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Prevailing genotypes of hepatitis C virus in Saudi Arabia: a systematic analysis of evidence
Suhair M Abozaid1, Mohamed Shoukri, Ahmad Al-Qahtani
1Department of Infection and Immunity, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Insights
Hepatitis C virus (HCV) genotype 4 is the most common in Saudi Arabia, followed by genotype 1. This meta-analysis confirms the prevalence of these HCV genotypes in the region.
Area of Science:
- Hepatology
- Virology
- Epidemiology
Background:
- Hepatitis C virus (HCV) genotype 4 is prevalent in the Middle East, but its distribution requires further clarification in certain regions.
- Genotype distribution of HCV in Saudi Arabia has not been conclusively determined.
Purpose of the Study:
- To conduct a meta-analysis of existing literature to identify and confirm the predominant HCV genotypes in Saudi Arabia.
Main Methods:
- A systematic search for studies reporting HCV genotypes in Saudi Arabia was performed.
- Meta-analysis was conducted on data from 18 studies published between 1995 and 2011, encompassing 2277 specimens.
Main Results:
- HCV genotype 4 was the most prevalent (1198 cases), followed by genotype 1 (617 cases), genotype 3 (119 cases), and genotype 2 (82 cases).
- Significant heterogeneity in prevalence estimates was observed across the included studies.
Conclusions:
- HCV genotype 4 is the most prevalent in Saudi Arabia, succeeded by genotype 1.
- Further research into HCV genotype and subtype distribution is recommended.
Background And Objectives:
Although hepatitis C virus (HCV) genotype 4 has been reported to be prevalent in some countries of the Middle East, the genotype distribution in some geographical areas is not conclusive. We aimed to perform a meta-analysis on available literature on this issue in an attempt to identify or confirm the prevailing HCV genotypes in Saudi Arabia.
Methods:
We searched for reports describing genotypes in Saudi Arabia. A meta-analysis was performed on the samples in 18 studies, published between 1995 and 2011, in which HCV genotypes were identified.
Results:
A total of 2277 specimens from 18 studies showed that 617, 82, 119 and 1198 subjects were HCV-positive for genotypes 1, 2, 3 and 4, respectively. The meta-analyses showed that there is a great deal of heterogeneity in estimated prevalence among the studies. The highest prevalence was found in genotype HCV-4, followed by HCV-1, HCV-3, and HCV-2.
Conclusion:
Our meta-analysei emphasizes that HCV genotype 4 is the most prevalent, followed by genotype 1. Further studies on genotype determination and subtype distribution are warranted.
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