Journals / Viral Hepatitis Journal / 2020 / Cilt: 26 - Sayı: 3

Investigating the Prevalence of Hepatitis Delta and Assessment of Treatment Response

Delta Hepatit Sıklığının Araştırılması ve Tedavi Yanıtının Değerlendirilmesi

Pages
135–140
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was virologic response in 50% of thepatients who received treatment, while no patient displayed HBsAgseroclearance.Conclusion: At similar rates to those in other studies conducted inTurkey, hepatitis delta seroprevalence, virologic response rate werefound to be low.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The purpose of this study was to investigate theseroprevalence of delta virus, assess the treatment outcomes ofpatients receiving treatment.Materials and Methods: The files of patients diagnosed with chronichepatitis B followed up between 01.01.2015 and 31.12.2019 wereexamined.
📊
Key Findings & Data:For the patients positive for delta antibody, demographicinformation, hepatitis delta virus (HDV)-RNA levels, treatmentinformation and treatment outcomes were recorded from the files.Undetectable HDV-RNA levels after treatment was considered astotal virologic response.Results: There was a delta antibody positivity in 2.9% (n=74) of the2,548 patients positive for hepatitis B surface antigen (HBsAg).
💡
Conclusion & Impact:There was virologic response in 50% of thepatients who received treatment, while no patient displayed HBsAgseroclearance.Conclusion: At similar rates to those in other studies conducted inTurkey, hepatitis delta seroprevalence, virologic response rate werefound to be low.
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: The purpose of this study was to investigate theseroprevalence of delta virus, assess the treatment outcomes ofpatients receiving treatment.Materials and Methods: The files of patients diagnosed with chronichepatitis B followed up between 01.01.2015 and 31.12.2019 wereexamined. For the patients positive for delta antibody, demographicinformation, hepatitis delta virus (HDV)-RNA levels, treatmentinformation and treatment outcomes were recorded from the files.Undetectable HDV-RNA levels after treatment was considered astotal virologic response.Results: There was a delta antibody positivity in 2.9% (n=74) of the2,548 patients positive for hepatitis B surface antigen (HBsAg). TheHDV-RNA tests of 60 patients found to be positive for delta antibodycould be accessed. HDV-RNA was positive in 33.3% (n=20/60) ofthese patients, while 60% among the positive ones (n=12) receivedtreatment. Among the patients who received treatment, 58.3%(n=7) were male, 41.7% (n=5) were female, and their median agewas 53 (31-69) years. There was virologic response in 50% of thepatients who received treatment, while no patient displayed HBsAgseroclearance.Conclusion: At similar rates to those in other studies conducted inTurkey, hepatitis delta seroprevalence, virologic response rate werefound to be low.

Özet

Amaç: Bu çalışmanın amacı kronik hepatit B tanılı hastalarda delta virüs seroprevalansını araştırmak, tedavi alan hastaların tedavi sonuçlarını değerlendirmekti. Gereç ve Yöntemler: 01.01.2015-31.12.2019 tarihleri arasında takip edilen kronik hepatit B tanılı hastaların dosyaları incelendi. Delta antikor pozitif olan hastaların demografik bilgileri, hepatit delta virüsü (HDV)-RNA düzeyleri, tedavi bilgileri ve tedavi sonuçları dosyalardan kayıt edildi. Tedavi sonrası HDV-RNA saptanamaz düzeyde olması virolojik tam yanıt olarak değerlendirildi. Bulgular: Hepatit B yüzey antijeni (HBsAg) pozitif 2.548 hastanın %2,9’unda (n=74) delta antikor pozitifliği saptandı. Delta antikor pozitif tespit edilen 60 hastanın HDV-RNA testine ulaşıldı. Hastaların %33,3’ünde (n=20/60) HDV-RNA pozitif tespit edilmiş olup bu hastaların %60’ına (n=12) tedavi uygulanmıştı. Tedavi uygulanan hastaların %58,3’ü erkek (n=7), %41,7’si (n=5) kadın olup yaş ortanca 53 yıl (31-69) yıldı. Tedavi gören hastaların %50’sinde virolojik yanıt gözlenirken hiçbir hastada HBsAg seroklirensi gözlenmedi. Sonuç: Türkiye’de yapılan diğer çalışmalara benzer oranda delta hepatit seroprevalansı, virolojik yanıt oranı düşük saptanmıştır

🔖

Cite This Article

KARADAĞ, F. Y., ERGEN, P., AYDIN, Ö. (2022). Investigating the Prevalence of Hepatitis Delta and Assessment of Treatment Response. Viral Hepatitis Journal, Cilt: 26 - Sayı: 3, 135–140. https://ajindex.com/articles/646348

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Rizzetto M, Canese MG, Aricò S, Crivelli O, Trepo C, Bonino F, Verme G. Immunofluorescence detection of new antigen-antibody system (delta/anti-delta) associated to hepatitis B virus in liver and in serum of HBsAg carriers. Gut. 1977;18:997-1003
  2. Botelho-Souza LF, Vasconcelos MPA, Dos Santos AO, Salcedo JMV, Vieira DS. Hepatitis delta: virological and clinical aspects. Virol J. 2017;14:177
  3. Hughes SA, Wedemeyer H, Harrison PM. Hepatitis delta virus. Lancet. 2011;378:73-85
  4. Değertekin H, Yalçin K, Yakut M, Yurdaydin C. Seropositivity for delta hepatitis in patients with chronic hepatitis B and liver cirrhosis in Turkey: a meta-analysis. Liver Int. 2008;28:494-498
  5. Wranke A, Pinheiro Borzacov LM, Parana R, Lobato C, Hamid S, Ceausu E, Dalekos GN, Rizzetto M, Turcanu A, Niro GA, Lubna F, Abbas M, Ingiliz P, Buti M, Ferenci P, Vanwolleghem T, Hayden T, Dashdorj N, Motoc A, Cornberg M, Abbas Z, Yurdaydin C, Manns MP, Wedemeyer H, Hardtke S; Hepatitis Delta International Network. Clinical and virological heterogeneity of hepatitis delta in different regions world-wide: The Hepatitis Delta International Network (HDIN). Liver Int. 2018;38:842-850
  6. Hsieh TH, Liu CJ, Chen DS, Chen PJ. Natural course and treatment of hepatitis D virus infection. J Formos Med Assoc. 2006;105:869-881
  7. Yurdaydın C, Tabak F, Kaymakoğlu S, Akarsu M, Akıncı EG, Akkız H, Alkım C, Çekin AH, Çuvalcı NÖ, Demir K, Değertekin B, Dökmetaş İ, Ersöz G, Hizel K, Kandemir FÖ, Önlen Y, Sonsuz A, Şenateş E, Tosun S, Tözün N, Idilman R, Guidelines Study Group VH. Diagnosis, management and treatment of hepatitis delta virus infection: Turkey 2017 Clinical Practice Guidelines. Turk J Gastroenterol. 2017;28(Suppl 2):84-89
  8. Terrault NA, Lok ASF, McMahon BJ, Chang KM, Hwang JP, Jonas MM, Brown RS Jr, Bzowej NH, Wong JB. Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance. Hepatology. 2018;67:1560-1599
  9. Romeo R, Del Ninno E, Rumi M, Russo A, Sangiovanni A, de Franchis R, Ronchi G, Colombo M. A 28-year study of the course of hepatitis Delta infection: a risk factor for cirrhosis and hepatocellular carcinoma. Gastroenterology. 2009;136:1629-1638 10. Rizzetto M, Smedile A. Hepatitis D. In: Schiff ER, Sorrell M, Maddrey W, eds. Diseases of the Liver. Philadelphia, PA: Lippincott, Williams and Wilkins; 2002:863-875
  10. Farci P, Niro GA. Clinical features of hepatitis D. Semin Liver Dis. 2012;32:228-236
  11. Ayaz C, Cem Yardımcı C, Çandı