Epidemiology of hepatitis C virus in Ghana: a systematic review and meta-analysis
Identifieur interne : 000210 ( Main/Exploration ); précédent : 000209; suivant : 000211Epidemiology of hepatitis C virus in Ghana: a systematic review and meta-analysis
Auteurs : Akosua Adom Agyeman [Ghana] ; Richard Ofori-Asenso [Ghana] ; Andy Mprah [Ghana] ; George Ashiagbor [Ghana]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Anticorps de l'hépatite C (sang), Co-infection (épidémiologie), Donneurs de sang, Ghana (épidémiologie), Humains, Hépatite C (épidémiologie), Hépatite C chronique (épidémiologie), Infections opportunistes liées au SIDA (microbiologie), Infections opportunistes liées au SIDA (épidémiologie), Infections à VIH (épidémiologie), Population rurale, Population urbaine, Taille d'échantillon, Études séroépidémiologiques, Études transversales.
- MESH :
- microbiologie : Infections opportunistes liées au SIDA.
- sang : Anticorps de l'hépatite C.
- épidémiologie : Co-infection, Ghana, Hépatite C, Hépatite C chronique, Infections opportunistes liées au SIDA, Infections à VIH.
- Adulte, Donneurs de sang, Humains, Population rurale, Population urbaine, Taille d'échantillon, Études séroépidémiologiques, Études transversales.
English descriptors
- KwdEn :
- AIDS-Related Opportunistic Infections (epidemiology), AIDS-Related Opportunistic Infections (microbiology), Adult, Blood Donors, Coinfection (epidemiology), Cross-Sectional Studies, Ghana (epidemiology), HIV Infections (epidemiology), Hepatitis C (epidemiology), Hepatitis C Antibodies (blood), Hepatitis C, Chronic (epidemiology), Humans, Rural Population, Sample Size, Seroepidemiologic Studies, Urban Population.
- MESH :
- chemical , blood : Hepatitis C Antibodies.
- epidemiology : AIDS-Related Opportunistic Infections, Coinfection, Ghana, HIV Infections, Hepatitis C, Hepatitis C, Chronic.
- microbiology : AIDS-Related Opportunistic Infections.
- Adult, Blood Donors, Cross-Sectional Studies, Humans, Rural Population, Sample Size, Seroepidemiologic Studies, Urban Population.
Abstract
To fully understand the burden of hepatitis C (HCV) infection in Ghana towards informing appropriate preventive measures, accurate prevalence estimates are needed. In this study, we estimate the prevalence of chronic HCV infection by systematically reviewing primary studies published between 1995 and 2015.
A systematic review and meta-analysis was conducted as per the PRISMA guidelines. Comprehensive searches for hepatitis C prevalence studies for the years 1995–2015 were conducted in PubMed, ScienceDirect, Google Scholar, Africa Journals Online (AJOL) and the WHO African Index Medicus databases. We also searched the websites of the ministry of health and Ghana Health service for non-indexed studies or reports on the subject. Further systematic reference screening of published reviews and retrieved studies were also conducted to identify additional publications not captured through the online searches.
Twenty-Four (24) studies from nine regions of Ghana with a combined sample size of 100,782 were analyzed. No study involving participants from Upper West region was retrieved. The national prevalence of chronic HCV was estimated as 3.0 % (95 % CI = 2.6 % to 3.5 %; I2 = 97.61 %,
Our study demonstrates a high prevalence of chronic hepatitis C infection in Ghana. This highlights the urgent need for stronger commitments from government and all stakeholders within the country to outline efficient preventive and curative measures towards reducing the overall burden of the disease.
Url:
DOI: 10.1186/s12879-016-1708-7
PubMed: 27507267
PubMed Central: 4977883
Affiliations:
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Le document en format XML
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<country xml:lang="fr">Ghana</country>
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<author><name sortKey="Ofori Asenso, Richard" sort="Ofori Asenso, Richard" uniqKey="Ofori Asenso R" first="Richard" last="Ofori-Asenso">Richard Ofori-Asenso</name>
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<series><title level="j">BMC Infectious Diseases</title>
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<term>AIDS-Related Opportunistic Infections (microbiology)</term>
<term>Adult</term>
<term>Blood Donors</term>
<term>Coinfection (epidemiology)</term>
<term>Cross-Sectional Studies</term>
<term>Ghana (epidemiology)</term>
<term>HIV Infections (epidemiology)</term>
<term>Hepatitis C (epidemiology)</term>
<term>Hepatitis C Antibodies (blood)</term>
<term>Hepatitis C, Chronic (epidemiology)</term>
<term>Humans</term>
<term>Rural Population</term>
<term>Sample Size</term>
<term>Seroepidemiologic Studies</term>
<term>Urban Population</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Anticorps de l'hépatite C (sang)</term>
<term>Co-infection (épidémiologie)</term>
<term>Donneurs de sang</term>
<term>Ghana (épidémiologie)</term>
<term>Humains</term>
<term>Hépatite C (épidémiologie)</term>
<term>Hépatite C chronique (épidémiologie)</term>
<term>Infections opportunistes liées au SIDA (microbiologie)</term>
<term>Infections opportunistes liées au SIDA (épidémiologie)</term>
<term>Infections à VIH (épidémiologie)</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>Taille d'échantillon</term>
<term>Études séroépidémiologiques</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Hepatitis C Antibodies</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>AIDS-Related Opportunistic Infections</term>
<term>Coinfection</term>
<term>Ghana</term>
<term>HIV Infections</term>
<term>Hepatitis C</term>
<term>Hepatitis C, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Infections opportunistes liées au SIDA</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>AIDS-Related Opportunistic Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Anticorps de l'hépatite C</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Co-infection</term>
<term>Ghana</term>
<term>Hépatite C</term>
<term>Hépatite C chronique</term>
<term>Infections opportunistes liées au SIDA</term>
<term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Blood Donors</term>
<term>Cross-Sectional Studies</term>
<term>Humans</term>
<term>Rural Population</term>
<term>Sample Size</term>
<term>Seroepidemiologic Studies</term>
<term>Urban Population</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Donneurs de sang</term>
<term>Humains</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>Taille d'échantillon</term>
<term>Études séroépidémiologiques</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>To fully understand the burden of hepatitis C (HCV) infection in Ghana towards informing appropriate preventive measures, accurate prevalence estimates are needed. In this study, we estimate the prevalence of chronic HCV infection by systematically reviewing primary studies published between 1995 and 2015.</p>
</sec>
<sec><title>Methods</title>
<p>A systematic review and meta-analysis was conducted as per the PRISMA guidelines. Comprehensive searches for hepatitis C prevalence studies for the years 1995–2015 were conducted in PubMed, ScienceDirect, Google Scholar, Africa Journals Online (AJOL) and the WHO African Index Medicus databases. We also searched the websites of the ministry of health and Ghana Health service for non-indexed studies or reports on the subject. Further systematic reference screening of published reviews and retrieved studies were also conducted to identify additional publications not captured through the online searches.</p>
</sec>
<sec><title>Results</title>
<p>Twenty-Four (24) studies from nine regions of Ghana with a combined sample size of 100,782 were analyzed. No study involving participants from Upper West region was retrieved. The national prevalence of chronic HCV was estimated as 3.0 % (95 % CI = 2.6 % to 3.5 %; I<sup>2</sup>
= 97.61 %, <italic>p</italic>
< 0. 001). Prevalence rates of chronic HCV infection among blood donors was 2.6 % (95 % CI = 2.1 % to 3.1 %; I<sup>2</sup>
= 98.33 %, <italic>p</italic>
< 0.001) with higher prevalence rate estimated for replacement blood donors (RBDs) than voluntary blood donors (RBDs). Among pregnant women and parturients, anti-HCV seroprevalence was estimated as 4.6 % (95 % CI = 1.8 % to 7.5 %; I<sup>2</sup>
= 75.74 %, <italic>p</italic>
= 0.016). The national prevalence of HIV/HCV co-infection was also estimated as 2.8 % (95 % CI = 0.4-6 %; I<sup>2</sup>
= 65.86 %, <italic>p</italic>
= 0.0053). Regional prevalence of chronic HCV infection were determined for Ashanti (1.5 %, 95 % CI = 1.2 % to 1.9 %; I<sup>2</sup>
= 96.24 %, <italic>p</italic>
< 0.001) and Greater Accra (6.4 %, 95 % CI = 4.2 % to 8.6 %; I<sup>2</sup>
= I<sup>2</sup>
= 88.5 %, <italic>P</italic>
< 0. 001) regions but no estimates were available for the other eight regions. The ascending order of HCV prevalence rates according to years in which studies were conducted was 2006–2010 < 2011–2015 < 1995–2002 < 2001–2005. Higher prevalence of chronic HCV infection was estimated for rural (5.7; 95 % CI 5.0–6.3 %; I<sup>2</sup>
= 0, p = 0.804) than urban (2.6 %, 95 % CI = 2.1 % to 3.0 %; I<sup>2</sup>
= 97.3 %, <italic>p</italic>
= 0.0001) settings.</p>
</sec>
<sec><title>Conclusion</title>
<p>Our study demonstrates a high prevalence of chronic hepatitis C infection in Ghana. This highlights the urgent need for stronger commitments from government and all stakeholders within the country to outline efficient preventive and curative measures towards reducing the overall burden of the disease.</p>
</sec>
</div>
</front>
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