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Published on: June 5, 2020
Hepatitis B & C virus infection in HIV seropositive individuals & their association with risk factors: A
Vineeta Sharma1, V G Ramachandran2, Narendra Singh Mogha2
1Division of Molecular Genetics & Biochemistry, ICMR-National Institute of Cancer Prevention & Research, Noida, India.
Insights
Hepatitis B and C virus co-infection is significantly higher in HIV-positive individuals. Routine hepatitis virus screening for HIV patients is recommended to monitor liver health and prevent cirrhosis.
Area of Science:
- Hepatology
- Virology
- Infectious Diseases
Background:
- Hepatitis B virus (HBV) and hepatitis C virus (HCV) cause liver inflammation.
- HBV and HCV infections are prevalent in individuals with human immunodeficiency virus (HIV).
- Co-infection with HBV and HCV can exacerbate liver disease progression in HIV patients.
Purpose of the Study:
- To determine the prevalence of HBV and HCV co-infection in HIV-positive and HIV-negative individuals.
- To investigate the association of hepatitis virus co-infection with risk factors in north India.
- To assess the clinical implications of hepatitis virus co-infection in HIV-infected patients.
Main Methods:
- Analysis of 840 serum samples (440 HIV-positive, 400 HIV-negative controls).
- Detection of HBV and HCV infections using serological assays.
- Statistical analysis to identify associations with age and transmission routes.
Main Results:
- HCV prevalence was 13% and HBV was 11% among HIV-positive individuals.
- Prevalence of HBV and HCV in controls was 2% and 3%, respectively.
- Age group 21-40 and heterosexual contact were significantly associated with HBV and HCV infection.
Conclusions:
- HBV and HCV co-infection rates are significantly higher in HIV-positive individuals compared to the general population.
- Hepatitis virus infections accelerate liver cirrhosis in HIV-infected patients.
- Regular hepatitis virus screening is crucial for monitoring HIV-positive patients and managing clinical outcomes.
Background & Objectives:
Hepatitis B and hepatitis C virus (HBV and HCV) cause acute and chronic hepatitis, and infections with HBV and HCV are common in HIV-infected patients. The present study was conducted to determine the co-infection of hepatitis B and C virus in stored serum samples of HIV-positive/negative individuals attending an Integrated Counselling and Testing Centre (ICTC) in north India and their association with certain risk factors.
Methods:
This study included a total of 840 serum samples, of which 440 were from HIV seropositive individuals and 400 were from control individuals seeking voluntary check-up of HIV status at ICTC. Serum samples were used for the detection of HBV and HCV infection.
Results:
HBV infection (11%) was found to be less in contrast to HCV (13%) amongst the HIV seropositive. In controls, HBV and HCV infection was two and three per cent, respectively. Co-infection of HBV and HCV was found in 15 of 109, and in controls, it was 2 of 15. Age group between 21 and 40 was significantly associated with HBV and HCV infection. Heterosexual contact was the leading mode of acquiring HBV and HCV infection.
Interpretation & Conclusions:
HBV and HCV co-infection was found to be significantly higher in HIV-positive individuals in comparison to normal population. Hepatitis virus infection leads to rapid progression of liver cirrhosis in HIV-infected patients. Routine check-up of HIV seropositive patients for hepatitis virus may be required to monitor clinical outcome.
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