Susceptibility to hepatitis B virus infection in adults living in Spain

Background A protective hepatitis B virus (HBV) vaccine has been available for four decades. Universal HBV vaccination of infants is recommended by the WHO since the 1990s. Furthermore, HBV immunization is advised for all adults with high‐risk behaviours and no seroprotection. However, HBV vaccine c...

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Veröffentlicht in:Liver international 2023-05, Vol.43 (5), p.1015-1020
Hauptverfasser: Soriano, Vicente, Aguilera, Antonio, Benito, Rafael, González‐Díez, Rocío, Miró, Elisenda, Liendo, Paloma, Rodríguez‐Diaz, Juan Carlos, Cabezas, Teresa, Richart, Alberto, Ramos, José Manuel, Barea, Luisa, Álvarez, Carmen, Treviño, Ana, Gómez‐Gallego, Félix, Corral, Octavio, Mendoza, Carmen
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container_end_page 1020
container_issue 5
container_start_page 1015
container_title Liver international
container_volume 43
creator Soriano, Vicente
Aguilera, Antonio
Benito, Rafael
González‐Díez, Rocío
Miró, Elisenda
Liendo, Paloma
Rodríguez‐Diaz, Juan Carlos
Cabezas, Teresa
Richart, Alberto
Ramos, José Manuel
Barea, Luisa
Álvarez, Carmen
Treviño, Ana
Gómez‐Gallego, Félix
Corral, Octavio
Mendoza, Carmen
description Background A protective hepatitis B virus (HBV) vaccine has been available for four decades. Universal HBV vaccination of infants is recommended by the WHO since the 1990s. Furthermore, HBV immunization is advised for all adults with high‐risk behaviours and no seroprotection. However, HBV vaccine coverage remains globally suboptimal. The advent of new more efficacious trivalent HBV vaccines has renewed the interest in HBV vaccination. At present, the extent of current HBV susceptibility in adults remains unknown in Spain. Methods HBV serological markers were assessed on a large and representative sample of adults in Spain, including blood donors and individuals belonging to high‐risk groups. Serum HBsAg, anti‐HBc and anti‐HBs were tested in specimens collected during the last couple of years. Results From 13 859 consecutive adults tested at seven cities across the Spanish geography, overall 166 (1.2%) had positive HBsAg. Past HBV infection was recognized in 14% and prior vaccine immunization in 24%. Unexpectedly, 37% of blood donors and 63% of persons belonging to high‐risk groups had no serum HBV markers and therefore were potentially HBV susceptible. Conclusion Roughly 60% of adults living in Spain seem to be HBV susceptible. Waning immunity might be more common than expected. Hence, HBV serological testing should be performed at least once in all adults regardless of risk exposures. HBV vaccine full courses or boosters should be administered to all adults lacking serological evidence of HBV protection.
doi_str_mv 10.1111/liv.15548
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Universal HBV vaccination of infants is recommended by the WHO since the 1990s. Furthermore, HBV immunization is advised for all adults with high‐risk behaviours and no seroprotection. However, HBV vaccine coverage remains globally suboptimal. The advent of new more efficacious trivalent HBV vaccines has renewed the interest in HBV vaccination. At present, the extent of current HBV susceptibility in adults remains unknown in Spain. Methods HBV serological markers were assessed on a large and representative sample of adults in Spain, including blood donors and individuals belonging to high‐risk groups. Serum HBsAg, anti‐HBc and anti‐HBs were tested in specimens collected during the last couple of years. Results From 13 859 consecutive adults tested at seven cities across the Spanish geography, overall 166 (1.2%) had positive HBsAg. Past HBV infection was recognized in 14% and prior vaccine immunization in 24%. Unexpectedly, 37% of blood donors and 63% of persons belonging to high‐risk groups had no serum HBV markers and therefore were potentially HBV susceptible. Conclusion Roughly 60% of adults living in Spain seem to be HBV susceptible. Waning immunity might be more common than expected. Hence, HBV serological testing should be performed at least once in all adults regardless of risk exposures. HBV vaccine full courses or boosters should be administered to all adults lacking serological evidence of HBV protection.</description><identifier>ISSN: 1478-3223</identifier><identifier>EISSN: 1478-3231</identifier><identifier>DOI: 10.1111/liv.15548</identifier><identifier>PMID: 36809581</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Adults ; antibody waning ; Blood ; Blood donors ; diagnosis ; Geography ; Hepatitis ; Hepatitis B ; Hepatitis B - epidemiology ; Hepatitis B - prevention &amp; control ; Hepatitis B Antibodies ; Hepatitis B surface antigen ; Hepatitis B Surface Antigens ; Hepatitis B Vaccines ; Hepatitis B virus ; Humans ; Immunization ; Infant ; prevention ; public health ; Risk ; Risk groups ; Risk taking ; Serology ; Spain - epidemiology ; vaccine ; Vaccines ; Viruses</subject><ispartof>Liver international, 2023-05, Vol.43 (5), p.1015-1020</ispartof><rights>2023 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>2023 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-68afa54316424099652eccf33cfa99a69ba941515886e79c0f4b0001752e83d23</citedby><cites>FETCH-LOGICAL-c3538-68afa54316424099652eccf33cfa99a69ba941515886e79c0f4b0001752e83d23</cites><orcidid>0000-0002-4624-5199</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fliv.15548$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fliv.15548$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36809581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soriano, Vicente</creatorcontrib><creatorcontrib>Aguilera, Antonio</creatorcontrib><creatorcontrib>Benito, Rafael</creatorcontrib><creatorcontrib>González‐Díez, Rocío</creatorcontrib><creatorcontrib>Miró, Elisenda</creatorcontrib><creatorcontrib>Liendo, Paloma</creatorcontrib><creatorcontrib>Rodríguez‐Diaz, Juan Carlos</creatorcontrib><creatorcontrib>Cabezas, Teresa</creatorcontrib><creatorcontrib>Richart, Alberto</creatorcontrib><creatorcontrib>Ramos, José Manuel</creatorcontrib><creatorcontrib>Barea, Luisa</creatorcontrib><creatorcontrib>Álvarez, Carmen</creatorcontrib><creatorcontrib>Treviño, Ana</creatorcontrib><creatorcontrib>Gómez‐Gallego, Félix</creatorcontrib><creatorcontrib>Corral, Octavio</creatorcontrib><creatorcontrib>Mendoza, Carmen</creatorcontrib><title>Susceptibility to hepatitis B virus infection in adults living in Spain</title><title>Liver international</title><addtitle>Liver Int</addtitle><description>Background A protective hepatitis B virus (HBV) vaccine has been available for four decades. Universal HBV vaccination of infants is recommended by the WHO since the 1990s. Furthermore, HBV immunization is advised for all adults with high‐risk behaviours and no seroprotection. However, HBV vaccine coverage remains globally suboptimal. The advent of new more efficacious trivalent HBV vaccines has renewed the interest in HBV vaccination. At present, the extent of current HBV susceptibility in adults remains unknown in Spain. Methods HBV serological markers were assessed on a large and representative sample of adults in Spain, including blood donors and individuals belonging to high‐risk groups. Serum HBsAg, anti‐HBc and anti‐HBs were tested in specimens collected during the last couple of years. Results From 13 859 consecutive adults tested at seven cities across the Spanish geography, overall 166 (1.2%) had positive HBsAg. Past HBV infection was recognized in 14% and prior vaccine immunization in 24%. Unexpectedly, 37% of blood donors and 63% of persons belonging to high‐risk groups had no serum HBV markers and therefore were potentially HBV susceptible. Conclusion Roughly 60% of adults living in Spain seem to be HBV susceptible. Waning immunity might be more common than expected. Hence, HBV serological testing should be performed at least once in all adults regardless of risk exposures. HBV vaccine full courses or boosters should be administered to all adults lacking serological evidence of HBV protection.</description><subject>Adult</subject><subject>Adults</subject><subject>antibody waning</subject><subject>Blood</subject><subject>Blood donors</subject><subject>diagnosis</subject><subject>Geography</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B - prevention &amp; control</subject><subject>Hepatitis B Antibodies</subject><subject>Hepatitis B surface antigen</subject><subject>Hepatitis B Surface Antigens</subject><subject>Hepatitis B Vaccines</subject><subject>Hepatitis B virus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>prevention</subject><subject>public health</subject><subject>Risk</subject><subject>Risk groups</subject><subject>Risk taking</subject><subject>Serology</subject><subject>Spain - epidemiology</subject><subject>vaccine</subject><subject>Vaccines</subject><subject>Viruses</subject><issn>1478-3223</issn><issn>1478-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10L1OwzAQB3ALgWgpDLwAisQCQ1p_xIk90gpopUoMBVbLcW1wlSYhdor6NjwLT4YhpQMSXnyyfvr77gA4R3CIwhkVdjNElCbsAPRRkrGYYIIO9zUmPXDi3ApCxDlFx6BHUgY5ZagPpovWKV17m9vC-m3kq-hV19Jbb100jja2aV1kS6OVt1UZqkgu28K7KPxpy5fw8PmxqKUtT8GRkYXTZ7t7AJ7ubh8n03j-cD-b3MxjRShhccqkkTQhKE1wAjlPKdZKGUKUkZzLlOeSJ4giyliqM66gSXIYGs-CY2SJyQBcdbl1U7212nmxtmGCopClrloncJYxziBlWaCXf-iqapsydCdwEBnDKIVBXXdKNZVzjTaibuxaNluBoPherwijip_1BnuxS2zztV7u5e8-Axh14N0Wevt_kpjPnrvIL00Bgw8</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Soriano, Vicente</creator><creator>Aguilera, Antonio</creator><creator>Benito, Rafael</creator><creator>González‐Díez, Rocío</creator><creator>Miró, Elisenda</creator><creator>Liendo, Paloma</creator><creator>Rodríguez‐Diaz, Juan Carlos</creator><creator>Cabezas, Teresa</creator><creator>Richart, Alberto</creator><creator>Ramos, José Manuel</creator><creator>Barea, Luisa</creator><creator>Álvarez, Carmen</creator><creator>Treviño, Ana</creator><creator>Gómez‐Gallego, Félix</creator><creator>Corral, Octavio</creator><creator>Mendoza, Carmen</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7T5</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4624-5199</orcidid></search><sort><creationdate>202305</creationdate><title>Susceptibility to hepatitis B virus infection in adults living in Spain</title><author>Soriano, Vicente ; Aguilera, Antonio ; Benito, Rafael ; González‐Díez, Rocío ; Miró, Elisenda ; Liendo, Paloma ; Rodríguez‐Diaz, Juan Carlos ; Cabezas, Teresa ; Richart, Alberto ; Ramos, José Manuel ; Barea, Luisa ; Álvarez, Carmen ; Treviño, Ana ; Gómez‐Gallego, Félix ; Corral, Octavio ; Mendoza, Carmen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-68afa54316424099652eccf33cfa99a69ba941515886e79c0f4b0001752e83d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Adults</topic><topic>antibody waning</topic><topic>Blood</topic><topic>Blood donors</topic><topic>diagnosis</topic><topic>Geography</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis B - prevention &amp; control</topic><topic>Hepatitis B Antibodies</topic><topic>Hepatitis B surface antigen</topic><topic>Hepatitis B Surface Antigens</topic><topic>Hepatitis B Vaccines</topic><topic>Hepatitis B virus</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>prevention</topic><topic>public health</topic><topic>Risk</topic><topic>Risk groups</topic><topic>Risk taking</topic><topic>Serology</topic><topic>Spain - epidemiology</topic><topic>vaccine</topic><topic>Vaccines</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soriano, Vicente</creatorcontrib><creatorcontrib>Aguilera, Antonio</creatorcontrib><creatorcontrib>Benito, Rafael</creatorcontrib><creatorcontrib>González‐Díez, Rocío</creatorcontrib><creatorcontrib>Miró, Elisenda</creatorcontrib><creatorcontrib>Liendo, Paloma</creatorcontrib><creatorcontrib>Rodríguez‐Diaz, Juan Carlos</creatorcontrib><creatorcontrib>Cabezas, Teresa</creatorcontrib><creatorcontrib>Richart, Alberto</creatorcontrib><creatorcontrib>Ramos, José Manuel</creatorcontrib><creatorcontrib>Barea, Luisa</creatorcontrib><creatorcontrib>Álvarez, Carmen</creatorcontrib><creatorcontrib>Treviño, Ana</creatorcontrib><creatorcontrib>Gómez‐Gallego, Félix</creatorcontrib><creatorcontrib>Corral, Octavio</creatorcontrib><creatorcontrib>Mendoza, Carmen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Liver international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soriano, Vicente</au><au>Aguilera, Antonio</au><au>Benito, Rafael</au><au>González‐Díez, Rocío</au><au>Miró, Elisenda</au><au>Liendo, Paloma</au><au>Rodríguez‐Diaz, Juan Carlos</au><au>Cabezas, Teresa</au><au>Richart, Alberto</au><au>Ramos, José Manuel</au><au>Barea, Luisa</au><au>Álvarez, Carmen</au><au>Treviño, Ana</au><au>Gómez‐Gallego, Félix</au><au>Corral, Octavio</au><au>Mendoza, Carmen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Susceptibility to hepatitis B virus infection in adults living in Spain</atitle><jtitle>Liver international</jtitle><addtitle>Liver Int</addtitle><date>2023-05</date><risdate>2023</risdate><volume>43</volume><issue>5</issue><spage>1015</spage><epage>1020</epage><pages>1015-1020</pages><issn>1478-3223</issn><eissn>1478-3231</eissn><abstract>Background A protective hepatitis B virus (HBV) vaccine has been available for four decades. Universal HBV vaccination of infants is recommended by the WHO since the 1990s. Furthermore, HBV immunization is advised for all adults with high‐risk behaviours and no seroprotection. However, HBV vaccine coverage remains globally suboptimal. The advent of new more efficacious trivalent HBV vaccines has renewed the interest in HBV vaccination. At present, the extent of current HBV susceptibility in adults remains unknown in Spain. Methods HBV serological markers were assessed on a large and representative sample of adults in Spain, including blood donors and individuals belonging to high‐risk groups. Serum HBsAg, anti‐HBc and anti‐HBs were tested in specimens collected during the last couple of years. Results From 13 859 consecutive adults tested at seven cities across the Spanish geography, overall 166 (1.2%) had positive HBsAg. Past HBV infection was recognized in 14% and prior vaccine immunization in 24%. Unexpectedly, 37% of blood donors and 63% of persons belonging to high‐risk groups had no serum HBV markers and therefore were potentially HBV susceptible. Conclusion Roughly 60% of adults living in Spain seem to be HBV susceptible. Waning immunity might be more common than expected. Hence, HBV serological testing should be performed at least once in all adults regardless of risk exposures. HBV vaccine full courses or boosters should be administered to all adults lacking serological evidence of HBV protection.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36809581</pmid><doi>10.1111/liv.15548</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4624-5199</orcidid></addata></record>
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subjects Adult
Adults
antibody waning
Blood
Blood donors
diagnosis
Geography
Hepatitis
Hepatitis B
Hepatitis B - epidemiology
Hepatitis B - prevention & control
Hepatitis B Antibodies
Hepatitis B surface antigen
Hepatitis B Surface Antigens
Hepatitis B Vaccines
Hepatitis B virus
Humans
Immunization
Infant
prevention
public health
Risk
Risk groups
Risk taking
Serology
Spain - epidemiology
vaccine
Vaccines
Viruses
title Susceptibility to hepatitis B virus infection in adults living in Spain
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