Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study

Abstract Background Patients with pediatric inflammatory bowel disease (PIBD) are believed to be at higher risk of hepatitis C virus (HCV) infection not only due to using of immunosuppressive drugs but also because of repeated blood transfusion and endoscopic and other invasive procedures used for d...

Full description

Bibliographic Details
Main Authors: Sara Tarek, Ayman E. Eskander, Safa Meshaal, Eman Badr, Asmaa Abd El-Hakeem
Format: Article
Language:English
Published: SpringerOpen 2023-11-01
Series:Egyptian Pediatric Association Gazette
Subjects:
Online Access:https://doi.org/10.1186/s43054-023-00231-5
_version_ 1797577458573115392
author Sara Tarek
Ayman E. Eskander
Safa Meshaal
Eman Badr
Asmaa Abd El-Hakeem
author_facet Sara Tarek
Ayman E. Eskander
Safa Meshaal
Eman Badr
Asmaa Abd El-Hakeem
author_sort Sara Tarek
collection DOAJ
description Abstract Background Patients with pediatric inflammatory bowel disease (PIBD) are believed to be at higher risk of hepatitis C virus (HCV) infection not only due to using of immunosuppressive drugs but also because of repeated blood transfusion and endoscopic and other invasive procedures used for diagnoses and effective controlling of the disease, so this study aimed to assess the frequency of HCV infection, in patients with PIBD at the New Children’s Hospital, Cairo University, and identify the potential risk factors. Methods This cross-sectional analytic study included 165 IBD patients between 1 and 16 years old of both sexes who were attending the Pediatric Gastroenterology Clinic in the New Children’s University Hospital, Cairo University. All patients were screened for anti-HCV antibodies using ELISA. Factors related to IBD (severity, modalities of the treatment, and invasive procedures), to infection (blood transfusion history and family history of hepatitis), and liver enzymes were registered. The risk factors were evaluated by multivariate logistic regression analysis. Results Present and/or past HCV infection was found in five (3%) of the IBD patients. The multivariate logistic regression to detect independent predictors of HCV +ve antibodies patients had statistically significant value with number of hospital admission related to IBD with p-value = 0.002, odd ratio (OR) = 1.467, and confidence interval (CI) = 95% (1.145–1.879) and with number of hospital admission unrelated to IBD with p-value = 0.024, OR = 0.750, and CI 95% (0.585–0.963). Conclusion The frequency of HCV infection in PIBD patients was 3%. Thus, the frequency of HCV infection in PIBD patients is similar to that in the normal population of the developing countries, and it is strongly related to hospital admission due to IBD or non-IBD causes.
first_indexed 2024-03-10T22:09:35Z
format Article
id doaj.art-a57e466033214720a27c2986bf05c90f
institution Directory Open Access Journal
issn 2090-9942
language English
last_indexed 2024-03-10T22:09:35Z
publishDate 2023-11-01
publisher SpringerOpen
record_format Article
series Egyptian Pediatric Association Gazette
spelling doaj.art-a57e466033214720a27c2986bf05c90f2023-11-19T12:41:25ZengSpringerOpenEgyptian Pediatric Association Gazette2090-99422023-11-017111810.1186/s43054-023-00231-5Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional studySara Tarek0Ayman E. Eskander1Safa Meshaal2Eman Badr3Asmaa Abd El-Hakeem4Departments of Pediatrics and Gastroenterology, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartments of Pediatrics and Gastroenterology, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartment of Clinical Pathology, Kasr Alainy School of Medicine, Cairo UniversityDepartments of Pediatrics and Gastroenterology, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityDepartments of Pediatrics and Gastroenterology, Faculty of Medicine, Kasr Alainy School of Medicine, Cairo UniversityAbstract Background Patients with pediatric inflammatory bowel disease (PIBD) are believed to be at higher risk of hepatitis C virus (HCV) infection not only due to using of immunosuppressive drugs but also because of repeated blood transfusion and endoscopic and other invasive procedures used for diagnoses and effective controlling of the disease, so this study aimed to assess the frequency of HCV infection, in patients with PIBD at the New Children’s Hospital, Cairo University, and identify the potential risk factors. Methods This cross-sectional analytic study included 165 IBD patients between 1 and 16 years old of both sexes who were attending the Pediatric Gastroenterology Clinic in the New Children’s University Hospital, Cairo University. All patients were screened for anti-HCV antibodies using ELISA. Factors related to IBD (severity, modalities of the treatment, and invasive procedures), to infection (blood transfusion history and family history of hepatitis), and liver enzymes were registered. The risk factors were evaluated by multivariate logistic regression analysis. Results Present and/or past HCV infection was found in five (3%) of the IBD patients. The multivariate logistic regression to detect independent predictors of HCV +ve antibodies patients had statistically significant value with number of hospital admission related to IBD with p-value = 0.002, odd ratio (OR) = 1.467, and confidence interval (CI) = 95% (1.145–1.879) and with number of hospital admission unrelated to IBD with p-value = 0.024, OR = 0.750, and CI 95% (0.585–0.963). Conclusion The frequency of HCV infection in PIBD patients was 3%. Thus, the frequency of HCV infection in PIBD patients is similar to that in the normal population of the developing countries, and it is strongly related to hospital admission due to IBD or non-IBD causes.https://doi.org/10.1186/s43054-023-00231-5Hepatitis C virus infectionInflammatory bowel disease
spellingShingle Sara Tarek
Ayman E. Eskander
Safa Meshaal
Eman Badr
Asmaa Abd El-Hakeem
Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
Egyptian Pediatric Association Gazette
Hepatitis C virus infection
Inflammatory bowel disease
title Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
title_full Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
title_fullStr Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
title_full_unstemmed Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
title_short Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study
title_sort frequency of hepatitis c virus infection in patients with pediatric inflammatory bowel disease a cross sectional study
topic Hepatitis C virus infection
Inflammatory bowel disease
url https://doi.org/10.1186/s43054-023-00231-5
work_keys_str_mv AT saratarek frequencyofhepatitiscvirusinfectioninpatientswithpediatricinflammatoryboweldiseaseacrosssectionalstudy
AT aymaneeskander frequencyofhepatitiscvirusinfectioninpatientswithpediatricinflammatoryboweldiseaseacrosssectionalstudy
AT safameshaal frequencyofhepatitiscvirusinfectioninpatientswithpediatricinflammatoryboweldiseaseacrosssectionalstudy
AT emanbadr frequencyofhepatitiscvirusinfectioninpatientswithpediatricinflammatoryboweldiseaseacrosssectionalstudy
AT asmaaabdelhakeem frequencyofhepatitiscvirusinfectioninpatientswithpediatricinflammatoryboweldiseaseacrosssectionalstudy