Hepatitis D infection in Brazil: Prevalence and geographical distribution of anti‐Delta antibody

In Brazil, the Amazon Basin is endemic for hepatitis D virus (HDV) infection; however, studies in other regions of the country are scarce. This study aims to map the seroepidemiological situation of anti‐Delta antibodies in chronic hepatitis B carriers in all five Brazilian geographic regions. Serum...

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Veröffentlicht in:Journal of medical virology 2018-08, Vol.90 (8), p.1358-1363
Hauptverfasser: Lago, Barbara V., Mello, Francisco C. A., Barros, Tairine M., Mello, Vinicius M., Villar, Livia M., Lewis‐Ximenez, Lia L., Pardini, Maria Inês M. C., Lampe, Elisabeth
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container_issue 8
container_start_page 1358
container_title Journal of medical virology
container_volume 90
creator Lago, Barbara V.
Mello, Francisco C. A.
Barros, Tairine M.
Mello, Vinicius M.
Villar, Livia M.
Lewis‐Ximenez, Lia L.
Pardini, Maria Inês M. C.
Lampe, Elisabeth
description In Brazil, the Amazon Basin is endemic for hepatitis D virus (HDV) infection; however, studies in other regions of the country are scarce. This study aims to map the seroepidemiological situation of anti‐Delta antibodies in chronic hepatitis B carriers in all five Brazilian geographic regions. Serum samples from 1240 HBsAg positive individuals (55.4% men; mean age 43.1 ± 13.4 years) from 24 of 26 Brazilian states were tested for the presence of anti‐Delta antibodies using a commercial immunoassay. Anti‐Delta antibodies were detected in 40 samples (3.2%; 52.5% female; mean age of 38.1 ± 13.8 years). Age less than 20 years was significantly associated with anti‐HDV positivity (P 
doi_str_mv 10.1002/jmv.25196
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A. ; Barros, Tairine M. ; Mello, Vinicius M. ; Villar, Livia M. ; Lewis‐Ximenez, Lia L. ; Pardini, Maria Inês M. C. ; Lampe, Elisabeth</creator><creatorcontrib>Lago, Barbara V. ; Mello, Francisco C. A. ; Barros, Tairine M. ; Mello, Vinicius M. ; Villar, Livia M. ; Lewis‐Ximenez, Lia L. ; Pardini, Maria Inês M. C. ; Lampe, Elisabeth ; Brazilian Hepatitis B Research Group ; on behalf of The Brazilian Hepatitis B Research Group</creatorcontrib><description>In Brazil, the Amazon Basin is endemic for hepatitis D virus (HDV) infection; however, studies in other regions of the country are scarce. This study aims to map the seroepidemiological situation of anti‐Delta antibodies in chronic hepatitis B carriers in all five Brazilian geographic regions. Serum samples from 1240 HBsAg positive individuals (55.4% men; mean age 43.1 ± 13.4 years) from 24 of 26 Brazilian states were tested for the presence of anti‐Delta antibodies using a commercial immunoassay. Anti‐Delta antibodies were detected in 40 samples (3.2%; 52.5% female; mean age of 38.1 ± 13.8 years). Age less than 20 years was significantly associated with anti‐HDV positivity (P &lt; 0.001). The distribution of anti‐Delta differed markedly in the diverse regions of the country. The highest prevalence of anti‐HDV was found in the North (8.5%; P &lt; 0.001), followed by Central West (2.5%), Southeast (1.7%), Northeast (0.8%), and South (0.0%). Anti‐Delta antibodies were detected in 12 states, but more than 60% of the positive cases were observed in two states, Amazonas and Acre, located in the western portion of the Amazon region. The overall HDV prevalence of 3.2% emphasizes that HDV is far from being a disease under control in Brazil. Despite the low HDV prevalence in non‐endemic regions, this infection persists as a major concern in two states (Acre and Amazonas) in the north of the country, indicating that a continuous epidemiological surveillance program should be implemented in all Brazilian regions.</description><identifier>ISSN: 0146-6615</identifier><identifier>EISSN: 1096-9071</identifier><identifier>DOI: 10.1002/jmv.25196</identifier><identifier>PMID: 29663457</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Age ; Antibodies ; Brazil ; Disease control ; Epidemiology ; Geographical distribution ; HDV ; Hepatitis ; Hepatitis B ; Hepatitis B surface antigen ; Immunoassay ; Immunoglobulins ; Infections ; River basins ; Seroepidemiology ; Virology ; Viruses</subject><ispartof>Journal of medical virology, 2018-08, Vol.90 (8), p.1358-1363</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-6dbc787822c697619f73947c85401b382a8197d3d23f8d4594d43a68b4cbe3043</citedby><cites>FETCH-LOGICAL-c3536-6dbc787822c697619f73947c85401b382a8197d3d23f8d4594d43a68b4cbe3043</cites><orcidid>0000-0003-4561-4332 ; 0000-0002-9173-6309</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmv.25196$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmv.25196$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29663457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lago, Barbara V.</creatorcontrib><creatorcontrib>Mello, Francisco C. 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source Wiley Online Library Journals Frontfile Complete
subjects Age
Antibodies
Brazil
Disease control
Epidemiology
Geographical distribution
HDV
Hepatitis
Hepatitis B
Hepatitis B surface antigen
Immunoassay
Immunoglobulins
Infections
River basins
Seroepidemiology
Virology
Viruses
title Hepatitis D infection in Brazil: Prevalence and geographical distribution of anti‐Delta antibody
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