Seroprevalence of hepatitis E in HIV infected patients in Greece

J Med Virol. 2015 Sep;87(9):1517-20. doi: 10.1002/jmv.24214. Epub 2015 May 12.

Abstract

HEV infection is an emerging public health problem worldwide Data concerning HEV infection in HIV+ patients in Greece is scare. The aim of the study was to determine HEV seroprevalence in patients with HIV infection in Greece. We studied 243 HIV(+) patients 214 men (88%) and 29 women (12%) with a median age of 45 years (range 19-83) who attended the HIV unit of Pathophysiology Department of Laikon General Hospital in Athens for the presence of anti-HEV IgG antibodies with (EIA) (EIA HEV IgG, Adaltis, Rome, Italy Eighteen/243 patients (7.3%) were positive for HEV IgG antibodies, a seroprevalence that was not different from that described for the blood donors group from Greece There was no difference of the presence of HbsAg, hepatitis C and hepatitis A between the HEV(+) and HEV(-) patients. There was no statistically significant difference between the HEV(+) and HEV(-) group in terms of HIV acquisition, sexual orientation, median duration of HIV infection, ART treatment, or duration of ART. Only the median age of HEV(+) was 52 years (35-78) while that of HEV(-) was 44 years (19-83)(P = 0.03). Only 2/18(11.1%) HEV(+) HIV(+) patients had abnormal ALT and AST values. The seroprevalence of hepatitis E in HIV(+) patients in Greece seems to be the same with that of the general population thus implying that HIV infection is not a risk factor for HEV infection and only age shows a positive correlation with seropositivity.

Keywords: HIV-HEV coinfection; HIV-infected patients; hepatitis E.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Blood Donors
  • Female
  • Greece / epidemiology
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology
  • HIV Infections / immunology
  • Hepatitis Antibodies / blood*
  • Hepatitis B Surface Antigens / blood
  • Hepatitis C Antibodies / blood
  • Hepatitis E / epidemiology*
  • Hepatitis E / immunology*
  • Hepatitis E / virology
  • Hepatitis E virus / immunology*
  • Humans
  • Male
  • Middle Aged
  • Seroepidemiologic Studies
  • Sexual Behavior
  • Young Adult

Substances

  • Hepatitis Antibodies
  • Hepatitis B Surface Antigens
  • Hepatitis C Antibodies