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Published on: December 15, 2023
Frequency of hepatitis D virus infection in hepatitis B surface antigen-positive liver diseases
Majid Ahmed Shaikh1, Wazir Muhammad Shaikh, Ghulam Akber Solangi
1Medical Unit-V, Civil Hospital/Dow University of Health Sciences, Karachi. majidwazir@hotmail.com
Insights
Hepatitis D Virus (HDV) infection is common in patients with Hepatitis B Virus (HBV)-positive liver disorders, particularly chronic cases. Awareness of this dual infection risk is crucial for healthcare providers.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis B Virus (HBV) infection is a significant global health concern.
- Hepatitis D Virus (HDV) is a unique RNA virus that requires HBV for replication, leading to HBV/HDV co-infection.
- Understanding the prevalence of HDV in HBV-positive liver disorders is essential for effective management.
Purpose of the Study:
- To determine the frequency of HDV in patients with HBsAg-positive liver disorders.
- To analyze the prevalence of HDV based on gender and age groups.
- To identify differences in HDV frequency between acute and chronic liver conditions.
Main Methods:
- An observational, cross-sectional study was conducted.
- Adult patients with HBsAg-positive liver disorders were enrolled.
- Anti-HDV antibodies were detected using ELISA kits, with statistical analysis performed.
Main Results:
- Out of 774 patients, 183 (23.6%) tested positive for anti-HDV.
- HDV prevalence did not significantly differ between genders (p=0.718).
- HDV infection was significantly more common in chronic liver disorders compared to acute ones.
Conclusions:
- HBV/HDV co-infection is frequent in the studied population.
- Healthcare practitioners and managers need to be aware of the high risk of dual HBV and HDV infection.
- This highlights the importance of diagnostic testing for HDV in HBV-positive patients.
Objective:
To determine the frequency of HDV among hepatitis B surface antigen (HBsAg)-positive liver disorders.
Study Design:
An observational cross-sectional study.
Place And Duration Of Study:
Medical Unit I, Chandka Medical College Hospital, Larkana, from July 2003 to June 2008.
Methodology:
Adult patients with HBs liver related disorders were evaluated for the presence of delta antibodies using commercially available ELISA kits. Descriptive statistics were used for describing data. Proportions of anti D antibodies between gender and age were compared using chi-square test with significance at p < 0.05.
Results:
Of the 774 cases, 438 were males (60.4%) and 336 were females (39.6%). The mean age was 36.5 ± 14.39 for males and 34.03 ± 13.16 years for females ranging from 15 to 60 years. Anti-HDV was positive in 183 patients (23.6%).The frequency of HDV was not significantly different between the gender groups (p=0.718). HDV infection was markedly higher in chronic than acute liver disorders.
Conclusion:
The HBV/HDV co-infection is frequent in the studied area. Therefore, practitioners and health care managers should be made aware of the risk of dual infection with HBV and HDV.
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