Seroprevalence of hepatitis C infection in HIV patients using a rapid one-step test strip kit

A A Akinbami1, O O Oshinaike, T A Adeyemo

  • 1Department of Haematology and Blood Transfusion, Lagos State University College of Medicine, Ikeja, Lagos. ajoke_clinic@yahoo.co.uk

Insights

The study found a 3.3% seroprevalence of Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) co-infection. Routine HCV screening in HIV patients is recommended to reduce liver disease complications.

Area of Science:

  • Infectious Diseases
  • Hepatology
  • Immunology

Background:

  • Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) share similar transmission routes, leading to frequent co-infections.
  • HIV and associated immunosuppression can accelerate liver disease progression in HCV patients, increasing risks of cirrhosis and mortality.

Purpose of the Study:

  • To determine the seroprevalence rate of HIV/HCV co-infection.
  • To assess the clinical implications of co-infection in an HIV-infected population.

Main Methods:

  • A cross-sectional study was conducted at Lagos State University Teaching Hospital's HIV clinic from January to March 2010.
  • Blood samples were analyzed for HCV using a rapid test kit; statistical analysis included descriptive statistics and the chi-squared test (P < 0.05 considered significant).

Main Results:

  • The overall seroprevalence of HIV/HCV co-infection was 3.3%.
  • HCV seroprevalence was 3.1% in females and 4.1% in males (P=0.001).
  • None of the 9 co-infected participants had CD4 counts ≥350 cells/µL, with most having counts below 200 cells/µL.

Conclusions:

  • Routine Hepatitis C virus screening should be integrated into the pre-HAART evaluation for all HIV-infected patients.
  • Early detection and management of HCV in HIV-positive individuals can mitigate liver-related morbidity and mortality.
Abstract