Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Medical and Biological Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2002000500012 |
Resumo: | We determined and analyzed risk factors of hepatitis C virus (HCV)-infected Brazilian hemophiliacs according to their virological, clinical and epidemiological characteristics. A cross-sectional and retrospective study of 469 hemophiliacs was carried out at a Brazilian blood center starting in October 1997. The prevalence of HCV infection, HCV genotypes and factors associated with HCV RNA detection was determined. The seroprevalence of anti-HCV antibodies (ELISA-3.0) was 44.6% (209/469). Virological, clinical and epidemiological assessments were completed for 162 positive patients. There were seven (4.3%) anti-HCV seroconversions between October 1992 and October 1997. During the same period, 40.8% of the positive anti-HCV hemophiliacs had abnormal alanine transaminase (ALT) levels. Plasma HCV RNA was detected by nested-RT-PCR in 116 patients (71.6%). RFLP analysis showed the following genotype distribution: HCV-1 in 98 hemophiliacs (84.5%), HCV-3 in ten (8.6%), HCV-4 in three (2.6%), HCV-2 in one (0.9%), and not typeable in four cases (3.4%). Univariate analysis indicated that older age (P = 0.017) and abnormal ALT levels (P = 0.010) were associated with HCV viremia, while the presence of inhibitor antibodies (P = 0.024) and HBsAg (P = 0.007) represented a protective factor against the presence of HCV RNA. These findings may contribute to a better understanding of the relationship between HCV infection and hemophilia. |
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Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological studyHepatitis C virusHCV genotypesHemophiliaChronic liver diseaseTransfusionBrazilWe determined and analyzed risk factors of hepatitis C virus (HCV)-infected Brazilian hemophiliacs according to their virological, clinical and epidemiological characteristics. A cross-sectional and retrospective study of 469 hemophiliacs was carried out at a Brazilian blood center starting in October 1997. The prevalence of HCV infection, HCV genotypes and factors associated with HCV RNA detection was determined. The seroprevalence of anti-HCV antibodies (ELISA-3.0) was 44.6% (209/469). Virological, clinical and epidemiological assessments were completed for 162 positive patients. There were seven (4.3%) anti-HCV seroconversions between October 1992 and October 1997. During the same period, 40.8% of the positive anti-HCV hemophiliacs had abnormal alanine transaminase (ALT) levels. Plasma HCV RNA was detected by nested-RT-PCR in 116 patients (71.6%). RFLP analysis showed the following genotype distribution: HCV-1 in 98 hemophiliacs (84.5%), HCV-3 in ten (8.6%), HCV-4 in three (2.6%), HCV-2 in one (0.9%), and not typeable in four cases (3.4%). Univariate analysis indicated that older age (P = 0.017) and abnormal ALT levels (P = 0.010) were associated with HCV viremia, while the presence of inhibitor antibodies (P = 0.024) and HBsAg (P = 0.007) represented a protective factor against the presence of HCV RNA. These findings may contribute to a better understanding of the relationship between HCV infection and hemophilia.Associação Brasileira de Divulgação Científica2002-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2002000500012Brazilian Journal of Medical and Biological Research v.35 n.5 2002reponame:Brazilian Journal of Medical and Biological Researchinstname:Associação Brasileira de Divulgação Científica (ABDC)instacron:ABDC10.1590/S0100-879X2002000500012info:eu-repo/semantics/openAccessCarmo,R.A.Oliveira,G.C.Guimarães,M.D.C.Oliveira,M.S.Lima,A.A.Buzek,S.C.Corrêa-Oliveira,R.Rocha,M.O.C.eng2002-05-06T00:00:00Zoai:scielo:S0100-879X2002000500012Revistahttps://www.bjournal.org/https://old.scielo.br/oai/scielo-oai.phpbjournal@terra.com.br||bjournal@terra.com.br1414-431X0100-879Xopendoar:2002-05-06T00:00Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC)false |
dc.title.none.fl_str_mv |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
title |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
spellingShingle |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study Carmo,R.A. Hepatitis C virus HCV genotypes Hemophilia Chronic liver disease Transfusion Brazil |
title_short |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
title_full |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
title_fullStr |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
title_full_unstemmed |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
title_sort |
Hepatitis C virus infection among Brazilian hemophiliacs: a virological, clinical and epidemiological study |
author |
Carmo,R.A. |
author_facet |
Carmo,R.A. Oliveira,G.C. Guimarães,M.D.C. Oliveira,M.S. Lima,A.A. Buzek,S.C. Corrêa-Oliveira,R. Rocha,M.O.C. |
author_role |
author |
author2 |
Oliveira,G.C. Guimarães,M.D.C. Oliveira,M.S. Lima,A.A. Buzek,S.C. Corrêa-Oliveira,R. Rocha,M.O.C. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Carmo,R.A. Oliveira,G.C. Guimarães,M.D.C. Oliveira,M.S. Lima,A.A. Buzek,S.C. Corrêa-Oliveira,R. Rocha,M.O.C. |
dc.subject.por.fl_str_mv |
Hepatitis C virus HCV genotypes Hemophilia Chronic liver disease Transfusion Brazil |
topic |
Hepatitis C virus HCV genotypes Hemophilia Chronic liver disease Transfusion Brazil |
description |
We determined and analyzed risk factors of hepatitis C virus (HCV)-infected Brazilian hemophiliacs according to their virological, clinical and epidemiological characteristics. A cross-sectional and retrospective study of 469 hemophiliacs was carried out at a Brazilian blood center starting in October 1997. The prevalence of HCV infection, HCV genotypes and factors associated with HCV RNA detection was determined. The seroprevalence of anti-HCV antibodies (ELISA-3.0) was 44.6% (209/469). Virological, clinical and epidemiological assessments were completed for 162 positive patients. There were seven (4.3%) anti-HCV seroconversions between October 1992 and October 1997. During the same period, 40.8% of the positive anti-HCV hemophiliacs had abnormal alanine transaminase (ALT) levels. Plasma HCV RNA was detected by nested-RT-PCR in 116 patients (71.6%). RFLP analysis showed the following genotype distribution: HCV-1 in 98 hemophiliacs (84.5%), HCV-3 in ten (8.6%), HCV-4 in three (2.6%), HCV-2 in one (0.9%), and not typeable in four cases (3.4%). Univariate analysis indicated that older age (P = 0.017) and abnormal ALT levels (P = 0.010) were associated with HCV viremia, while the presence of inhibitor antibodies (P = 0.024) and HBsAg (P = 0.007) represented a protective factor against the presence of HCV RNA. These findings may contribute to a better understanding of the relationship between HCV infection and hemophilia. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2002000500012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2002000500012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0100-879X2002000500012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
dc.source.none.fl_str_mv |
Brazilian Journal of Medical and Biological Research v.35 n.5 2002 reponame:Brazilian Journal of Medical and Biological Research instname:Associação Brasileira de Divulgação Científica (ABDC) instacron:ABDC |
instname_str |
Associação Brasileira de Divulgação Científica (ABDC) |
instacron_str |
ABDC |
institution |
ABDC |
reponame_str |
Brazilian Journal of Medical and Biological Research |
collection |
Brazilian Journal of Medical and Biological Research |
repository.name.fl_str_mv |
Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC) |
repository.mail.fl_str_mv |
bjournal@terra.com.br||bjournal@terra.com.br |
_version_ |
1754302931687964672 |