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[Seroprevalence of chronic viral hepatitis markers in 791 recent immigrants in Catalonia, Spain. Screening and vaccination against hepatitis B recommendations]. / Seroprevalencia de marcadores de hepatitis crónica vírica en 791 inmigrantes recientes en Cataluña, España. Recomendaciones de cribado y de vacunación contra la hepatitis B*
Valerio, Ll; Barro, S; Pérez, B; Roca, C; Fernández, J; Solsona, L; Aguilar, A; Escribà, J M.
Afiliación
  • Valerio L; Medicina Familiar y Comunitaria, Unidad de Salut Internacional del Barcelonès nord i Maresme, Santa Coloma de Gramenet, ICS, Barcelona, España. lvalerio.bnm.ics@gencat.net
Rev Clin Esp ; 208(9): 426-31, 2008 Oct.
Article en Es | MEDLINE | ID: mdl-19000469
ABSTRACT

INTRODUCTION:

The prevalence of chronic viral hepatitis in the European Union (EU) will vary because of the immigrants coming from countries having an elevated with a higher endemicity of hepatitis B (HBV) and C virus (HCV). Serologic screening in healthy immigrants is a subject that has been discussed in the areas of feasibility, ethics and cost-effectiveness. The main study aims were a) to know the prevalence of chronic hepatitis markers and, b) to determine the best cost-effectiveness strategy of vaccination against hepatitis B. POPULATION AND

METHOD:

An observational, perspective and multicenter study was performed on the Primary Care level in Catalonia (Spain) among healthy immigrants who had lived in the EU for less than 5 years.

RESULTS:

Data from 791 individuals were analyzed. They presented anti-HBc+ 33% (95% CI 29.6 -36.1), and anti-HBs+ 16.1% (95% CI 11.4 -20.8). HBsAg+ was 5.9% (95% CI 3-8.7), of those were HBeAg+ 15.62% (95% CI 5.3-32.8). The sub-Saharan group presented the higher prevalence of anti-HBc+ (77.3%) and HBsAg+ (18.2%), whereas the Latin American-origin population displayed the lowest one (12.5% and 1.2%, respectively). Determination of antibodies prior to vaccination was found as cost-effective from a seroprevalence anti-HBc+> 48.72%; only overcome by the CI of sub-Saharan population (95% CI 5.3-32.8). The prevalence of anti-HC+ was 6.1% (95% CI 4.3-7.8), especially high among the Eastern European (19.6%) and Indostanic (14.9%) population. The Latin American group had the lowest prevalence (1.4%).

CONCLUSIONS:

The prevalence of chronic viral hepatitis markers is found to be at an intermediate level between those described by primary and specialized care levels. The prevalences of HBsAg+ and anti-HC+ in the immigrant population, on the whole, are such that it is advisable to screening for them, with the exception of the Latin American community. Previous serologic determination of markers is only cost-effective among the sub-Saharan community.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Migrantes / Hepatitis B Crónica / Hepatitis C Crónica Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Aspecto: Ethics Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: Es Revista: Rev Clin Esp Asunto de la revista: MEDICINA Año: 2008 Tipo del documento: Article
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Migrantes / Hepatitis B Crónica / Hepatitis C Crónica Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Aspecto: Ethics Límite: Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: Es Revista: Rev Clin Esp Asunto de la revista: MEDICINA Año: 2008 Tipo del documento: Article