Maternal and neonatal seroprevalence of Hepatitis B surface antigen (HBsAg) in Tripoli, Libya

Pregnant women with Hepatitis B virus HBV represent a major reservoir of the virus in the community. Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of t...

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Veröffentlicht in:Journal of infection in developing countries 2010-03, Vol.4 (3), p.168-170
Hauptverfasser: El-Magrahe, Hamida, Furarah, Abdul Rahaman, El-Figih, Kheiria, El-Urshfany, Sued, Ghenghesh, Khalifa Sifaw
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container_end_page 170
container_issue 3
container_start_page 168
container_title Journal of infection in developing countries
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creator El-Magrahe, Hamida
Furarah, Abdul Rahaman
El-Figih, Kheiria
El-Urshfany, Sued
Ghenghesh, Khalifa Sifaw
description Pregnant women with Hepatitis B virus HBV represent a major reservoir of the virus in the community. Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of their neonates delivered at Tripoli Medical Center, Tripoli, were tested for HBsAg by ELISA technique. HBsAg-positive samples were also tested for HBeAg. HBsAg was detected in 1.5% (23/1,500) pregnant women and in 0.9% (14/1,500) neonates. Although HBsAg was detected at higher rate in pregnant women aged > 25 years [1.8% (22/1,235)] than in pregnant women aged < 25 years [0.4% (1/265)], the difference was not statistically significant (P > 0.05). All HBsAg-positive neonates were born to HBsAg-positive mothers with a rate of maternal transmission at 60.9% (14/23). HBeAg was detected in 21.7% (5/23) and in 7.1% (1/14) of HBsAg-positive pregnant women and neonates, respectively. Because of the high risk of developing chronic HBV infection at birth among infants born to HBsAg-positive mothers, administration of HBIG in combination with hepatitis B vaccine as post-exposure prophylaxis for such infants is of paramount importance. In addition, universal HBsAg screening of all pregnant women will greatly assist in reducing the maternal transmission of HBV in the country.
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Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of their neonates delivered at Tripoli Medical Center, Tripoli, were tested for HBsAg by ELISA technique. HBsAg-positive samples were also tested for HBeAg. HBsAg was detected in 1.5% (23/1,500) pregnant women and in 0.9% (14/1,500) neonates. Although HBsAg was detected at higher rate in pregnant women aged &gt; 25 years [1.8% (22/1,235)] than in pregnant women aged &lt; 25 years [0.4% (1/265)], the difference was not statistically significant (P &gt; 0.05). All HBsAg-positive neonates were born to HBsAg-positive mothers with a rate of maternal transmission at 60.9% (14/23). HBeAg was detected in 21.7% (5/23) and in 7.1% (1/14) of HBsAg-positive pregnant women and neonates, respectively. Because of the high risk of developing chronic HBV infection at birth among infants born to HBsAg-positive mothers, administration of HBIG in combination with hepatitis B vaccine as post-exposure prophylaxis for such infants is of paramount importance. 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Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of their neonates delivered at Tripoli Medical Center, Tripoli, were tested for HBsAg by ELISA technique. HBsAg-positive samples were also tested for HBeAg. HBsAg was detected in 1.5% (23/1,500) pregnant women and in 0.9% (14/1,500) neonates. Although HBsAg was detected at higher rate in pregnant women aged &gt; 25 years [1.8% (22/1,235)] than in pregnant women aged &lt; 25 years [0.4% (1/265)], the difference was not statistically significant (P &gt; 0.05). All HBsAg-positive neonates were born to HBsAg-positive mothers with a rate of maternal transmission at 60.9% (14/23). HBeAg was detected in 21.7% (5/23) and in 7.1% (1/14) of HBsAg-positive pregnant women and neonates, respectively. 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subjects Adult
Age Factors
Female
Hepatitis B
Hepatitis B Surface Antigens - immunology
Hepatitis B virus - immunology
Hepatitis B, Chronic - epidemiology
Hepatitis B, Chronic - etiology
Hepatitis B, Chronic - prevention & control
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical
Libya - epidemiology
Post-Exposure Prophylaxis
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Pregnancy Complications, Infectious - etiology
Pregnancy Complications, Infectious - prevention & control
Prevalence
Seroepidemiologic Studies
title Maternal and neonatal seroprevalence of Hepatitis B surface antigen (HBsAg) in Tripoli, Libya
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