Evaluation of icterus causes in hospitalized patients with jaundice in infectious word of Sina hospital of Tabriz

Abstract

Icterus can be the result of wide spectrum of causes, ranging from benign and self-limited conditions to life threatening ones. Some of these causes are curable with early diagnosis and early treatment and some, such as viral hepatitis can be controlled to some degree with supportive treatments, and in these patients it is important to consider preventive treatments in order to stop transmission. In a cross sectional - descriptive, study 105 cases of inpatients with icterus have been studied. Data have been collected by using patients file and results have been inserted in a question aired and data have been analyzed by using spss, chi-square statistical software. 16 final diagnosis generally have been suggested in this research which are respectively: acute hepatitis B 20.9 %, Chronic hepatitis B 13.3 %, Cirrhosis 13.3 %, Intra hepatic cholestasis 12.38 %, Drug induced hepatitis 8.6 %, Infectious mono nucleuses, CMV 7.6 %, post hepatic cholestasis hepatitis 5.71%, autoimmune hepatitis 4.8 %, hepatitis C 3.6 %, Hepatocellular carcinoma 3.6 %, unknown causes of hepatitis 1.9% and Wilson disease, hemochromatosis, hepatic hemangioma, hepatitis A and alcoholic hepatitis in 0.9% were found. By determining the prevalence of the causes of icter and using some clinical evidence and laboratory tests, we can diagnose the main cause of it and use suitable medical treatment to decrease the mortality and morbidity of the disease.