Prevalence of hepatitis C virus in adult population in the Czech Republic – time for birth cohort screening

Autor: Roman Chlibek, Petr Dite, Jan Smetana, Lenka Pliskova, Petr Gál, Šošovičková R, Vlasta Stepanova, Stanislav Plíšek
Jazyk: angličtina
Rok vydání: 2017
Předmět:
RNA viruses
Male
Pediatrics
Chronic Hepatitis
Gastroenterology and hepatology
Adult population
lcsh:Medicine
Social Sciences
Disease
Hepacivirus
medicine.disease_cause
Geographical locations
Hepatitis
Chronic Liver Disease
Drug Users
Cohort Studies
0302 clinical medicine
Seroepidemiologic Studies
Genotype
Prevalence
Medicine
Psychology
Mass Screening
030212 general & internal medicine
lcsh:Science
Pathology and laboratory medicine
Czech Republic
Aged
80 and over

education.field_of_study
Multidisciplinary
biology
Hepatitis C virus
virus diseases
Medical microbiology
Middle Aged
Hepatitis C
Addicts
Europe
Infectious hepatitis
Research Design
Viruses
Infectious diseases
RNA
Viral

030211 gastroenterology & hepatology
Female
Antibody
Pathogens
Research Article
Adult
medicine.medical_specialty
Adolescent
Population
Addiction
Viral diseases
Research and Analysis Methods
Microbiology
Virus
03 medical and health sciences
Young Adult
Age Distribution
Seroprevalence
Humans
Viremia
education
Liver diseases
Aged
Medicine and health sciences
Behavior
Biology and life sciences
Flaviviruses
business.industry
lcsh:R
Organisms
Viral pathogens
Hepatitis C Antibodies
Hepatitis C
Chronic

digestive system diseases
Hepatitis viruses
Microbial pathogens
Age Groups
biology.protein
lcsh:Q
Population Groupings
People and places
business
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 4, p e0175525 (2017)
ISSN: 1932-6203
Popis: Chronic hepatitis C is curable disease. Low detection rate could be one of the reasons of poor treatment uptake. It is important to identify HCV prevalence and anti-hepatitis C virus (HCV) positive patients in population by effective screening strategy such as risk-based or birth cohort screening programs. There are no national population-based estimates of the HCV prevalence in the Czech Republic (CZ). The most recent seroprevalence survey determined a prevalence of positive anti-HCV antibodies of 0.2% (in 2001). The aim of the study was to determine the seroprevalence of HCV, HCV viraemia and HCV genotype in the CZ adult population. We also estimated the number of persons living with chronic hepatitis C in CZ. The examined group included 3000 adults, 18-90 years of age enrolled in 2015. All serum samples were examined to determined anti-HCV antibodies positivity, HCV-RNA positivity and genotypes. Of the 3000 samples, 50 were found to be anti-HCV-positive, for a seroprevalence of 1.67% (2.39% in males, 0.98% in females). The overall prevalence of positive HCV RNA was 0.93%: 1.5% in males, 0.39% in females. HCV genotype (GT) 1a was determined in 25%, GT 1b in 25% and GT 3a in 46%. Since 2001, the HCV seroprevalence has increased 8-fold. The highest HCV seroprevalence occurred in males aged 30-44 years. We can estimate that there are more than 140,000 people with HCV antibodies and more than 80,000 people with chronic hepatitis C living in the CZ. The introduction of birth cohort HCV screening could be beneficial for the country.
Databáze: OpenAIRE