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Updated: May 5, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
High prevalence of hepatitis C in Egyptian patients with chronic liver disease
I A Waked1, S M Saleh, M S Moustafa
1Department of Medicine, Liver Institute, Menoufia University, Shibin El Kom, Egypt.
Insights
Hepatitis C virus (HCV) is the leading cause of chronic liver disease in Egypt, affecting over 73% of patients. This study highlights the urgent need to understand HCV transmission routes in the region.
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Egypt reports the world's highest prevalence of hepatitis C virus (HCV) infection.
- Previous studies have not established HCV as a primary cause of chronic liver disease (CLD) in Egypt.
Purpose of the Study:
- To determine the prevalence of HCV and hepatitis B virus (HBV) in patients with CLD in Egypt.
- To investigate the association between HCV and CLD, including cirrhosis and hepatocellular carcinoma (HCC).
Main Methods:
- Serological testing for HCV antibodies and HBV surface antigen in 1023 patients with CLD.
- Histopathological examination of liver biopsies in 100 patients.
- Correlation analysis of HCV prevalence with schistosomiasis and HBV status.
Main Results:
- HCV antibodies were detected in 73.5% of CLD patients, significantly higher than HBV surface antigen (16.4%).
- HCV was more prevalent in patients with active schistosomiasis and without HBV.
- HCV was present in 84.3% of patients with biopsy-confirmed chronic hepatitis, cirrhosis, or HCC.
Conclusions:
- Hepatitis C is the predominant cause of chronic liver disease in Egypt.
- These findings underscore the critical need for research into HCV transmission pathways in Egypt.
- Effective public health strategies are required to control the hepatitis C epidemic in Egypt.
Abstract:
The highest prevalence rates of hepatitis C virus infection in the world have been recently reported among Egyptian blood donors and frequent recipients of transfusions and other blood products. This is the first report, however, demonstrating hepatitis C as the most frequent association with chronic liver disease in Egypt. Of 1023 patients referred to the Liver Institute in Menoufia governorate for evaluation of chronic liver disease, 752 (73.5%) had antibodies to hepatitis C compared with 168 (16.4%) with hepatitis B surface antigen. Hepatitis C antibody was more common in patients with active schistosomiasis and patients without hepatitis B surface antigenaemia. Of 100 patients having liver biopsies, histological findings consistent with chronic viral hepatitis or its complications were found in 89 and antibody to hepatitis C was present in 75 (84.3%) of these patients with chronic hepatitis, active cirrhosis or hepatocellular carcinoma. These data pointing to the importance of hepatitis C as a cause of chronic liver disease in Egypt emphasise the necessity of studies delineating its routes of transmission in this country.
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