Hepatitis C viral load and genotypes among Nigerian subjects with chronic infection and implication for patient management: a retrospective review of data
| العنوان: | Hepatitis C viral load and genotypes among Nigerian subjects with chronic infection and implication for patient management: a retrospective review of data |
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| المؤلفون: | Olufunmilayo A. Lesi, Charles A Onyekwere, AP Okwuraiwe, Rosemary A. Audu, OO Adeleye, Fehintola A. Ige |
| المصدر: | Pan African Medical Journal; Vol. 37 No. 1 (2020) The Pan African Medical Journal |
| بيانات النشر: | African Field Epidemiology Network, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Genotype, Hepatitis C virus, 030231 tropical medicine, Nigeria, Hepacivirus, medicine.disease_cause, Antiviral Agents, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Hepatitis C viral load, Internal medicine, medicine, Prevalence, Humans, 030212 general & internal medicine, Aged, Retrospective Studies, Aged, 80 and over, medicine.diagnostic_test, viral load, genotype, management, business.industry, Research, Nucleic acid test, Retrospective cohort study, General Medicine, Hepatitis C, Chronic, Middle Aged, Viral Load, Patient management, Chronic infection, Female, business, Viral load |
| الوصف: | Introduction Hepatitis C Virus (HCV) is highly infectious with no currently available vaccine. Prior to treatment, it is recommended to confirm HCV infection with either quantitative or qualitative nucleic acid test. Access to these assays in Nigeria is limited but for effective management of patients, HCV viral load (VL) prior to therapy is required and genotype may be needed in some instances. This study aimed at reviewing the pattern of HCV viral load and genotype in the country, and its implication in patient management. Methods this was a retrospective study that involved data abstraction from an electronic database of an accredited laboratory between June 2013 and May 2017. De-linked data were abstracted from records of adult subjects with HCV VL and genotype results, these were analysed using Microsoft Excel 2010 and SPSS v20. Results within the study period, 346 subjects had baseline VL and 134 (38.7%) had genotype results available. Of these, 202/346 (58.4%) had detectable VL results with higher prevalence in males (64.7%) and ≥51years (42.5%) age group. The median VL among 202 subjects was 407,430 (IQR: 96,388 - 1,357,012) IU/mL. Distribution of genotypes showed that genotypes 1 and 4 had prevalence of 63.2% and 16.8% respectively. Conclusion genotypes 1 and 4 have the highest prevalence. A greater proportion of subjects had VL values ≤800,000 IU/mL, an indication that they are more likely to respond well to available antiviral therapy hence, access to these antivirals will greatly improve management of HCV infection in Nigeria. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1937-8688 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e62e6a00bb3d12be060f53e7472a42ff https://www.ajol.info/index.php/pamj/article/view/230908 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e62e6a00bb3d12be060f53e7472a42ff |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19378688 |
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