Seroprevalence of hepatitis E virus among pregnant women and control subjects in China
Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV‐endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 an...
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| Published in | Journal of medical virology Vol. 87; no. 3; pp. 446 - 450 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Blackwell Publishing Ltd
01.03.2015
Wiley Subscription Services, Inc |
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| Abstract | Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV‐endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case‐control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine‐hundred and ninety pregnant women who visited hospitals for antenatal follow‐up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti‐HEV IgG and IgM antibodies by enzyme immunoassays. Socio‐demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti‐HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti‐HEV IgG positive whereas, in control subjects 25.3% of samples were anti‐HEV IgG positive, (P < 0.01). For anti‐HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China. J. Med. Virol. 87:446–450, 2015. © 2014 Wiley Periodicals, Inc. |
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| AbstractList | Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV-endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case-control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine-hundred and ninety pregnant women who visited hospitals for antenatal follow-up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti-HEV IgG and IgM antibodies by enzyme immunoassays. Socio-demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti-HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti-HEV IgG positive whereas, in control subjects 25.3% of samples were anti-HEV IgG positive, (P<0.01). For anti-HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China. J. Med. Virol. 87:446-450, 2015. copyright 2014 Wiley Periodicals, Inc. Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV-endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case-control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine-hundred and ninety pregnant women who visited hospitals for antenatal follow-up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti-HEV IgG and IgM antibodies by enzyme immunoassays. Socio-demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti-HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti-HEV IgG positive whereas, in control subjects 25.3% of samples were anti-HEV IgG positive, (P < 0.01). For anti-HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China. Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV-endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case-control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine-hundred and ninety pregnant women who visited hospitals for antenatal follow-up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti-HEV IgG and IgM antibodies by enzyme immunoassays. Socio-demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti-HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti-HEV IgG positive whereas, in control subjects 25.3% of samples were anti-HEV IgG positive, (P < 0.01). For anti-HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China.Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV-endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case-control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine-hundred and ninety pregnant women who visited hospitals for antenatal follow-up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti-HEV IgG and IgM antibodies by enzyme immunoassays. Socio-demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti-HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti-HEV IgG positive whereas, in control subjects 25.3% of samples were anti-HEV IgG positive, (P < 0.01). For anti-HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China. Hepatitis E infection, caused by the hepatitis E virus (HEV), is an important global public health concern, with particularly high mortality in pregnant women. China is generally judged to be an HEV-endemic area, but epidemiological data for HEV among pregnant women are limited. Between June 2011 and July 2013, a case-control study was conducted to estimate the seroprevalence and potential risk factors associated with the acquisition of HEV infection by pregnant women in China. Nine-hundred and ninety pregnant women who visited hospitals for antenatal follow-up or medication in Qingdao and Weihai and 965 control subjects matched by age, gender and residence were examined for the presence of anti-HEV IgG and IgM antibodies by enzyme immunoassays. Socio-demographic and behavioral characteristics from the study subjects were obtained. The overall prevalence of anti-HEV IgG in all 1,955 samples was 20.7%. In pregnant women, 16.2% of samples were anti-HEV IgG positive whereas, in control subjects 25.3% of samples were anti-HEV IgG positive, (P<0.01). For anti-HEV IgM detection, 62 (3.2%) of the 1,955 serum samples were positive and the seroprevalence in pregnant women and control subjects was 2.6% and 3.6%, respectively. Age, contact with cats, contact with pigs and exposure to soil were found to be associated with HEV infection. These findings demonstrated the high prevalence of HEV and the considerable potential for the transmission of HEV infection in pregnant women in China. J. Med. Virol. 87:446-450, 2015. © 2014 Wiley Periodicals, Inc. |
| Author | Chen, Jia Cong, Wei Sui, Jian-Chao Zhu, Xing-Quan Qian, Ai-Dong Zhang, Xiang-Yan |
| Author_xml | – sequence: 1 givenname: Wei surname: Cong fullname: Cong, Wei organization: State Key Laboratory of Veterinary Etiological Biology, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Lanzhou, Gansu Province, China – sequence: 2 givenname: Jian-Chao surname: Sui fullname: Sui, Jian-Chao organization: Weihai Wendeng Central Hospital, Weihai, Shandong Province, China – sequence: 3 givenname: Xiang-Yan surname: Zhang fullname: Zhang, Xiang-Yan organization: Affilliated Hospital of Medical College, Qingdao University, Shandong Province, Qingdao, China – sequence: 4 givenname: Ai-Dong surname: Qian fullname: Qian, Ai-Dong organization: College of Animal Science and Technology, Jilin Agricultural University, Jilin Province, Changchun, China – sequence: 5 givenname: Jia surname: Chen fullname: Chen, Jia organization: State Key Laboratory of Veterinary Etiological Biology, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Gansu Province, Lanzhou, China – sequence: 6 givenname: Xing-Quan surname: Zhu fullname: Zhu, Xing-Quan email: Correspondence to: Xing-Quan Zhu, State Key Laboratory of Veterinary Etiological Biology, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, 1 Xujiaping, Yanchangbu, Lanzhou, Gansu Province 730046, China., zhuxingquan@caas.cn organization: State Key Laboratory of Veterinary Etiological Biology, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Lanzhou, Gansu Province, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25164987$$D View this record in MEDLINE/PubMed |
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| Keywords | seroprevalence pregnant women control subjects Hepatitis E Virus China |
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| References_xml | – reference: Chiu DM, Chan MC, Yeung AC, Ngai KL, Chan PK. 2013. Seroprevalence of hepatitis E virus in Hong Kong, 2008-2009. J Med Virol 85:459-461. – reference: Labrique AB, Sikder SS, Krain LJ, West KP Jr, Christian P, Rashid M, Nelson KE. 2012. Hepatitis E, a vaccine-preventable cause of maternal deaths. Emerg Infect Dis 18:1401-1404. – reference: Guo QS, Yan Q, Xiong JH, Ge SX, Shih JW, Ng MH, Zhang J, Xia NS. 2010. Prevalence of hepatitis E virus in Chinese blood donors. J Clin Microbiol 48:317-318. – reference: Labrique AB, Zaman K, Hossain Z, Saha P, Yunus M, Hossain A, Ticehurst J, Kmush B, Nelson KE. 2013. An exploratory case control study of risk factors for hepatitis E in rural Bangladesh. PLoS One 8:61351. – reference: Li TC, Chijiwa K, Sera N, Ishibashi T, Etoh Y, Shinohara Y, Kurata Y, Ishida M, Sakamoto S, Takeda N, Miyamura T. 2005. Hepatitis E virus transmission from wild boar meat. Emerg Infect Dis 11:1958-11960. – reference: Singh S, Mohanty A, Joshi YK, Deka D, Mohanty S, Panda SK. 2003. Mother-to-child transmission of hepatitis E virus infection. Indian J Pediatr 70:3739. – reference: Dong C, Dai X, Liang J, Dong M, Meng J. 2012. Seroprevalence of hepatitis e virus varies considerably among chinese provinces. Hepat Mon 12:386-390. – reference: Pelosi E, Clarke I. 2008. Hepatitis E: A complex and global disease. Emerg Health Threats J 1:e8. – reference: Bigaillon C, Tessé S, Lagathu G, Nicand E. 2010. Use of hepatitis E IgG avidity for diagnosis of hepatitis E infection. J Virol Methods 164:127-130. – reference: Mansuy JM, Bendall R, Legrand-Abravanel F, Sauné K, Miédouge M, Ellis V, Rech H, Destruel F, Kamar N, Dalton HR, Izopet J. 2011. Hepatitis E virus antibodies in blood donors, France. Emerg Infect Dis 17:2309-23012. – reference: Mateos-Lindemann ML, Diez-Aguilar M, Galdamez AL, Galán JC, Moreno A, Pérez-Gracia MT. 2014. Patients infected with HIV are at high-risk for hepatitis E virus infection in Spain. J Med Virol 86:71-74. – reference: Chaussade H, Rigaud E, Allix A, Carpentier A, Touzé A, Delzescaux D, Choutet P, Garcia-Bonnet N, Coursaget P. 2013. Hepatitis E virus seroprevalence and risk factors for individuals in working contact with animals. J Clin Virol 58:504-508. – reference: Huang F, Ma T, Li L, Zeng W, Jing S. 2013. Low seroprevalence of hepatitis E virus infection in pregnant women in Yunnan, China. Braz J Infect Dis 17:16-17. – reference: Jacobs C, Chiluba C, Phiri C, Lisulo MM, Chomba M, Hill PC, Ijaz S, Kelly P. 2014. Seroepidemiology of hepatitis E virus infection in an urban population in Zambia: Strong association with HIV and environmental enteropathy. J Infect Dis 209:652-657. – reference: Purcell RH, Emerson SU. 2008. Hepatitis E: an emerging awareness of an old disease. J Hepatol 48:494-503. – reference: Goumba CM, Yandoko-Nakouné ER, Komas NP. 2010. A fatal case of acute hepatitis E among pregnant women, Central African Republic. BMC Res Notes 3:103. – reference: Bendall R, Ellis V, Ijaz S, Thurairajah P, Dalton HR. 2008. Serological response to hepatitis E virus genotype 3 infection: IgG quantitation, avidity, and IgM response. J Med Virol 80:95-101. – reference: Kumar S, Subhadra S, Singh B, Panda BK. 2013. Hepatitis E virus: The current scenario. Int J Infect Dis 17: e 228-233. – reference: Caron M, Kazanji M. 2008. Hepatitis E virus is highly prevalent among pregnant women in Gabon, central Africa, with different patterns between rural and urban areas. Virol J 5:158. – reference: Adjei AA, Tettey Y, Aviyase JT, Adu-Gyamfi C, Obed S, Mingle JA, Ayeh-Kumi PF, Adiku TK. 2009. Hepatitis E virus infection is highly prevalent among pregnant women in Accra, Ghana. 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| Title | Seroprevalence of hepatitis E virus among pregnant women and control subjects in China |
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