Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?
Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon. This...
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description | Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon.
This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested.
The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc.
The prevalence of hepatitis B among pregnant women in Cameroon is high, and the pattern tends towards high infectivity and therefore increased risk of perinatal HBV transmission. These highlight the need to step up preventive efforts against hepatitis B infection and perinatal HBV transmission in our community. |
doi_str_mv | 10.1186/1471-2393-13-158 |
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This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested.
The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc.
The prevalence of hepatitis B among pregnant women in Cameroon is high, and the pattern tends towards high infectivity and therefore increased risk of perinatal HBV transmission. These highlight the need to step up preventive efforts against hepatitis B infection and perinatal HBV transmission in our community.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/1471-2393-13-158</identifier><identifier>PMID: 23924215</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Age ; AIDS ; Cameroon ; Cameroon - epidemiology ; Cross-Sectional Studies ; Disease transmission ; Female ; Health aspects ; Hepatitis ; Hepatitis B ; Hepatitis B - blood ; Hepatitis B - epidemiology ; Hepatitis B - transmission ; Hepatitis B e Antigens - blood ; Hepatitis B Surface Antigens - blood ; Hepatitis B virus ; HIV ; Hospitals ; Human immunodeficiency virus ; Humans ; Infectious Disease Transmission, Vertical - prevention & control ; Nigeria ; Pregnancy ; Pregnancy Complications, Infectious - blood ; Pregnancy Complications, Infectious - epidemiology ; Pregnant women ; Prenatal Care ; Prevalence ; Statistics ; Womens health ; Young Adult</subject><ispartof>BMC Pregnancy and Childbirth, 2013-08, Vol.13 (1), p.158-158, Article 158</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Fomulu et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Fomulu et al.; licensee BioMed Central Ltd. 2013 Fomulu et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b654t-956f61fec746f30d4989bcb83523f990fb19ab48d87f95ee558af073d12e1a893</citedby><cites>FETCH-LOGICAL-b654t-956f61fec746f30d4989bcb83523f990fb19ab48d87f95ee558af073d12e1a893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751222/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751222/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23924215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fomulu, Nelson J</creatorcontrib><creatorcontrib>Morfaw, Frederick L I</creatorcontrib><creatorcontrib>Torimiro, Judith N</creatorcontrib><creatorcontrib>Nana, Philip</creatorcontrib><creatorcontrib>Koh, Mve V</creatorcontrib><creatorcontrib>William, Takang</creatorcontrib><title>Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?</title><title>BMC Pregnancy and Childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon.
This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested.
The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc.
The prevalence of hepatitis B among pregnant women in Cameroon is high, and the pattern tends towards high infectivity and therefore increased risk of perinatal HBV transmission. These highlight the need to step up preventive efforts against hepatitis B infection and perinatal HBV transmission in our community.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>AIDS</subject><subject>Cameroon</subject><subject>Cameroon - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - blood</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B - transmission</subject><subject>Hepatitis B e Antigens - blood</subject><subject>Hepatitis B Surface Antigens - blood</subject><subject>Hepatitis B virus</subject><subject>HIV</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Disease Transmission, Vertical - prevention & control</subject><subject>Nigeria</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - blood</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnant women</subject><subject>Prenatal Care</subject><subject>Prevalence</subject><subject>Statistics</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFUk1rFTEUHUSxtbp3JQE3Lpya78m4UNqHWqGgCxVchUzm5pkyk7wmMwV_jX_VDNM-WlEkF5J7c87hflXVU4KPCVHyFeENqSlrWU2KCXWvOtyH7t96H1SPcr7AmDRK4IfVQYlRTok4rH59TnBlBggWXiIbU4LBTJCRCT3amWmCFFB06AyK4yef0SkyYwzbApggmMkMyA4-eIsWcOghZeQD-m7iXJx6Y0ZIMYbXqFB3kPxKmZIJefQ5-7jKn35DAbYD2An6hX_De_u4euDMkOHJ9X1UfX3_7svmrD7_9OHj5uS87qTgU90K6SRxYBsuHcM9b1Xb2U4xQZlrW-w60pqOq141rhUAQijjcMN6QoEY1bKj6s2qu5u7EXoLoeQ46F3yo0k_dTRe3_0J_ofexivNGkEopUVgswp0Pv5D4O6PjaNeBqSXAWlSTKii8uI6jRQvZ8iTLl2yMAwmQJxzwXBFWi4F-z-UM44ZJnRRff4H9CLOKZR-FhSVkjdULi04XlHbsg_aBxdLnracHkZvYwDnS_xEMC4JlaIpBLwSbIo5J3D7agnWy37-rb5nt9u8J9wsJPsNr77imw</recordid><startdate>20130808</startdate><enddate>20130808</enddate><creator>Fomulu, Nelson J</creator><creator>Morfaw, Frederick L I</creator><creator>Torimiro, Judith N</creator><creator>Nana, Philip</creator><creator>Koh, Mve V</creator><creator>William, Takang</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7U1</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130808</creationdate><title>Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?</title><author>Fomulu, Nelson J ; Morfaw, Frederick L I ; Torimiro, Judith N ; Nana, Philip ; Koh, Mve V ; William, Takang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b654t-956f61fec746f30d4989bcb83523f990fb19ab48d87f95ee558af073d12e1a893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>AIDS</topic><topic>Cameroon</topic><topic>Cameroon - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Disease transmission</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - blood</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis B - transmission</topic><topic>Hepatitis B e Antigens - blood</topic><topic>Hepatitis B Surface Antigens - blood</topic><topic>Hepatitis B virus</topic><topic>HIV</topic><topic>Hospitals</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Disease Transmission, Vertical - prevention & control</topic><topic>Nigeria</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - blood</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Pregnant women</topic><topic>Prenatal Care</topic><topic>Prevalence</topic><topic>Statistics</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fomulu, Nelson J</creatorcontrib><creatorcontrib>Morfaw, Frederick L I</creatorcontrib><creatorcontrib>Torimiro, Judith N</creatorcontrib><creatorcontrib>Nana, Philip</creatorcontrib><creatorcontrib>Koh, Mve V</creatorcontrib><creatorcontrib>William, Takang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fomulu, Nelson J</au><au>Morfaw, Frederick L I</au><au>Torimiro, Judith N</au><au>Nana, Philip</au><au>Koh, Mve V</au><au>William, Takang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2013-08-08</date><risdate>2013</risdate><volume>13</volume><issue>1</issue><spage>158</spage><epage>158</epage><pages>158-158</pages><artnum>158</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon.
This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested.
The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc.
The prevalence of hepatitis B among pregnant women in Cameroon is high, and the pattern tends towards high infectivity and therefore increased risk of perinatal HBV transmission. These highlight the need to step up preventive efforts against hepatitis B infection and perinatal HBV transmission in our community.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23924215</pmid><doi>10.1186/1471-2393-13-158</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Springer Nature - Complete Springer Journals; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
subjects | Acquired immune deficiency syndrome Adolescent Adult Age AIDS Cameroon Cameroon - epidemiology Cross-Sectional Studies Disease transmission Female Health aspects Hepatitis Hepatitis B Hepatitis B - blood Hepatitis B - epidemiology Hepatitis B - transmission Hepatitis B e Antigens - blood Hepatitis B Surface Antigens - blood Hepatitis B virus HIV Hospitals Human immunodeficiency virus Humans Infectious Disease Transmission, Vertical - prevention & control Nigeria Pregnancy Pregnancy Complications, Infectious - blood Pregnancy Complications, Infectious - epidemiology Pregnant women Prenatal Care Prevalence Statistics Womens health Young Adult |
title | Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon? |
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