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Author:

Rosa Heitor1,Costa Ana Paula V.F.,Ferraz Maria Lúcia2,Pedroza Suelene C.,Andrade Ana Lúcia S.S.1,Martelli Celina M.T.1,Zicker Fábio3

Affiliation:

1. UFG, Brazil

2. Escola Paulista de Medicina, Brazil

3. Organización Pan Americana de la Salud, Venezuela

Abstract

This investigation presents the results of Hepatitis B virus screening among leprosy patients conducted in Central Brazil as a preliminary information for a HBV vaccination programme. The main objectives were to assess the seroprevalence of HBV serum markers among lepromatous patients and to analyse institutionalization as risk factor for HBV infection in this population. Two groups of lepromatous patients were studied, 83 outpatients and 171 institutionalized ones. Screening for HBV serum markers included the detection of HBsAg, anti-HBc by radioimmune assay (RIA). The prevalence of carrier state (HBsAg) was 4.8% and 8.8% among outpatients and institutionalized, respectively, (p>0.05). Seroprevalence of exposure (all markers) was statistically significant different between outpatients (16.9%) and institutionalized ones (50.3%). Institutionalized patients had an almost four fold risk of HBV infection when compared to the outpatients, and the highest risks were among patients with more than 21 years of residence in the colony, after adjusting for age and sex.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

Reference27 articles.

1. Studies on the Australia Antigen: I - Association between Autralia Antigen and Leprosy;ANANTHAKRISHNAN R.;Humangenetik,1972

2. Hepatitis B surface antigen (HBsAg) in Leprosy patients;BALAKRISHNAN S.;Leprosy in India,1983

3. Cross-sectional and longitudinal epidemiology of hepatitis B in Senegal;BARIN F;Progr. med. Virol.,1981

4. Lepromatous Leprosy and Australia Antigen with comments on the genetics of Leprosy;BLUMBERG B.S.;J. chron. Dis.,1970

5. Association between Lepromatous Leprosy and Australia Antigen;BLUMBERG B.S.;Lancet,1967

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