Occult hepatitis B virus infection in hematopoietic stem cell donors in a hepatitis B virus endemic area

The acquisition of hepatitis B virus (HBV) infection following organ transplantation from donors with occult HBV infection is an important cause of morbidity and mortality. The aim of this study is to determine the prevalence of occult HBV in allogeneic hematopoietic stem cell (HSC) transplantation...

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Veröffentlicht in:Journal of hepatology 2005-06, Vol.42 (6), p.813-819
Hauptverfasser: Hui, Chee-kin, Sun, Jian, Au, Wing-yan, Lie, Albert K.W., Yueng, Yui-hung, Zhang, Hai-ying, Lee, Nikki P., Hou, Jin-ling, Liang, Raymond, Lau, George K.K.
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container_end_page 819
container_issue 6
container_start_page 813
container_title Journal of hepatology
container_volume 42
creator Hui, Chee-kin
Sun, Jian
Au, Wing-yan
Lie, Albert K.W.
Yueng, Yui-hung
Zhang, Hai-ying
Lee, Nikki P.
Hou, Jin-ling
Liang, Raymond
Lau, George K.K.
description The acquisition of hepatitis B virus (HBV) infection following organ transplantation from donors with occult HBV infection is an important cause of morbidity and mortality. The aim of this study is to determine the prevalence of occult HBV in allogeneic hematopoietic stem cell (HSC) transplantation donors. We performed a retrospective study on 124 consecutive hepatitis B surface antigen negative HSC donors. Their serum samples were analyzed by PCR for the pre-S/S, pre-core/core and X regions of the virus. Samples reactive by at least two PCR assays were considered HBV-DNA positive. Nineteen of the 124 HSC donors (15.3%) had occult HBV infection. Sixteen of these 19 donors with occult HBV infection (84.2%) tested positive for hepatitis B core antibody while 78 of 105 subjects (74.3%) without occult HBV infection were also positive ( P=0.56). Fourteen of the 19 donors (73.7%) with occult HBV infection tested positive for hepatitis B surface antibody while 67 of the 105 subjects without occult HBV infection were also positive ( P=0.45). The prevalence of occult HBV infection among HSC donors in Hong Kong is high. Anti-HBc and anti-HBs status had no significant correlation with the presence of occult HBV infection.
doi_str_mv 10.1016/j.jhep.2005.01.018
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The aim of this study is to determine the prevalence of occult HBV in allogeneic hematopoietic stem cell (HSC) transplantation donors. We performed a retrospective study on 124 consecutive hepatitis B surface antigen negative HSC donors. Their serum samples were analyzed by PCR for the pre-S/S, pre-core/core and X regions of the virus. Samples reactive by at least two PCR assays were considered HBV-DNA positive. Nineteen of the 124 HSC donors (15.3%) had occult HBV infection. Sixteen of these 19 donors with occult HBV infection (84.2%) tested positive for hepatitis B core antibody while 78 of 105 subjects (74.3%) without occult HBV infection were also positive ( P=0.56). Fourteen of the 19 donors (73.7%) with occult HBV infection tested positive for hepatitis B surface antibody while 67 of the 105 subjects without occult HBV infection were also positive ( P=0.45). The prevalence of occult HBV infection among HSC donors in Hong Kong is high. 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subjects Adult
Biological and medical sciences
Blood Donors - statistics & numerical data
Carrier State - epidemiology
DNA, Viral - blood
Endemic Diseases
Female
Hematopoietic Stem Cell Transplantation
Hepatitis B virus - genetics
Hepatitis B virus - isolation & purification
Hepatitis B, Chronic - epidemiology
Hepatitis B, Chronic - prevention & control
Hong Kong - epidemiology
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Occult HBV
Predictive Value of Tests
Prevalence
Prevalence of occult HBV
Retrospective Studies
Viral diseases
Viral diseases of the digestive system
Viral hepatitis
title Occult hepatitis B virus infection in hematopoietic stem cell donors in a hepatitis B virus endemic area
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