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Published on: November 7, 2018
Horizontal transmission of hepatitis B virus in children with chronic hepatitis B
Tumay Doganci1, Gulnar Uysal, Tayfun Kir
1Department of Pediatric Gastroenterology, SSK Ankara Children's Hospital, 06018 Ankara, Turkey.
Insights
Horizontal transmission of Hepatitis B Virus (HBV) is common in pediatric cases. This study highlights intrafamilial spread, emphasizing the need for broader childhood prevention programs beyond newborns.
Area of Science:
- Hepatology
- Virology
- Pediatrics
Background:
- Chronic Hepatitis B Virus (HBV) infection is a significant global health concern, particularly in endemic regions.
- Understanding intrafamilial transmission is crucial for effective prevention strategies in pediatric populations.
Purpose of the Study:
- To investigate the intrafamilial transmission patterns of chronic Hepatitis B Virus (HBV) infection in children.
- To identify the role of parental and sibling HBsAg positivity in pediatric HBV cases.
Main Methods:
- A descriptive retrospective study was conducted involving 302 children with chronic HBV infection from 251 families.
- Data were collected from children and their parents attending two hospitals in Ankara between December 1998 and May 2000.
- Diagnosis and screening for chronic HBV infection followed the Consensus 2000 guidelines.
Main Results:
- Mothers were HBsAg positive in 38% of cases, and fathers were HBsAg positive in 23% of cases.
- When both parents were HBsAg positive, 61% of families had at least two siblings with HBV infection.
- These findings suggest significant horizontal transmission within families.
Conclusions:
- Horizontal transmission of Hepatitis B Virus is prevalent in pediatric chronic infections in moderately endemic countries.
- This study represents one of the largest observed series on horizontal transmission in pediatric chronic HBV infection in Turkey.
- Preventive programs should extend beyond the newborn period to encompass all stages of childhood.
Aim:
To determine the possible routes of intrafamilial transmission pattern in pediatric cases of chronic hepatitis B virus (HBV) infection.
Methods:
In this descriptive retrospective study, 302 children with chronic HBV infection from 251 families and their parents attending the Social Security Children's Hospital and Doctor Sami Ulus Children's Hopsital in Ankara between December 1998 and May 2000, were enrolled in. Screenings and diagnosis of chronic HBV infections were established according to the Consensus 2000.
Results:
In the studied 302 children with chronic HBV infection, mothers of 38% and fathers of 23% were HBsAg positive. The HBsAg positivity in at least two siblings of the same family was 61% when both parents were HBsAg positive.
Conclusion:
It is well known that horizontal transmission is quite common in countries where Hepatitis B Virus is moderately endemic. To our best knowledge, this is the largest series observed regarding the horizontal transmission in pediatric chronic HBV infection in Turkey. It is necessary to expand the preventive programs to target not only the newborn period but also all stages of childhood.
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