Clinical Analysis Department, Health Sciences Center, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Braz J Infect Dis. 2010 Jan-Feb;14(1):60-5.
Hepatitis B and C are important causes of morbidity and mortality worldwide. In Brazil, according to the Ministry of Health, about 15% of population is infected by hepatitis B virus (HBV) and less than 1% by hepatitis C virus (HCV). Nevertheless, the age-specific prevalence of HBV and HCV markers remains unknown. This study aimed to determine the seroprevalence of HBV and HCV markers of infection and immunity in children and adolescents between 10 to 16 years old who live in the metropolitan area of Florianópolis, state of Santa Catarina, South of Brazil. Three hundred and eighty four individuals were enrolled in this study. Serological markers for HBV and HCV (HBsAg, total anti-HBc, anti-HBc IgM, anti-HBs and anti-HCV) were determined through Microparticle Enzyme Immunosorbant Assay (MEIA) - AxSYM System - by using commercial diagnostic kits (Abbott Laboratories, Abbott Park, Illinois, USA). All 384 adolescents (100%) were negative for HBsAg and anti-HBc IgM. Only two (0.52%) were positive for total anti-HBc. Among the studied individuals, 226 (58.85%) presented titers of anti-HBs > 10.0mIU/mL, 121 (31.51%) presented anti HBs < 10.0mIU/mL, and 37 (9.64%) did not present titers of anti-HBs. Regarding to anti-HCV, all 384 adolescents (100%) presented negative results for this marker. In conclusion, this study showed a low prevalence of HBV and HCV infections. In addition, it was verified a great number of children and adolescents (89.84%) who were positive for the immunity marker anti-HBs, implying that the National Immunization Program Protocol for hepatitis B has been effective in the studied region.
乙型肝炎和丙型肝炎是全球发病率和死亡率的重要原因。根据巴西卫生部的数据,约 15%的人口感染乙型肝炎病毒(HBV),不到 1%的人口感染丙型肝炎病毒(HCV)。然而,HBV 和 HCV 标志物的年龄特异性流行率尚不清楚。本研究旨在确定巴西南部圣卡塔琳娜州弗洛里亚诺波利斯大都市区 10 至 16 岁儿童和青少年的 HBV 和 HCV 感染和免疫标志物的血清流行率。本研究纳入了 384 名个体。通过使用商业诊断试剂盒(雅培实验室,伊利诺伊州雅培公园,美国),采用微粒子酶免疫吸附测定法(MEIA)-AxSYM 系统,检测 HBV 和 HCV 的血清学标志物(HBsAg、总抗-HBc、抗-HBc IgM、抗-HBs 和抗-HCV)。所有 384 名青少年(100%)HBsAg 和抗-HBc IgM 均为阴性。只有 2 人(0.52%)总抗-HBc 阳性。在研究的个体中,226 人(58.85%)抗-HBs 滴度>10.0mIU/mL,121 人(31.51%)抗-HBs<10.0mIU/mL,37 人(9.64%)未检测到抗-HBs 滴度。关于抗-HCV,所有 384 名青少年(100%)该标志物均为阴性。总之,本研究显示 HBV 和 HCV 感染率较低。此外,研究区域内很大一部分儿童和青少年(89.84%)抗-HBs 免疫标志物呈阳性,这表明乙型肝炎国家免疫计划方案在研究区域是有效的。