Incidences of Hepatitis B and Syphilis Co-Infection with HIV in Antiretroviral Treatment-Naïve Adult Patients Attending APIN Clinic at a University Teaching Hospital in Lagos, Nigeria

Type Journal Article - Journal of AIDS & Clinical Research
Title Incidences of Hepatitis B and Syphilis Co-Infection with HIV in Antiretroviral Treatment-Naïve Adult Patients Attending APIN Clinic at a University Teaching Hospital in Lagos, Nigeria
Author(s)
Volume 4
Issue 1
Publication (Day/Month/Year) 2013
URL http://www.omicsonline.org/incidences-of-hepatitis-b-and-syphilis-co-infection-with-hiv-in-antiretro​viral-treatment-naive-adult-patients-attending-apin-clinic-at-a-university-teaching-hospital-2155-61​13.1000191.pdf
Abstract
Hundred (37 males and 63 females) sera samples of HIV patients were screened for hepatitis B antigens and antibodies, and 80 (28 males and 52 females) of these samples were also screened for Treponema specific antibodies using ELISA. Seven percent (5% males and 2% females) were positive for hepatitis B surface antigen (HBsAg). Four percent (3 males and 1 female) of the latter were also positive for the hepatitis B envelope antigen (HBeAg). While 5% (1% male and 4% female) were positive for hepatitis B surface antibody, 7% (1% male and 6% female) were positive for hepatitis B envelope antibody (HBeAb). Twenty three percent (8% males and 15% females) were positive for hepatitis B core antibody (HBcAb). Thirty seven percent of the patients have had previous exposure to hepatitis B virus as shown by positive results obtained for HBsAg, HBcAb and HBeAb. The mean CD4+ counts for positive samples were 228 for HBsAg, 3278.5 for HBeAg, 199.5 for HBsAb, 194 for HBeAb and 232.5 HBcAb. Twenty percent (10% males and 10% females) of the patients were positive for the syphilis antibodies. The mean CD4+ counts for the positive samples for syphilis were 290.5. The 7% prevalence of hepatitis B virus observed in this study is within the rates that had been previously reported, but the 20% prevalence of syphilis is high. This calls for a review of screening regimen that would assay for these bloodstream infections alongside HIV, in order to mitigate any influence they may have in the progression of HIV to AIDS.

Related studies

»