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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
Hepatitis B virus infection among Nigerian pediatric population
Stephen Oluwasegun Adetunji1, Adebukola Ajite2, Blessing Ifeoluwa Adetunji3
1Medical Microbiology and Parasitology Department, University College Hospital, Ibadan, Nigeria.
Insights
Hepatitis B virus (HBV) infection shows intermediate endemicity in asymptomatic Nigerian children, with higher rates in unvaccinated individuals and older age groups. Continued vaccination and public awareness are crucial.
Area of Science:
- Hepatology
- Pediatrics
- Infectious Diseases
Background:
- Hepatitis B infection remains a significant global health issue despite vaccination efforts.
- The prevalence and burden of Hepatitis B virus (HBV) infection in asymptomatic pediatric populations require ongoing evaluation.
Purpose of the Study:
- To assess the prevalence and epidemiological characteristics of Hepatitis B infection among asymptomatic children in Nigeria.
- To identify risk factors associated with HBV infection in the pediatric population.
Main Methods:
- A cross-sectional study involving 206 asymptomatic children visiting a hospital between March and August 2018.
- Blood samples were screened for Hepatitis B surface antigen (HBsAg) after informed consent.
- Data were analyzed using chi-square statistics to determine infection rates and associations.
Main Results:
- The overall prevalence of HBsAg positivity was 2.9% (6/206).
- Higher infection rates were observed in males (4%) compared to females (1.9%) and in the 13-18 years age group (6.6%).
- Unvaccinated children exhibited a higher HBV infection rate (4.2%) than vaccinated children (1.1%).
Conclusions:
- Hepatitis B infection demonstrates intermediate endemicity within the studied Nigerian pediatric population.
- Vaccination status and age are significant factors influencing HBV infection rates in children.
- Sustained vaccination programs and enhanced public awareness, particularly among women of marriageable age, are recommended to control HBV transmission.
Abstract:
Hepatitis B infection has continued to be a growing global health concern in spite of the discovery and administration of hepatitis B vaccines over the years. The focus of this study was to evaluate the burden of this infection among asymptomatic pediatric population. Children, who visited the hospital between March and August 2018, were recruited into this study. Blood samples were collected after obtaining informed consent. The samples were processed and screened for HBsAg. Data were analyzed using chi-square statistic. Six (2.9%) of the 206 children in the study were positive for HBsAg. A hundred (48.5%) of the children were males and 106 (51.5%) were females in the ratio 1:1.1 (male to female). More male tested positive (4%) (4/96) than their female counterparts (1.9%) (2/104)(x2 = 0.813; p = .367). Age group 13-18 years had the highest infection rate 6.6% (4/57), followed by age group 5-12 years with 3.8% (2/50). No HBV detection was recorded among those below the age of 5 years. Patients with no vaccination history had a higher HBV infection rate (4.2%) compared with those who had been vaccinated (1.1%) (x2 = 1.164; p = .281). The study showed that HBV infection is of intermediate endemicity among the study population, a reflection of the endemic status of the infection in Nigeria. Vaccination effort among children should be sustained and intensified. We advocate for a more intensive public enlightenment on the infection especially among women of marriageable age.
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