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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
A Study on Hepatitis B Viral Seromarkers and Associated Risk Factors among the Patients Suffering from Acute and
P Prabina1, S Jayanthi1, C Krishna Murthy1
1Department of Microbiology, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.
Insights
This study differentiates acute and chronic Hepatitis B virus (HBV) infections using serological markers in HBsAg-positive patients. Chronic HBV infection was more prevalent, with alcohol identified as a key risk factor.
Area of Science:
- Hepatology
- Virology
- Clinical Diagnostics
Background:
- Hepatitis B virus (HBV) infection is a leading cause of hepatitis, potentially leading to severe liver conditions like cirrhosis and hepatocellular carcinoma.
- Accurate differentiation between acute and chronic HBV infection is crucial for appropriate patient management and treatment strategies.
Purpose of the Study:
- To distinguish between acute and chronic Hepatitis B virus (HBV) infection in patients who are positive for Hepatitis B surface antigen (HBsAg).
- To analyze the prevalence of HBV serological markers in acute versus chronic HBV infections.
Main Methods:
- Blood samples from 87 HBsAg-seropositive patients were analyzed over six months.
- Enzyme-Linked Immunosorbent Assay (ELISA) was used to screen for HBsAg, HBeAg, anti-HBc total, anti-HBc IgM, and anti-HBs.
- Demographic data and risk factors, including alcohol consumption, were collected via a structured questionnaire.
Main Results:
- Out of 87 HBsAg-positive patients, 24 had acute HBV and 63 had chronic HBV infection.
- Acute HBV cases showed positivity for HBsAg, anti-HBc total, and anti-HBc IgM, with HBeAg detected in 62.5%.
- Chronic HBV cases were positive for HBsAg and anti-HBc total, with HBeAg found in 44.4%; alcohol consumption was a significant risk factor.
Conclusions:
- Serological marker profiles effectively differentiate acute from chronic HBV infections.
- Further research with larger sample sizes and detailed high-risk behavior analysis is recommended to enhance awareness of HBV transmission associations.
Background:
Hepatitis B viral infection is the most common cause of hepatitis, and it leads to serious liver diseases such as cirrhosis and hepatocellular carcinoma.
Aim:
The aim of the study is to differentiate acute hepatitis B and chronic hepatitis B (CHB) among patients seropositive for hepatitis B surface antigen (HBsAg).
Materials And Methods:
This study was carried out in the Department of Microbiology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India, for a period of 6 months (January 2018-June 2018). Blood samples were collected from 87 patients for the detection of hepatitis B virus (HBV) serological markers. HBsAg, hepatitis B e antigen (HBeAg), anti-HBc total, anti-HBc IgM, and antibody to hepatitis B surface antigen were screened using the ELISA method. Detailed demographic profile including history of previous hepatitis infection, previous blood transfusion, and other related details were collected and documented using a structured questionnaire.
Results:
A total of 87 patients were HBsAg seropositive; among them, 55 (63.2%) were male and 32 (36.9%) were female. Based on the serological markers tested, 24 and 63 were suffering from acute and chronic HBV infections, respectively. Among the acute hepatitis B patients, all samples were seropositive for HBsAg, anti-HBc total, and anti-HBc IgM. HBeAg seromarker was found in 15 patients (62.5%). Among the CHB patients, all samples were seropositive for HBsAg and anti-HBc total. HBeAg seromarker was found in 28 patients with 44.4%. Alcohol consumption was the major risk factor for the transmission of HBV infection.
Conclusion:
An increased sample size and detailed study of high-risk behavior will provide an alarming awareness of their association.
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