HealthSchool of MedicineUniversity of ZagrebZagreb 10000Croatia

Zoonoses represent a problem of rising importance in the transplant population.A close relationship and changes between human,animal and environmental health(“One Health”concept)significantly influence the transmission and distribution of zoonotic *** aim of this manuscript is to perform a narrative review of the published literature on emerging and neglected zoonoses in the transplant *** reports on donor-derived or naturally acquired(re-)emerging arboviral infections such as dengue,chikungunya,West Nile,tick-borne encephalitis and Zika virus infection have demonstrated atypical or more complicated clinical course in immunocompromised *** E virus has emerged as a serious problem after solid organ transplantation(SOT),leading to diverse extrahepatic manifestations and chronic hepatitis with unfavorable *** neglected pathogens such as lymphocytic choriomeningitis virus can cause severe infection with multi-organ failure and high *** addition,ehrlichiosis may be more severe with higher casefatality rates in SOT *** unusual or severe presentations of borreliosis,anaplasmosis and rickettsioses were also reported among transplant ***,toxoplasmosis as infectious complication is a well-recognized zoonosis in this *** rabies transmission through SOT transplantation has rarely been reported,it has become a notable problem in some *** the spreading trends of zoonoses are likely to continue,the awareness,recognition and treatment of zoonotic infections among transplant professionals should be imperative.

关键词： Zoonoses Solid-organ transplant Vector-borne diseases Non-vector borne diseases Viruses Bacteria Parasites

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