Hepatitis B infection in HIV-1-infected patients receiving highly active antiretroviral therapy in Lomé, Togo: Prevalence and molecular consequences

No data are available on HIV/hepatitis B virus (HBV) or hepatitis C virus coinfection in Togo, and patients are not routinely tested for HBV infection. To determine the prevalence of HBV and the risk of HBV drug resistance during antiretroviral treatment in HIV-coinfected patients in Togo.  This cro...

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Veröffentlicht in:SAMJ: South African Medical Journal 2016-06, Vol.106 (6), p.634-639
Hauptverfasser: Patassi, Akouda, Benaboud, Sihem, Landoh, Dadja Essoya, Salou, M, Dagnra, Anoumou Claver, Saka, Bayaki, Krivine, Anne, Meritet, Jean-François, Pitché, Palokinam, Salmon-Ceron, Dominique
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container_issue 6
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container_title SAMJ: South African Medical Journal
container_volume 106
creator Patassi, Akouda
Benaboud, Sihem
Landoh, Dadja Essoya
Salou, M
Dagnra, Anoumou Claver
Saka, Bayaki
Krivine, Anne
Meritet, Jean-François
Pitché, Palokinam
Salmon-Ceron, Dominique
description No data are available on HIV/hepatitis B virus (HBV) or hepatitis C virus coinfection in Togo, and patients are not routinely tested for HBV infection. To determine the prevalence of HBV and the risk of HBV drug resistance during antiretroviral treatment in HIV-coinfected patients in Togo.  This cross-sectional study was carried out in Lomé, Togo, from January 2010 to December 2011 among HIV-infected patients who had been on antiretroviral therapy (ART) for at least 6 months.  In total, 1 212 patients (74.9% female) living with HIV/AIDS and treated with ART were included in the study. The seroprevalence of hepatitis B surface antigen (HBsAg) was 9.7% (117/1 212; 95% confidence interval (CI) 8.04 - 11.45). Of these 117 HBsAg-positive patients, 16 (13.7%) were hepatitis B e-antigen (HBeAg)-positive, and 115 (98.3%) were on lamivudine. The HBV DNA load was >10 IU/mL in 33/117 patients overall (38%), and in 87.5% of 16 HBeAg-positive patients (p10 IU/mLwere HBeAg positivity (adjusted odds ratio (aOR) 6.4; p=0.001) and a higher level of education (aOR 6.5; p=0.026). The prevalence of HBV resistance to lamivudine was 13.0% (15/115; 95% CI 7.0 - 19.0). The detected resistance mutations were rtL180M (14/15 patients) and rtM204V/I (15/15).  The seroprevalence of HBV among ART-treated HIV-infected patients in Togo was 9.7%. The prevalence of HBV lamivudine resistance mutations after 2 years of ART was 13.0%. These results suggest that HBV screening before ART initiation can be based on HBsAg testing.
doi_str_mv 10.7196/SAMJ.2016.v106i6.10312
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subjects Analysis
Comorbidity
Drug therapy
Health aspects
Health Care Sciences & Services
Health Policy & Services
Hepatitis B
Highly active antiretroviral therapy
HIV (Viruses)
Medical Ethics
Medicine, General & Internal
Medicine, Legal
Medicine, Research & Experimental
Prevalence studies (Epidemiology)
Risk factors
title Hepatitis B infection in HIV-1-infected patients receiving highly active antiretroviral therapy in Lomé, Togo: Prevalence and molecular consequences
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