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23077

Significance of screening antibodies to hepatitis B core antigen among chronic hepatitis C patients before antiviral therapy

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Hepatology
Infectious diseases

Abstract

Background and study aim: Anti-hepatitis B core (anti-HBc) sero-positivity in general population in Egypt is reported to be 10-13%. This study was performed to determine the prevalence of anti-HBc among chronic hepatitis C patients before antiviral therapy. Patients and Methods: A total of 178 consenting patients with chronic HCV infection eligible for treatment with DAAs according to program of National Committee for Control of Hepatitis Infection in Portsaid, Egypt from April to October 2017. All of the patients were screened for anti-HBs and anti-HBc. Anti-HBc–positive patients were assayed for HBV DNA. Results: Out of 178 chronic hepatitis C patients, Eighty four patients (47.2%) were treated with triple therapy (Sofosbuvir/ Daclatasvir/Ribavirin) and ninety four patients (52.8%) with dual therapy (Sofosbuvir/Daclatasvir). A65 patients (36.5%) werereactive for anti-HBc. Of 84 patients, 34 (40.5%) who treated with triple therapy were reactive for anti-HBc. Of 94 patients, 31 (33%) who treated with dual therapy were reactive for it. All patients were negative for anti-HBs and anti-HBc–positive patients were no detected HBV DNA at baseline and 12 weeks after DAAs. Conclusion: Our results suggest including anti-HBc as an additional screening test for chronic hepatitis C patient in Egypt who are eligible for DAAs to reduce the risk of HBV reactivation and fulminant hepatitis after DAAs.

DOI

10.21608/aeji.2018.23077

Keywords

Sofosbuvir, Daclatasvir, Hepatitis B core antigen, Antibody

Authors

First Name

Mohamed

Last Name

Fathallah

MiddleName

-

Affiliation

Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mfmhassan666@yahoo.com

City

-

Orcid

-

First Name

Amany

Last Name

Moustafa

MiddleName

-

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Aboelmagd

MiddleName

-

Affiliation

Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Shyma

Last Name

Elkhodary

MiddleName

-

Affiliation

Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Mohammed

Last Name

Elhamouly

MiddleName

-

Affiliation

Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

Volume

8

Article Issue

4

Related Issue

4189

Issue Date

2018-12-01

Receive Date

2018-12-28

Publish Date

2018-12-01

Page Start

202

Page End

208

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_23077.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=23077

Order

7

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023