Prevalence and Risk Factors of Hepatitis B Virus Genotype D Amongst Inmates in Alborz Province, Iran: A Cross-Sectional Survey

AuthorFatemeh Salemen
AuthorSoheila Hekmaten
AuthorMohammad Reza Aghasadeghien
AuthorFoozieh Javadien
AuthorHossein Gholamien
AuthorEhsan Mostafavien
Issued Date2013-08-31en
AbstractObjectives: The aim of the present study was to determine the rate, risk factors and genotypes of Hepatitis B virus amongst imprisoned men as a high-risk subpopulation. Patients and Methods: This study was an anonymous cross-sectional study conducted on 3000 sentenced men in Karaj jails from 1 December 2008 to 28 November 2009. HBV serological markers [hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg)], human immunodeficiency virus antibody (anti-HIV) and hepatitis C antibody (anti-HCV) were analyzed by the ELISA technique. Nested PCR was done for the detection of HBV DNA and patterns of restriction fragment length polymorphisms (RFLP) were obtained to determine the HBV genotypes. These patterns were confirmed by direct sequencing. Results: Hepatitis B surface antigen (HBsAg) was found in 122/3000 (4.1%) prisoners. Hepatitis B e antigen (HBeAg), anti-HIV, anti-HCV and anti-HIV/anti-HCV were detected in 52/122 (42.6%), 12/122 (10%), 22/122 (18%) and 3/122 (2.4%) prisoners, respectively. The HBV-DNA was found in 115/122 (94.3%) prisoners. The most high risk behavior was to utilize the collaborative syringe by injecting drug users (IDUs) with or without other risk factors (75.3%). Genotype D1 was obviously the only predominant type (100%). Conclusions: The rate of HBV in prisoners was significantly higher than that reported for the general population (4.1% vs. < 2%). Blood borne viral co-infections were prevalent in HBsAg positive prisoners. Continual tracing of genotypes and risk factors are helpful for identifying transmission patterns and target at-risk groups for preventive programs. High rates of HBV in prisoners indicates the need for extensive free of charge vaccination of this subpopulation.en
DOIhttps://doi.org/10.5812/jjm.10221en
URIhttps://brieflands.com/journals/jjm/articles/18712en
KeywordHepatitis B Virusen
KeywordInjecting Drug Usersen
KeywordPrisonersen
PublisherBrieflandsen
TitlePrevalence and Risk Factors of Hepatitis B Virus Genotype D Amongst Inmates in Alborz Province, Iran: A Cross-Sectional Surveyen
TypeResearch Articleen

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