SidaGhanaV1, Istex, Curation, bibRecord, 000918

HBV and HCV prevalence and viraemia in HIV‐positive and HIV‐negative pregnant women in Abidjan, Côte d'Ivoire: The ANRS 1236 study

Identifieur interne : 000918 ( Istex/Curation ); précédent : 000917; suivant : 000919

HBV and HCV prevalence and viraemia in HIV‐positive and HIV‐negative pregnant women in Abidjan, Côte d'Ivoire: The ANRS 1236 study

Auteurs : François Rouet [Côte d'Ivoire] ; Marie-Laure Chaix [France] ; André Inwoley [Côte d'Ivoire] ; Philippe Msellati [Côte d'Ivoire] ; Ida Viho [Côte d'Ivoire] ; Patrice Combe [Côte d'Ivoire] ; Valériane Leroy [France] ; François Dabis [France] ; Christine Rouzioux [France]

Source :

Journal of Medical Virology [ 0146-6615 ] ; 2004-09.

RBID : ISTEX:3E9C3E3ED2AF32E19C12B373783F2B62F3082F05

English descriptors

Abstract

A retrospective survey estimating the prevalence of hepatitis viruses B (HBV) and C (HCV) was conducted on samples taken in 1,002 African pregnant women (501 diagnosed as HIV‐1 positive and 501 HIV‐1 negative) participating in a clinical trial program conducted in Abidjan, Côte d'Ivoire (West Africa). Hepatitis B markers studied were HBs antigen (HBsAg), and if positive, HBe antigen/anti‐HBe antibodies and HBV DNA. Two third generation (G3) HCV enzyme immunoassays (EIAs) were used for primary HCV screening. All anti‐HCV antibody‐positive sera were assessed further with supplementary assays (one another G3 EIA, RIBA 3.0, and HCV RNA). HCV genotypes were also determined. HBsAg was found in a similar proportion among HIV‐positive (45/499, 9.0%, 95% confidence interval [95% CI], 6.6–11.9) and HIV‐negative (40/498, 8.0%, 95% CI, 5.8–10.8) women (P = 0.58). The diagnosis of chronic hepatitis B, based on HBV DNA positive results, was more frequent in HIV‐positive women (26.7%), compared to HIV‐negative women (9.4%) (P = 0.06). In the case of hepatitis C infection, after supplementary testing allowing the elimination of frequent false‐positive screening results, a prevalence rate of about 1% was found, both in HIV‐positive (6/501, 1.2%, 95% CI, 0.44–2.59) and HIV‐negative (4/501, 0.8%, 95% CI, 0.22–2.03) women (P = 0.53). Of the 10 samples confirmed positive and assessed for HCV RNA, eight (80%) were viraemic and belonged to HCV genotypes 1 or 2. The relative high frequency of HIV/HBV coinfection in Côte d'Ivoire emphasises the need for monitoring the risk of hepatotoxicity by antiretroviral therapy in such patients. We propose an accurate and cost‐efficient algorithm for HCV diagnosis in Africa. J. Med. Virol. 74:34–40, 2004. © 2004 Wiley‐Liss, Inc.

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DOI: 10.1002/jmv.20143

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abidjan</term>
<term>African countries</term>
<term>Algorithm</term>
<term>Anrs</term>
<term>Assay</term>
<term>Bayer diagnostics</term>
<term>Biphasic distribution</term>
<term>Burkina faso</term>
<term>Cell count</term>
<term>Centre hospitalier universitaire</term>
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<term>Cobas amplicor</term>
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<term>Grant sponsor</term>
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<term>Hepatitis</term>
<term>Hepatitis viruses</term>
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<term>Human virus</term>
<term>Human virus infection</term>
<term>Industrialised countries</term>
<term>Infection</term>
<term>Ingen</term>
<term>Ingen technique</term>
<term>Ingen test</term>
<term>Ivoirian women</term>
<term>Little information</term>
<term>Medical management</term>
<term>Microbiol</term>
<term>Murex</term>
<term>Murex assay</term>
<term>Negative women</term>
<term>Ortho</term>
<term>Ortho assay</term>
<term>Parallel algorithm</term>
<term>Positive results</term>
<term>Positive samples</term>
<term>Positive specimens</term>
<term>Pregnant women</term>
<term>Present study</term>
<term>Prevalence</term>
<term>Primary screening</term>
<term>Riba</term>
<term>Serum samples</term>
<term>Southern tanzania</term>
<term>Study group</term>
<term>Study groups</term>
<term>Supplementary assays</term>
<term>Uninfected women</term>
<term>Univariate kernel density estimation</term>
<term>Universite victor segalen</term>
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<term>Viral hepatitis</term>
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<term>Virus infection</term>
<term>West africa</term>
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<term>Biphasic distribution</term>
<term>Burkina faso</term>
<term>Cell count</term>
<term>Centre hospitalier universitaire</term>
<term>Chronic hepatitis</term>
<term>Clin</term>
<term>Cobas amplicor</term>
<term>Cote</term>
<term>Eias</term>
<term>Enzyme immunoassays</term>
<term>Genotype</term>
<term>Grant sponsor</term>
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<term>Hepatitis viruses</term>
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<term>Human virus</term>
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<term>Ingen technique</term>
<term>Ingen test</term>
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<term>Little information</term>
<term>Medical management</term>
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<term>Murex assay</term>
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<term>Ortho assay</term>
<term>Parallel algorithm</term>
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<front><div type="abstract" xml:lang="en">A retrospective survey estimating the prevalence of hepatitis viruses B (HBV) and C (HCV) was conducted on samples taken in 1,002 African pregnant women (501 diagnosed as HIV‐1 positive and 501 HIV‐1 negative) participating in a clinical trial program conducted in Abidjan, Côte d'Ivoire (West Africa). Hepatitis B markers studied were HBs antigen (HBsAg), and if positive, HBe antigen/anti‐HBe antibodies and HBV DNA. Two third generation (G3) HCV enzyme immunoassays (EIAs) were used for primary HCV screening. All anti‐HCV antibody‐positive sera were assessed further with supplementary assays (one another G3 EIA, RIBA 3.0, and HCV RNA). HCV genotypes were also determined. HBsAg was found in a similar proportion among HIV‐positive (45/499, 9.0%, 95% confidence interval [95% CI], 6.6–11.9) and HIV‐negative (40/498, 8.0%, 95% CI, 5.8–10.8) women (P = 0.58). The diagnosis of chronic hepatitis B, based on HBV DNA positive results, was more frequent in HIV‐positive women (26.7%), compared to HIV‐negative women (9.4%) (P = 0.06). In the case of hepatitis C infection, after supplementary testing allowing the elimination of frequent false‐positive screening results, a prevalence rate of about 1% was found, both in HIV‐positive (6/501, 1.2%, 95% CI, 0.44–2.59) and HIV‐negative (4/501, 0.8%, 95% CI, 0.22–2.03) women (P = 0.53). Of the 10 samples confirmed positive and assessed for HCV RNA, eight (80%) were viraemic and belonged to HCV genotypes 1 or 2. The relative high frequency of HIV/HBV coinfection in Côte d'Ivoire emphasises the need for monitoring the risk of hepatotoxicity by antiretroviral therapy in such patients. We propose an accurate and cost‐efficient algorithm for HCV diagnosis in Africa. J. Med. Virol. 74:34–40, 2004. © 2004 Wiley‐Liss, Inc.</div>
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	Le SIDA au Ghana (serveur d'exploration)
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HBV and HCV prevalence and viraemia in HIV‐positive and HIV‐negative pregnant women in Abidjan, Côte d'Ivoire: The ANRS 1236 study

HBV and HCV prevalence and viraemia in HIV‐positive and HIV‐negative pregnant women in Abidjan, Côte d'Ivoire: The ANRS 1236 study

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