Hepatitis E seroprevalence in recipients of renal transplants or haemodialysis in southwest England: A case-control study

Locally acquired HEV infection is increasingly recognized in developed countries. Anti‐HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti‐HEV IgG seroprev...

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Published inJournal of medical virology Vol. 85; no. 2; pp. 266 - 271
Main Authors Harrison, Alex, Scobie, Linda, Crossan, Claire, Parry, Rob, Johnston, Paul, Stratton, Jon, Dickinson, Steve, Ellis, Vic, Hunter, Jeremy G., Prescott, Oliver R., Madden, Richie, Lin, Nan X., Henley, William E., Bendall, Richard P., Dalton, Harry R.
Format Journal Article
LanguageEnglish
Published Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.02.2013
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Abstract Locally acquired HEV infection is increasingly recognized in developed countries. Anti‐HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti‐HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty‐eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti‐HEV IgG and IgM. Six hundred seventy controls were tested for anti‐HEV IgG. Anti‐HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti‐HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti‐HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR = 1.97, 95% CI = 1.16–3.31, P = 0.01) or transplant recipients (OR = 2.63, 95% CI = 1.18–6.07, P = 0.02). Patients with a functioning transplant showed no difference in anti‐HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti‐HEV IgG than both age‐ and sex‐matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study. J. Med. Virol. 85:266–271, 2013. © 2012 Wiley Periodicals, Inc.
AbstractList Locally acquired HEV infection is increasingly recognized in developed countries. Anti-HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti-HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty-eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti-HEV IgG and IgM. Six hundred seventy controls were tested for anti-HEV IgG. Anti-HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti-HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti-HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR=1.97, 95% CI=1.16-3.31, P=0.01) or transplant recipients (OR=2.63, 95% CI=1.18-6.07, P=0.02). Patients with a functioning transplant showed no difference in anti-HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti-HEV IgG than both age- and sex-matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study. J. Med. Virol. 85:266-271, 2013. [copy 2012 Wiley Periodicals, Inc.
Locally acquired HEV infection is increasingly recognized in developed countries. Anti-HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti-HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty-eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti-HEV IgG and IgM. Six hundred seventy controls were tested for anti-HEV IgG. Anti-HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti-HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti-HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR=1.97, 95% CI=1.16-3.31, P=0.01) or transplant recipients (OR=2.63, 95% CI=1.18-6.07, P=0.02). Patients with a functioning transplant showed no difference in anti-HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti-HEV IgG than both age- and sex-matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study. J. Med. Virol. 85:266-271, 2013. © 2012 Wiley Periodicals, Inc. [PUBLICATION ABSTRACT]
Locally acquired HEV infection is increasingly recognized in developed countries. Anti‐HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti‐HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty‐eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti‐HEV IgG and IgM. Six hundred seventy controls were tested for anti‐HEV IgG. Anti‐HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti‐HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti‐HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR = 1.97, 95% CI = 1.16–3.31, P = 0.01) or transplant recipients (OR = 2.63, 95% CI = 1.18–6.07, P = 0.02). Patients with a functioning transplant showed no difference in anti‐HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti‐HEV IgG than both age‐ and sex‐matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study. J. Med. Virol. 85:266–271, 2013. © 2012 Wiley Periodicals, Inc.
Locally acquired HEV infection is increasingly recognized in developed countries. Anti-HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti-HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty-eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti-HEV IgG and IgM. Six hundred seventy controls were tested for anti-HEV IgG. Anti-HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti-HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti-HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR = 1.97, 95% CI = 1.16-3.31, P = 0.01) or transplant recipients (OR = 2.63, 95% CI = 1.18-6.07, P = 0.02). Patients with a functioning transplant showed no difference in anti-HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti-HEV IgG than both age- and sex-matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study.
Locally acquired HEV infection is increasingly recognized in developed countries. Anti‐HEV IgG seroprevalence has been shown to be high in haemodialysis patients in a number of previous studies, employing assays of uncertain sensitivity. The aim of this study was to investigate anti‐HEV IgG seroprevalence in recipients of haemodialysis and renal transplants compared to a control group using a validated, highly sensitive assay. Eighty‐eight patients with functioning renal transplants and 76 receiving chronic haemodialysis were tested for HEV RNA and anti‐HEV IgG and IgM. Six hundred seventy controls were tested for anti‐HEV IgG. Anti‐HEV IgG was positive in 28/76 (36.8%) of haemodialysis and 16/88 (18.2%) of transplant patients. HEV RNA was not found in any patient. 126/670 (18.8%) of control subjects were anti‐HEV IgG positive. After adjusting for age and sex, there was a significantly higher anti‐HEV IgG seroprevalence amongst haemodialysis patients compared to controls (OR = 1.97, 95% CI = 1.16–3.31, P  = 0.01) or transplant recipients (OR = 2.63, 95% CI = 1.18–6.07, P  = 0.02). Patients with a functioning transplant showed no difference in anti‐HEV IgG seroprevalence compared to controls. The duration of haemodialysis or receipt of blood products were not significant risk factors for HEV IgG positivity. Patients receiving haemodialysis have a higher seroprevalence of anti‐HEV IgG than both age‐ and sex‐matched controls and a cohort of renal transplant patients. None of the haemodialysis patients had evidence of chronic infection. The reason haemodialysis patients have a high seroprevalence remains uncertain and merits further study. J. Med. Virol. 85:266–271, 2013. © 2012 Wiley Periodicals, Inc.
Author Hunter, Jeremy G.
Harrison, Alex
Lin, Nan X.
Parry, Rob
Johnston, Paul
Scobie, Linda
Crossan, Claire
Stratton, Jon
Dalton, Harry R.
Dickinson, Steve
Madden, Richie
Ellis, Vic
Henley, William E.
Prescott, Oliver R.
Bendall, Richard P.
Author_xml – sequence: 1
  givenname: Alex
  surname: Harrison
  fullname: Harrison, Alex
  organization: Department of Nephrology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
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  fullname: Scobie, Linda
  organization: Glasgow Caledonian University, Glasgow, Scotland, United Kingdom
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  fullname: Crossan, Claire
  organization: Glasgow Caledonian University, Glasgow, Scotland, United Kingdom
– sequence: 4
  givenname: Rob
  surname: Parry
  fullname: Parry, Rob
  organization: Department of Nephrology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 5
  givenname: Paul
  surname: Johnston
  fullname: Johnston, Paul
  organization: Department of Nephrology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
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  surname: Stratton
  fullname: Stratton, Jon
  organization: Department of Nephrology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
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  surname: Dickinson
  fullname: Dickinson, Steve
  organization: Department of Nephrology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
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  givenname: Vic
  surname: Ellis
  fullname: Ellis, Vic
  organization: Clinical Microbiology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 9
  givenname: Jeremy G.
  surname: Hunter
  fullname: Hunter, Jeremy G.
  organization: Cornwall Gastrointestinal Unit, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 10
  givenname: Oliver R.
  surname: Prescott
  fullname: Prescott, Oliver R.
  organization: Cornwall Gastrointestinal Unit, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 11
  givenname: Richie
  surname: Madden
  fullname: Madden, Richie
  organization: Cornwall Gastrointestinal Unit, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 12
  givenname: Nan X.
  surname: Lin
  fullname: Lin, Nan X.
  organization: Institute of Health Service Research, University of Exeter Medical School, Exeter, United Kingdom
– sequence: 13
  givenname: William E.
  surname: Henley
  fullname: Henley, William E.
  organization: Institute of Health Service Research, University of Exeter Medical School, Exeter, United Kingdom
– sequence: 14
  givenname: Richard P.
  surname: Bendall
  fullname: Bendall, Richard P.
  organization: Clinical Microbiology, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
– sequence: 15
  givenname: Harry R.
  surname: Dalton
  fullname: Dalton, Harry R.
  email: harry.dalton@rcht.cornwall.nhs.uk
  organization: Cornwall Gastrointestinal Unit, Royal Cornwall Hospital Truro, Cornwall, United Kingdom
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IsPeerReviewed true
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Issue 2
Keywords Kidney disease
Urinary system disease
Prevalence
hepatitis E virus (HEV)
chronic renal failure
Hepatic disease
Recipient
Serology
Case control study
Epidemiology
Hepatitis E virus
Infection
Virus
Calicivirus
Chronic
Caliciviridae
Viral disease
Renal failure
Digestive diseases
Viral hepatitis E
Language English
License CC BY 4.0
Copyright © 2012 Wiley Periodicals, Inc.
http://onlinelibrary.wiley.com/termsAndConditions#vor
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Notes istex:496A2F41C4245E989110FC29A74658649744302F
ArticleID:JMV23463
Duchy Healthcare Charity, Truro, Cornwall
Conflict of interest: H.R.D. has received travel, accommodation, and consultancy fees from GlaxoSmithKlein and Wantai.
National Institute for Health Research (NIHR)
CSO Scotland - No. FTM/32
ark:/67375/WNG-NBHMRCV7-S
Collaborations for Leadership in Applied Health Research and Care (CLAHRC)
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PublicationCentury 2000
PublicationDate February 2013
PublicationDateYYYYMMDD 2013-02-01
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  text: February 2013
PublicationDecade 2010
PublicationPlace Hoboken
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PublicationTitle Journal of medical virology
PublicationTitleAlternate J. Med. Virol
PublicationYear 2013
Publisher Wiley Subscription Services, Inc., A Wiley Company
Wiley
Wiley Subscription Services, Inc
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  article-title: Hepatitis E virus (HEV) infection in haemodialysis patients
  publication-title: Nephrol Dial Transplant
  doi: 10.1093/oxfordjournals.ndt.a027461
  contributor:
    fullname: Psichigiou M
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Snippet Locally acquired HEV infection is increasingly recognized in developed countries. Anti‐HEV IgG seroprevalence has been shown to be high in haemodialysis...
Locally acquired HEV infection is increasingly recognized in developed countries. Anti-HEV IgG seroprevalence has been shown to be high in haemodialysis...
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SubjectTerms Adult
Age
Aged
Aged, 80 and over
Biological and medical sciences
Case-Control Studies
chronic renal failure
England - epidemiology
Epidemiology
Female
Fundamental and applied biological sciences. Psychology
Hemodialysis
Hepatitis
Hepatitis Antibodies - blood
Hepatitis E - epidemiology
Hepatitis E virus
hepatitis E virus (HEV)
Hepatitis E virus - genetics
Hepatitis E virus - immunology
Human viral diseases
Humans
Immunoglobulin G - blood
Immunoglobulin M - blood
Infectious diseases
Kidney Transplantation - adverse effects
Kidneys
Male
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Renal Dialysis - adverse effects
Risk Factors
RNA, Viral - blood
Seroepidemiologic Studies
Transplantation
Transplants & implants
Viral diseases
Virology
Young Adult
Title Hepatitis E seroprevalence in recipients of renal transplants or haemodialysis in southwest England: A case-control study
URI https://api.istex.fr/ark:/67375/WNG-NBHMRCV7-S/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjmv.23463
https://www.ncbi.nlm.nih.gov/pubmed/23169048
https://www.proquest.com/docview/1438174665
https://search.proquest.com/docview/1239055940
https://search.proquest.com/docview/1443368292
Volume 85
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