27
bulaşma oranı yüksektir ve yeni HBV olgularının %39’undan heteroseksüel,
%24’ünden ise homoseksüel cinsel ilişki sorumlu tutulmuştur (5). HBV’nin cin-
sel yolla bulaşmasının engellenmesi için tek eşlilik ve çiftlerin aşılanması, çok
eşlilik söz konusu ise kondom kullanımı gibi uygulamalar önerilmektedir.
Kaynaklar
1.
Sevens CE, Neurath RA, Beasly RP, Szmuness W. HBeAg and anti-HBe detection
by radioimmunoassay. Correlation with vertical transmission of hepatitis B virus in
Taiwan. J Med Virol 1979;3:S237-S241.
2.
Xu D, Yan Y, Xu J, Men K, Liu Z, Zhang J, et al. A molecular epidemiologic study
on the mechanism of intrauterine transmissionof hepatitis B virus. Chin J Epidemiol
1998;19:S131-S133.
3.
Wang S, Xu D, Yan Y, Shi M, Zhang J, Ma J, et al. An investigation on the risk
factors of the intrauterine transmission of hepatitis B virüs Chin J Public Health
1999;18:S251-S252.
4.
EASL Clinical Practice Guidelines: Management of chronic hepatitis B virüs
Infection.European Association for the Study of the Liver. J Hepatol 2012;57:S167–
S185.
5.
Beasley RP, Stevens CE, Shiaı IS, Meng HC. Evidence against breastfeeding as a
mechanism for vertical transmission of hepatitis B. Lancet 1975;2:S740-S741.
6.
Hill JB, Sheffield JS, Kim MJ. Risk of hepatitis B transmission in breast-fed infants of
chronic hepatitis B carriers. Obstet Gynecol 2002;99:S1049-S1052.
7.
Yılmaz H, Leblebicioğlu H. Hepatit B epidemiyolojisi ve korunma. Türkiye Klinikleri
Gastroenterohepatoloji özel sayısı 2010;3(1)S24-S38.
8.
Wasley A, Grytdal S, Gallagher K. Centers for Disease Control and Prevention
(CDC). Surveillance for acute viral hepatitis--United States, 2006. MMWR Surveill
Summ 2008; 57:1.
9.
Soldan K, Ramsay M, Collins M. Acute hepatitis B infection associated with blood
transfusion in England and Wales, 1991-7:review of database. BMJ 1999;318:S95.
10.
Roth WK, Weber M, Petersen D, Drosten C, Buhr S, Sireis W, et al. NAT for HBV
and anti-HBc testing increase blood safety. Transfusion 2002;42:S869-S875
11.
Chapman LE, Sullivent EE, Grohskopf LA. Recommendations for postexposure
interventions to prevent infection with hepatitis B virus, hepatitis C virus, or human
immunodeficiency virus, and tetanus in persons wounded during bombings and
other mass-casualty events--United States, 2008. MMWR Morb Mortal Wkly Rep
2008; 57:RR-6.
12.
Updated CDC Recommendations for the Management of Hepatitis B Virus–
Infected Health-Care Providers and Students. US Government Printing Office;
US Department of Health and Human Services, Centers for Disease Control and
Prevention, 2012.
13.
Challine D, Chevaliez S, Pawlotsky JM. Efficacy of serologic marker screening
in identifying hepatitis B virus infection in organ, tissue, and cell donors.
Gastroenterology 2008;135:S1185-S1191.
HBV Enfeksiyonunun Bulaşma Yolları
