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[The markers of hepatitis B, C and D viral infection in multiply transfused patients]
I S Bocşan1, A Neamţu, A Rădulescu
1Universitatea de Medicină şi Farmacie Iuliu Haţieganu, Cluj-Napoca.
Insights
Hepatitis B, C, and D viral markers are highly prevalent in multi-transfused patients in Cluj-Napoca, with frequent dual HBV and HCV infections. HDV infection is rare in HBV patients, contrary to prior findings.
Area of Science:
- Hepatology
- Infectious Diseases
- Transfusion Medicine
Background:
- Multi-transfused patients are at increased risk of viral hepatitis.
- Hepatitis B virus (HBV), Hepatitis C virus (HCV), and Hepatitis D virus (HDV) pose significant health concerns.
- Understanding seroprevalence in specific populations is crucial for public health strategies.
Purpose of the Study:
- To determine the seroprevalence of HBV, HCV, and HDV markers.
- To assess the frequency of co-infections (HBV and HCV).
- To investigate HDV prevalence in HBV-infected patients within the Cluj-Napoca multi-transfused population.
Main Methods:
- Serum samples from 105 multi-transfused patients (children, adults, hemodialysis patients) were analyzed.
- Automated ELISA kits were used to detect HBsAg, anti-HBs, total anti-HBc, anti-HCV, and total anti-HDV.
- Patient groups included children, adults, and chronically hemodialyzed individuals.
Main Results:
- High seroprevalence of HCV (16-79%) and HBV (32-89%) was observed across patient groups.
- Dual HBV and HCV infections were frequent (4-84.2%).
- HDV infection markers were found in only 4.25% of HBV-infected hemodialysis patients; none in children or adults.
Conclusions:
- Viral hepatitis marker prevalence is high in multi-transfused patients in the Cluj area.
- Dual HCV and HBV infection is common, particularly in adults.
- Low prevalence of HDV in HBV-infected patients contrasts with previous reports.
Objective:
We aimed to assess the seroprevalence of HBV, HCV and HDV virus markers in multi-transfused patients from Cluj-Napoca.
Material And Methods:
Stored serum samples of 105 multi-transfused patients (25 children, 19 adults and 61 chronically hemodialyzed patients) have been tested for HBsAg, anti-HBs, total anti-HBc, anti-HCV, total anti-HDV by automated ELISA (Sanofi Diagnostics Pasteur kits).
Results:
HVC infection has been observed in 4/25 (16%) children, 14/19 (74%) multi-transfused adults and 48/61 (79%) haemodialysis patients. 8/25 (32%) children, 17/19 (89%) adults and 47/61 (77%) haemodialysis patients had HBV infection markers. Anti-HDV have not been found in HBV infected multi-transfused children and adults, respectively. Only 2/47 (4.25%) HBV infected haemodialysis patients had HDV infection markers. The prevalence of double infection (HCV and HBV) was high (4%, 84.2% and 67.2% in children, adults and haemodialysis patients). The prevalence of viral hepatitis markers correlated to the amount of transfused blood, and in haemodialysis patients also correlated to the duration on dialysis.
Conclusions:
In multi-transfused patients from Cluj area, the prevalence of viral hepatitis markers is high. The double infection (HCV and HBV) is frequent, especially in adults. The prevalence of HDV infection markers in HBV infected patients is low, in contrast with previously reported results.
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