Institute of Tropical Medicine, University of Tübingen, 72074 Tübingen, Germany.
Department of Parasitology, Hue University of Medicine and Pharmacy (HUMP), Hue University, Hue 49000, Vietnam.
Viruses. 2023 Oct 11;15(10):2075. doi: 10.3390/v15102075.
The prevalence of hepatitis E virus (HEV) in the Vietnamese population remains underestimated. The aim of the present study was to investigate the seroprevalence of HEV IgG/IgM antibodies and the presence of HEV RNA in blood donors as a part of epidemiological surveillance for transfusion-transmitted viruses. Serum samples from blood donors ( = 553) were analysed for markers of past (anti-HEV IgG) and recent/ongoing (anti-HEV IgM) HEV infections. In addition, all serum samples were subsequently tested for HEV RNA positivity. The overall prevalence of anti-HEV IgG was 26.8% ( = 148/553), while the seroprevalence of anti-HEV IgM was 0.5% ( = 3/553). Anti-HEV IgG seroprevalence in male and female donors was similar (27.1% and 25.5%, respectively). A higher risk of hepatitis E exposure was observed with increasing age. None of the blood donors were HEV RNA positive, and there was no evidence of HEV viraemia. Although the absence of HEV viraemia in blood donors from Northern Vietnam is encouraging, further epidemiological surveillance in other geographical regions is warranted to rule out transfusion-transmitted HEV.
越南人群中戊型肝炎病毒 (HEV) 的流行情况仍被低估。本研究旨在调查献血者中抗 HEV IgG/IgM 抗体的血清流行率和血液中 HEV RNA 的存在情况,作为输血传播病毒的流行病学监测的一部分。对 553 名献血者的血清样本进行了分析,以检测过去(抗 HEV IgG)和近期/持续(抗 HEV IgM)HEV 感染的标志物。此外,所有血清样本随后均检测 HEV RNA 阳性情况。抗 HEV IgG 的总体流行率为 26.8%(=148/553),而抗 HEV IgM 的血清流行率为 0.5%(=3/553)。男性和女性献血者的抗 HEV IgG 血清流行率相似(分别为 27.1%和 25.5%)。随着年龄的增长,HEV 暴露的风险增加。没有献血者的 HEV RNA 呈阳性,也没有证据表明存在 HEV 血症。尽管北越献血者中不存在 HEV 血症令人鼓舞,但需要在其他地理区域进行进一步的流行病学监测,以排除输血传播的 HEV。