Hepatitis D Viremia Among Injection Drug Users in San Francisco

被引:25
作者
Mahale, Parag [1 ]
Aka, Peter, V [1 ,2 ]
Chen, Xiaohua [3 ,4 ]
Liu, Ping [3 ]
Fram, Benjamin J. [5 ]
Wang, Alan S. [1 ]
Simenel, Scott [5 ]
Tseng, Fan-Chen [1 ]
Chen, Sabrina [6 ]
Edlin, Brian R. [7 ,8 ]
Glenn, Jeffrey S. [3 ,5 ]
O'Brien, Thomas R. [1 ]
机构
[1] NCI, Infect & Immunoepidemiol Branch, Div Canc Epidemiol & Genet, Rockville, MD 20850 USA
[2] ICF Int, Demog & Hlth Surveys, Rockville, MD USA
[3] Stanford Univ, Sch Med, Dept Med, Palo Alto, CA 94304 USA
[4] Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Dept Infect Dis, Shanghai, Peoples R China
[5] Stanford Univ, Sch Med, Dept Microbiol & Immunol, Palo Alto, CA 94304 USA
[6] Informat Management Serv Inc, Calverton, MD USA
[7] Univ Calif San Francisco, Urban Hlth Study, San Francisco, CA 94143 USA
[8] Weill Cornell Med Coll, Dept Med, New York, NY USA
基金
美国国家卫生研究院;
关键词
epidemiology; hepatitis B virus; hepatitis C virus; hepatitis D virus; HDV RNA; people who injected drugs; treatment; viremia; B-VIRUS; C VIRUS; DELTA-HEPATITIS; LOS-ANGELES; PREVALENCE; EPIDEMIOLOGY; COINFECTION; INFECTION; ANTIBODY;
D O I
10.1093/infdis/jiy157
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
People who inject drugs (PWID) are commonly exposed to hepatitis B virus (HBV) and hepatitis D virus (HDV). We evaluated the prevalence of HDV viremia among hepatitis B surface antigen (HBsAg)-positive PWID (n = 73) using a new quantitative microarray antibody capture (Q-MAC) assay, HDV western blot, and HDV RNA. HDV Q-MAC performed well in this cohort: anti-HDV, 100% sensitivity and specificity; HDV viremia, 61.5% sensitivity and 100% specificity. Hepatitis D viremia was present in 35.6% of HBsAg-positive participants and was more common in those with resolved compared to chronic hepatitis C (5.1% vs 0.6%; adjusted odds ratio, 9.80; P<.0001).
引用
收藏
页码:1902 / 1906
页数:5
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