5 (HAV) (HBV) (HCV) (HDV) (HEV)
20 1957 WHO 1.2 1/10 1/3
8
- IDU 3.3% (MSM) HAV 1991 HAV 80
HBV HBsAg HBs 70 600 4.6% HBsAg 51.1% HBsAg HBs 65% 6 10 30.9% HBV 10 60.5% HBV HBV
2001 PCR 173 HBV HCV 3 >4 HBV HCV HBV HCV
2006 ELISA 233 HBsAg (NGU) P<0.05 223 4 1 HBsAg HCV 2 NGU 1 HBsAg HEV 27 HBsAg HBs 11 HBV
HBV HIV HCV 2006 ELISA PCR 56 HCV HCV -HCV HCV RNA 91.07% 85.71% -HCV HCV RNA 39.28% 62.50% -HCV HCV RNA 22.22% 24.07% HCV HCV
HIV HBV HIV HCV HIV HCV
HBV 10~20% HBV Lee, 1997 20 HBV 20 HBV 95 45 48 Raynaud 3-15 mm
HCV HCV
1. HCV 33%~50% 60 100 2. HCV 62 82 124 26 21 HCV 3. HCV 0.1%~35%, HCV
1
2
3
4
5
6
7 HCV
8 HCV
4. 28 HCV 10 16 5. 79 19 24 HCV >24 6. HCV
7. HAV HBV HIV 5%~20% HCV, HCV 8. 27, 9 (33%) HCV, 1.2% 1 HCV, -,,
,, 110 0.9%, SLE 102 SLE 95 HBV HBV
9
HIV HIV HIV HIV 70~80, AIDS/STD MSM
1. 2. 3. 4. MSM FSW 5. IFN -2a (ribavirin) (amantadin) 6.
MTX
[1] Katz MH, Hsu L, Wong E, et al. Seroprevalence of and risk factors for hepatitis: A infection among homosexual and bisexual men. J infect Dis. 1997, 175:1225. [2] Stewart T, Crofts N. An outbreak of hepatitis A among homosexual men in Melbourne. Med J Aust. 1993, 158:519. [3] Szmuness W, Much I, Prinle AM, et al. On the role of sexual behavior in the spread of hepatitis B infection. Ann Intern Med. 1975, 83:489. [4].. 2001 28(2) 139-144. [5].... 2001 263-278. [6]. 223. 2006 13 1 7-9. [7]... 2006 27(10) 874-875. [8] Kingsley LA, Rinaldo CR, Lyter DN, et al. Sexual transmission efficiency of hepatitis B virus and human immunodeficiency virus among homosexual men. JAMA, 1990, 264:230. [9] Lee WM. Hepatitis B virus. N Engl J Med 1997,337 (24):1733-1745.
[10]..... 2001 317-319. [11]... 2004 20 (5): 470-472. [12].. 2002 18 2 195-196. [13].. 2003 16 6 ;516-517. [14].. 2007 7 3 296-297-. [15].. 2003 24 1 53-54. [16].. 2004 33 9 535-537. [17]. 1. 2005 34 10 714. [18].. 2001 17 1 19-20. [19]..,2005, 21 (2): 126-127.