The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012

Evidence has shown that liver disease caused by hepatitis viruses can be more aggressive and severe in HIV infected subjects. Therefore, the present cross-sectional study aimed to evaluate the seroprevalence of HDV infection among HIV/HBV co-infected clients in Shiraz, southwest Iran. In this study,...

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Main Authors: Mohammad Motamedifar, Mohammad Taheri, Kamran Bagheri Lankarani, Mina Gholami, Mahmood Amini Lari, Hossein Faramarzi, Jamal Sarvari
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2015-09-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/797
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author Mohammad Motamedifar
Mohammad Taheri
Kamran Bagheri Lankarani
Mina Gholami
Mahmood Amini Lari
Hossein Faramarzi
Jamal Sarvari
author_facet Mohammad Motamedifar
Mohammad Taheri
Kamran Bagheri Lankarani
Mina Gholami
Mahmood Amini Lari
Hossein Faramarzi
Jamal Sarvari
author_sort Mohammad Motamedifar
collection DOAJ
description Evidence has shown that liver disease caused by hepatitis viruses can be more aggressive and severe in HIV infected subjects. Therefore, the present cross-sectional study aimed to evaluate the seroprevalence of HDV infection among HIV/HBV co-infected clients in Shiraz, southwest Iran. In this study, 178 patients co-infected with HBV and HIV individuals were enrolled. The diagnosis of HIV infection was documented based on serological assays. The demographic and complementary data were collected by a questionnaire. HBsAg and HDV Ab were detected by commercial quantitative enzyme linked immunosorbent assay kits according to the manufacturer’s instructions. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were also measured. The mean age of the participants was 37.4±7.4 years (range 22-63). 175 (98.4 %) patients were male and 3 (1.6 %) were female. Among 178 patients co-infected with HIV/HBV, 35 cases (19.7%, 95% CI: 14%-25%) were anti-HDV‏ positive and 143 (80.3%) were negative for anti-HDV. HDV exposure in HIV/HBV co-infected patients was associated with blood transfusion (P=0.002, OR: 14.3) and prison history (P=0.01, OR: 2.31) but not with age, marital status, unsafe sex contact, and injection drug abuse. Our data showed a relatively high prevalence of HDV infection in HIV infected population in Shiraz, Iran. The high frequency of HDV Ab in patients with blood transfusion and prison history reveals that HDV transmission occurs more frequently in the parental route than sexual contacts; therefore, blood screening for HDV diagnosis in the high-risk group is recommended.
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spelling doaj.art-5a4d9c5de4d642cfa8341848dc2ec2bd2022-12-22T00:07:09ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882015-09-01405448453The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012Mohammad Motamedifar0Mohammad Taheri1Kamran Bagheri Lankarani2Mina Gholami3Mahmood Amini Lari4Hossein Faramarzi5Jamal Sarvari6Shiraz HIV/AIDS Research Center (SHARC), Shiraz University of Medical Sciences, Shiraz, Iran; and Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranHealth Policy Research Center (HPRC), School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranShiraz HIV/AIDS Research Center (SHARC), Shiraz University of Medical Sciences, Shiraz, IranShiraz HIV/AIDS Research Center (SHARC), Shiraz University of Medical Sciences, Shiraz, IranDepartment of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranEvidence has shown that liver disease caused by hepatitis viruses can be more aggressive and severe in HIV infected subjects. Therefore, the present cross-sectional study aimed to evaluate the seroprevalence of HDV infection among HIV/HBV co-infected clients in Shiraz, southwest Iran. In this study, 178 patients co-infected with HBV and HIV individuals were enrolled. The diagnosis of HIV infection was documented based on serological assays. The demographic and complementary data were collected by a questionnaire. HBsAg and HDV Ab were detected by commercial quantitative enzyme linked immunosorbent assay kits according to the manufacturer’s instructions. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were also measured. The mean age of the participants was 37.4±7.4 years (range 22-63). 175 (98.4 %) patients were male and 3 (1.6 %) were female. Among 178 patients co-infected with HIV/HBV, 35 cases (19.7%, 95% CI: 14%-25%) were anti-HDV‏ positive and 143 (80.3%) were negative for anti-HDV. HDV exposure in HIV/HBV co-infected patients was associated with blood transfusion (P=0.002, OR: 14.3) and prison history (P=0.01, OR: 2.31) but not with age, marital status, unsafe sex contact, and injection drug abuse. Our data showed a relatively high prevalence of HDV infection in HIV infected population in Shiraz, Iran. The high frequency of HDV Ab in patients with blood transfusion and prison history reveals that HDV transmission occurs more frequently in the parental route than sexual contacts; therefore, blood screening for HDV diagnosis in the high-risk group is recommended.http://ijms.sums.ac.ir/index.php/IJMS/article/view/797PrevalenceHepatitis delta virusHIVHepatitis B virus
spellingShingle Mohammad Motamedifar
Mohammad Taheri
Kamran Bagheri Lankarani
Mina Gholami
Mahmood Amini Lari
Hossein Faramarzi
Jamal Sarvari
The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
Iranian Journal of Medical Sciences
Prevalence
Hepatitis delta virus
HIV
Hepatitis B virus
title The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
title_full The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
title_fullStr The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
title_full_unstemmed The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
title_short The Prevalence and Risk Factors of Hepatitis Delta Virus in HIV/HBV Co-Infected Patients in Shiraz, Iran, 2012
title_sort prevalence and risk factors of hepatitis delta virus in hiv hbv co infected patients in shiraz iran 2012
topic Prevalence
Hepatitis delta virus
HIV
Hepatitis B virus
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/797
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