Hepatitis E virus:a serological study among HIV-infected people in Xiaogan City
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摘要: 目的 了解孝感市人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染人群的戊型肝炎病毒(hepatitis E viral,HEV)流行情况,为更有效地开展艾滋病和戊肝防治工作提供科学依据。方法 采集2015年5月~2016年9月203份HIV感染人群的血清样本,从中国疾病控制信息系统收集孝感市203名HIV感染人群的人口学资料、其他疾病感染史、实验室数据,血清进行抗-HEV IgG、抗-HEV IgM、HEV抗原(HEV antigen,HEV-Ag)筛查,并对抗-HEV IgM阳性进行肝功能筛查。结果 203名HIV感染人群抗-HEV IgM阳性率为2.46%,抗-HEV IgG阳性率为46.31%(94/203)。抗-HEV IgG阳性率在性别上差异无统计学意义(χ2=0,P=0.996)。离异组抗-HEV IgG阳性率高达80%,与其他婚姻状况组的差异有统计学意义(均有P<0.05)。CD4值≤ 200 cell/μl的人群抗-HEV IgG阳性率与CD4>200 cell/μl的人群抗-HEV IgG阳性率差异无统计学意义(χ2=0.286,P=0.593);2个抗-HEV IgM阳性患者的CD4值分别为189 cell/μl和199 cell/μl,且1个肝功能异常。7个县市区抗-HEV IgG阳性率差异无统计学意义(χ2=5.906,P=0.551)。结论 孝感市HIV感染人群HEV感染较高,积极开展两病双向筛查的同时需采取有针对性地预防和治疗措施。Abstract: Objective To determinate the seroprevalence associated with hepatitis E virus(HEV)exposition among HIV-infected people in Xiaogan City, which could provide the basic data better to prevent and control the epidemiology of HIV and hepatitis E virus. Methods 203 serum samples of HIV-infected people from May 2015 to September 2016 were collected. Demographic data, other disease histories and laboratory data for these subjects were collected from Chinese disease control information system. Serum samples were performed for anti-HEV IgG, anti-HEV IgM and HEV-Ag screening, in which liver function were screened among positive anti-HEV IgM subjects. Results For the 203 HIV-infected people, anti-HEV IgM positive ratio was 2.46%, anti-HEV IgG positive ratio was 43.31%(94/203). There was no significant difference in anti-HEV IgG positive rate between different gender(χ2=0,P=0.996). The anti-HEV IgG positive rate of subjects was as high as 80% in divorced group, but showed significant difference compared with another marital status groups(all P<0.05). Anti-HEV IgG positive rate for the crowd with CD4 value ≤ 200 cell/μl was higher than that of > 200 cell/μl, but showed no significant difference(χ2=0.286,P=0.593), and CD4 indexs of two positive anti-HEV IgM patients were 189 and 199 in cell/μl, respectively, followed with abnormal liver function in one patient. In addition, anti-HEV IgG positive rate in seven counties showed similar without difference(χ2=5.906,P=0.551). Conclusions There were higher HEV infection rate among HIV-infected people in Xiaogan City, thus, it is essential to positively carry out double-way screening for these two diseases at the same time, and take several targeted measures to prevent and treat them.
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Key words:
- HIV /
- Hepatitis E Virus /
- Seroprevalence
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