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Provedor de dados:  BJID
País:  Brazil
Título:  Leprosy and hepatitis B coinfection in southern Brazil
Autores:  Leitão,Cleverson
Ueda,Denis
de Moraes Braga,Anna Carolina
Boldt,Angelica B.W.
Messias-Reason,Iara J.T.
Data:  2014-01-01
Ano:  2014
Palavras-chave:  Leprosy
Hepatitis B
Leprosarium
HBV
Mycobacterium leprae
Resumo:  To investigate the association of leprosy with hepatitis B virus (HBV) infection, as yet unknown for South Brazil, we assessed hepatitis B virus coinfection in 199 South Brazilian leprosy patients (119 lepromatous, 15 tuberculoid, 30 borderline, 12 undetermined and 23 unspecified) and in 681 matched blood donors by screening for the hepatitis B virus markers HBSAg and anti-HBc, using ELISA. Positive samples were retested and anti-HBc+ only samples were tested for the hepatitis B surface antibody (anti-HBs). There was a strong association between leprosy and hepatitis B virus infection (OR = 9.8, 95% CI = 6.4–14.7; p = 0.004·E−30), as well as an association between HBV infection and lepromatous leprosy, compared to other forms (OR = 2.4, 95% CI = 1.2–4.8; p = 0.017). We also found that confinement due to leprosy was associated with hepatitis B virus infection (OR = 3.9, 95% CI = 2.1–7.4; p = 0.015·E−3). Leprosy patients are susceptible to develop hepatitis B virus infection, especially lepromatous. Institutionalized patients, who probably present a stronger Th2 response, have higher risk of being exposed to hepatitis B virus. This clearly emphasizes the need for special care to leprosy patients in preventing hepatitis B virus coinfection in South Brazil.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100008
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2013.04.003
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.18 n.1 2014
Direitos:  info:eu-repo/semantics/openAccess
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