Registration of acute viral hepatitis – an "Iceberg phenomenon"

Talalayev K. A., Kozishkurt E. V. Registration of acute viral hepatitis – an “Iceberg phenomenon”. Journal of Education, Health and Sport. 2018;8(5):390-398. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3726209

http://ojs.ukw.edu.pl/index.php/johs/article/view/7714

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This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 02.04.2018. Revised: 12.04.2018. Accepted: 31.05.2018.

REGISTRATION OF ACUTE VIRAL HEPATITIS – AN “ICEBERG PHENOMENON”

K. A. Talalayev, E. V. Kozishkurt

Odessa National Medical University, Ukraine

Abstract

The quality of registration of acute liver damage caused by hepatitis A, B and C viruses can be questioned. A comparative study of the frequency of detection of serological markers of acute liver damages associated with three pathogens and indicators of officially registered morbidity was carried out. It has been established that in some cases the diagnosis of hepatitis A is established only on the basis of clinical symptoms and the exclusion of markers of acute damage by other hepatitis viruses. The results of serological studies on the detection of aHBcor IgM in patients with hepatitis symptoms suggest that in half of cases there is an under-registration of acute hepatitis B. The estimated incidence of acute hepatitis C, according to the identified markers (aHCV IgM), is more than 10 times higher than the recorded level. It is necessary to optimize the information subsystem of epidemiological surveillance of this group of diseases by organizing a vertical line between the diagnostic and therapeutic link in the health care system.

Key words: acute hepatitis A, B, C; calculated morbidity; serological marker; acute liver damage.