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Published on: December 15, 2023
Epidemiological and laboratory features of chronic hepatitis B cases in the interval 2010-2013
Insights
Chronic hepatitis B virus infection impacts public health. This study links higher viral load to increased liver fibrosis, especially in HBeAg-negative patients.
Area of Science:
- Hepatology
- Virology
- Epidemiology
Background:
- Hepatitis B virus (HBV) infection poses a significant global health challenge due to its transmissibility and potential to cause severe liver disease, including cirrhosis and hepatocellular carcinoma.
- Understanding the epidemiological and laboratory characteristics of chronic HBV infection is crucial for effective management and treatment strategies.
Purpose of the Study:
- To analyze the epidemiological and laboratory features of chronic hepatitis B virus infection.
- To investigate the correlation between HBV viral load, HBeAg status, and liver fibrosis progression.
Main Methods:
- Retrospective analysis of patients with chronic hepatitis B admitted to a university hospital between January 1, 2010, and December 31, 2020.
- Evaluation of patient demographics, alanine aminotransferase (ALAT) levels, hepatitis B e antigen (HBeAg) status, HBV viral load, and liver fibrosis staging (F2-F4).
Main Results:
- The study population comprised middle-aged males, predominantly from urban areas.
- Elevated ALAT levels were common and associated with increased fibrosis prevalence, irrespective of HBeAg status.
- A significant correlation was observed between higher HBV viral load and increased prevalence of liver fibrosis (F2-F4), particularly in HBeAg-negative patients.
Conclusions:
- The findings highlight a significant association between HBV viral load and the degree of liver fibrosis.
- Viral load and HBeAg status are important factors influencing fibrosis progression in chronic hepatitis B patients.
- These results underscore the importance of monitoring viral load in managing chronic HBV infection to mitigate liver damage.
Unlabelled:
HBV virus infection is an important public health problem because of its huge transmission potential, and severe evolution to cirrhosis or liver cancer.
Aim:
Analysis of the epidemiological and laboratory features of chronic hepatitis B virus infection.
Material And Methods:
The patients with chronic hepatitis B admitted to the "Sf. Parascheva" University Hospital for Infectious Diseases in the interval: January 1st, 2010 - December 31st were analyzed.
Results:
Patients age was 18 to 66 years with a prevalence of middle-aged males. Most patients came from urban areas. Alanine aminotransferase (ALAT) levels were elevated, without significant differences between HBeAg-positive and HBeAg-negative patients, the elevated ALAT levels being associated with the increased prevalence of fibrosis. HBeAg-positive patients had viral loads above the threshold of 2,000/l in 34 cases (89.5%), and below 2,000 IU/l in only 10.5% of cases, and the majority (88%) of HBeAg-negative patients presented high viral load levels. The prevalence of stage F2-F4 liver fibrosis was 63.4% in the HBeAg-negative patients with viremia > 25,000 IU/l compared to 55.2% in the HBeAg-positive patients. The correlation between the level of viral load and fibrosis shows that there are significant differences between viremia and the status of HBeAg-positive or negative patients. Increased viral load was correlated with increasing prevalence of fibrosis, significant in HBeAg-negative patients, and the increasing fibrosis prevalence was correlated with low viral load.
Conclusions:
The correlation between viral load and fibrosis shows that there are significant differences between viral load and the status of HBAg-positive or negative patients.
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