PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION

Background. Among the various serological markers employed in the hepatitis B virus (HBV) differential laboratory diagnosis, serum HBsAg is considered the most reliable. In order to characterise the HBV infection, another important diagnostic marker is employed – the HBc antibody (anti-HBc). There...

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Main Authors: Daniel Ivanov, Tencho Tenev, Elica Golkocheva-Markova
Format: Article
Language:English
Published: National Center of Infectious and Parasitic Diseases 2020-05-01
Series:Problems of Infectious and Parasitic Diseases
Subjects:
Online Access:https://pipd.ncipd.org/index.php/pipd/article/view/31
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author Daniel Ivanov
Tencho Tenev
Elica Golkocheva-Markova
author_facet Daniel Ivanov
Tencho Tenev
Elica Golkocheva-Markova
author_sort Daniel Ivanov
collection DOAJ
description Background. Among the various serological markers employed in the hepatitis B virus (HBV) differential laboratory diagnosis, serum HBsAg is considered the most reliable. In order to characterise the HBV infection, another important diagnostic marker is employed – the HBc antibody (anti-HBc). There are three categories of anti-HBc-positive individuals: patients with HBV immunity, patients with chronic HBV and individuals with the so-called isolated anti-HBc pattern. The current study aimed to evaluate the presence of anti-HBc in patients negative for HBsAg whose clinical diagnosis was acute viral hepatitis. Material and methods. A total of 88 specimens were examined, of which 75 sera were from prospective patients diagnosed with acute viral hepatitis, and 13 sera from breast milk donors. Antibodies against the hepatitis B core antigen were detected by enzyme-linked immunosorbent assay (ELISA). Results. Twenty-eight (32%) of all tested samples were positive for anti-HBc. Nineteen samples belonged to male and 9 to female patients. One positive sample was from a breast milk donor. Two age groups, namely 46-55 years and 56-65 years, demonstrated the highest rate of anti-HBc positivity. Among the other age groups positivity rates varied from 15% to 36%. The results demonstrated a linear trend of increasing anti-HBc prevalence with increasing age. Conclusions. Considering the highest rate of anti-HBc positivity being demonstrated in the age range 46-65 years, it could be assumed that a sufficient number of risk factors accumulate over time resulting in greater population susceptibility to HBV infection.
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spelling doaj.art-f07aa1969f5e42f79be3ff57019d64612023-05-16T09:17:20ZengNational Center of Infectious and Parasitic DiseasesProblems of Infectious and Parasitic Diseases0204-91552815-28082020-05-0148110.58395/pipd.v48i1.31PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATIONDaniel Ivanov0Tencho Tenev1Elica Golkocheva-Markova2Sofia University “St. Kliment Ohridski”National Centre of Infectious and Parasitic DiseasesNational Centre of Infectious and Parasitic Diseases Background. Among the various serological markers employed in the hepatitis B virus (HBV) differential laboratory diagnosis, serum HBsAg is considered the most reliable. In order to characterise the HBV infection, another important diagnostic marker is employed – the HBc antibody (anti-HBc). There are three categories of anti-HBc-positive individuals: patients with HBV immunity, patients with chronic HBV and individuals with the so-called isolated anti-HBc pattern. The current study aimed to evaluate the presence of anti-HBc in patients negative for HBsAg whose clinical diagnosis was acute viral hepatitis. Material and methods. A total of 88 specimens were examined, of which 75 sera were from prospective patients diagnosed with acute viral hepatitis, and 13 sera from breast milk donors. Antibodies against the hepatitis B core antigen were detected by enzyme-linked immunosorbent assay (ELISA). Results. Twenty-eight (32%) of all tested samples were positive for anti-HBc. Nineteen samples belonged to male and 9 to female patients. One positive sample was from a breast milk donor. Two age groups, namely 46-55 years and 56-65 years, demonstrated the highest rate of anti-HBc positivity. Among the other age groups positivity rates varied from 15% to 36%. The results demonstrated a linear trend of increasing anti-HBc prevalence with increasing age. Conclusions. Considering the highest rate of anti-HBc positivity being demonstrated in the age range 46-65 years, it could be assumed that a sufficient number of risk factors accumulate over time resulting in greater population susceptibility to HBV infection. https://pipd.ncipd.org/index.php/pipd/article/view/31HBVanti-HBcacute hepatitis
spellingShingle Daniel Ivanov
Tencho Tenev
Elica Golkocheva-Markova
PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
Problems of Infectious and Parasitic Diseases
HBV
anti-HBc
acute hepatitis
title PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
title_full PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
title_fullStr PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
title_full_unstemmed PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
title_short PREVALENCE OF ANTI-HBC IN HBSAG-NEGATIVE POPULATION
title_sort prevalence of anti hbc in hbsag negative population
topic HBV
anti-HBc
acute hepatitis
url https://pipd.ncipd.org/index.php/pipd/article/view/31
work_keys_str_mv AT danielivanov prevalenceofantihbcinhbsagnegativepopulation
AT tenchotenev prevalenceofantihbcinhbsagnegativepopulation
AT elicagolkochevamarkova prevalenceofantihbcinhbsagnegativepopulation