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Detection of Hepatitis D Virus: Performance in the Community
Sophia Eilat-Tsanani1,2, Amal Zoubi3, Rawi Hazzan4
1Department of Family Medicine, Clalit Health Services, Northern Region, Nof Hagalil, Israel.
The Israel Medical Association Journal : IMAJ
|August 16, 2022
Summary
Hepatitis D virus testing is recommended for those with hepatitis B surface antigen (HBsAg), but uptake remains low. Targeted interventions are needed, especially considering Israel
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Hepatitis D virus (HDV) infection severity is linked to the presence of hepatitis B virus (HBV).
- HDV utilizes hepatitis B surface antigen (HBsAg) for replication, necessitating HDV testing in HBsAg-positive individuals.
Purpose of the Study:
- To evaluate the 9-year performance of hepatitis D virus blood test detection among hepatitis B surface antigen-positive patients.
- To analyze testing patterns in a diverse population in northern Israel.
Main Methods:
- Retrospective study utilizing Clalit Health Services database.
- Analysis of patient demographics and healthcare utilization for HBsAg-positive individuals.
Main Results:
- Out of 3367 HBsAg-positive individuals, only 613 (18%) were tested for HDV.
- Individuals tested for HDV were younger and had higher gastroenterology clinic visit rates.
- A trend suggested higher HDV positivity rates in the Ethiopian Jewish demographic group.
Conclusions:
- The recommended HDV testing rate among HBsAg-positive patients is significantly underutilized.
- Intervention strategies are crucial to improve HDV testing rates, particularly within Israel's ethnically diverse population.
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