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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Exposure time to hepatitis B virus and associated risk factors among children in Edirne, Turkey
M Otkun1, M S Erdogan, M Tatman-Otkun
1Department of Microbiology and Clinical Microbiology, Medical Faculty of Trakya University, Edirne, Turkey.
Insights
Hepatitis B virus (HBV) infection risk increases after age 10 in Turkish children. Collective circumcision was a significant risk factor, highlighting the need for early vaccination.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Hepatitis B virus (HBV) infection is a significant public health concern, particularly in endemic regions like Turkey.
- Understanding transmission routes and risk factors in children is crucial for effective prevention strategies.
Purpose of the Study:
- To determine the timing of Hepatitis B virus (HBV) exposure in children aged 0-19 years in Edirne, Turkey.
- To identify associated risk factors for HBV infection in this pediatric population.
Main Methods:
- A cross-sectional study involving 717 children aged 0-19 years in Edirne.
- Screening for antiHBc, antiHBs, and HBsAg using the microELISA method.
- Data collection through questionnaires to assess potential risk factors.
Main Results:
- Overall antiHBc seropositivity was 5.4%, with rates increasing significantly in older age groups (11.8% in 15-19 years).
- HBsAg seropositivity was 1.7%.
- The risk of HBV infection increased notably after age 10 (OR 7.79), with collective circumcision identified as the sole independent risk factor via regression analysis.
Conclusions:
- HBV infection risk in children increases substantially after the age of 10.
- Collective circumcision is a significant risk factor for HBV transmission in children.
- Vaccination against HBV before 11 years of age is recommended for children in Edirne.
Abstract:
Hepatitis B virus (HBV) infection is endemic in Turkey, but the main routes of transmission were not well established. This study aims to detect the exposure time to HBV and associated risk factors among children. In a sampling group of children aged 0-19 years living in Edirne, antiHBc, antiHBs and HBsAg were screened by the microELISA method. A questionnaire was also completed for each child. In 717 children that were included in the study, the total antiHBc seropositivity was 5.4% and was 1.8, 0.8, 1.7, 6.8, 11.8% in 0-1, 2-5, 6-10, 11-14, 15-19 years age groups respectively. The overall HBsAg seropositivity was 1.7%. The risk of HBV infection increased after the age of 10 years (OR 7.79, 95% CI 3.01-20.16). Collective circumcision was the only independent factor according to regression analysis. Children living in Edirne should be vaccinated against HBV before reaching 11 years of age.
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