Document Detail


Maternal and neonatal seroprevalence of Hepatitis B surface antigen (HBsAg) in Tripoli, Libya.
MedLine Citation:
PMID:  20351458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pregnant women with Hepatitis B virus HBV represent a major reservoir of the virus in the community. Data regarding the prevalence of HBV in pregnant women and maternal transmission of the virus in Libya are lacking. METHODOLOGY: Hepatitis blood samples from 1,500 pregnant women and 1,500 cord blood samples of their neonates delivered at Tripoli Medical Center, Tripoli, were tested for HBsAg by ELISA technique. HBsAg-positive samples were also tested for HBeAg. RESULTS: HBsAg was detected in 1.5% (23/1,500) pregnant women and in 0.9% (14/1,500) neonates. Although HBsAg was detected at higher rate in pregnant women aged > 25 years [1.8% (22/1,235)] than in pregnant women aged < 25 years [0.4% (1/265)], the difference was not statistically significant (P > 0.05). All HBsAg-positive neonates were born to HBsAg-positive mothers with a rate of maternal transmission at 60.9% (14/23). HBeAg was detected in 21.7% (5/23) and in 7.1% (1/14) of HBsAg-positive pregnant women and neonates, respectively. CONCLUSIONS: Because of the high risk of developing chronic HBV infection at birth among infants born to HBsAg-positive mothers, administration of HBIG in combination with hepatitis B vaccine as post-exposure prophylaxis for such infants is of paramount importance. In addition, universal HBsAg screening of all pregnant women will greatly assist in reducing the maternal transmission of HBV in the country.
Authors:
Hamida El-Magrahe; Abdul Rahaman Furarah; Kheiria El-Figih; Sued El-Urshfany; Khalifa Sifaw Ghenghesh
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Publication Detail:
Type:  Journal Article     Date:  2010-03-29
Journal Detail:
Title:  Journal of infection in developing countries     Volume:  4     ISSN:  1972-2680     ISO Abbreviation:  J Infect Dev Ctries     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-06-16     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  101305410     Medline TA:  J Infect Dev Ctries     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  IM    
Affiliation:
Faculty of Sciences, Al-Fateh University, Tripoli, Libya. hamidaelmagrahe_mojab@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Female
Hepatitis B Surface Antigens / immunology*
Hepatitis B virus / immunology*
Hepatitis B, Chronic / epidemiology*,  etiology,  prevention & control
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical
Libya / epidemiology
Post-Exposure Prophylaxis
Pregnancy
Pregnancy Complications, Infectious / epidemiology*,  etiology,  prevention & control
Prevalence
Seroepidemiologic Studies
Chemical
Reg. No./Substance:
0/Hepatitis B Surface Antigens

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