Hepatitis B Virus Infection Among Patients With Chronic Kidney Disease Who Attended an Educational Program in Japan

Akihito Tanaka, Daijo Inaguma, Yu Watanabe, Takahiro Mizukawa, Hibiki Shinjo, Kiyomi Koike, Yasuhiro Otsuka, Asami Takeda

研究成果: Article

抄録

The rate of hepatitis B infection among hemodialysis patients is high. However, it is not clear if this rate reflects the infection rate among patients with chronic kidney disease (CKD). Therefore, we evaluated the rate of hepatitis B infection among patients with CKD. This is an important clinical issue when considering the risk of infection to medical staff when performing invasive procedures in this clinical population. A retrospective, observational study was conducted among stable, non-dialysis patients with CKD who attended a CKD educational program at our hospital, between August 2012 and October 2017. We collected patients’ background and markers of hepatitis infection (HBsAg, HBcAb and HBsAb, as well as HBV-DNA when available) from medical records. The data from 496 patients (373 men and 123 women, with a mean age of 69.3 ± 13.0 years and mean level of creatinine of 3.15 ± 1.72 mg/dL, AST of 21.6 ± 10.5 IU/L, and ALT of 17.3 ± 12.5 IU/L), were included in the analysis. The rate of positive testing for hepatitis B virus infection was as follows: HBsAg, 1.6%; HBsAb, 16.5%; and HBcAb, 21.4%. Of the patients with a negative HBsAg test, 20.1% tested positive for HBcAb. Of the 66 patients in whom HBV-DNA testing was performed, 10.6% tested positive. The rate of hepatitis B virus infection was specifically higher among patients ≥71-years-old. In patients with CKD, the rate of HBsAg positivity is high. Rate of HBcAb positivity is higher particularly in older individuals.

元の言語English
ページ(範囲)588-593
ページ数6
ジャーナルTherapeutic Apheresis and Dialysis
22
発行部数6
DOI
出版物ステータスPublished - 12-2018

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Virus Diseases
Chronic Renal Insufficiency
Hepatitis B virus
Japan
Hepatitis B Surface Antigens
Infection
Hepatitis B
Medical Staff
DNA
Hepatitis
Medical Records
Observational Studies
Renal Dialysis
Creatinine
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Hematology
  • Nephrology

これを引用

Tanaka, Akihito ; Inaguma, Daijo ; Watanabe, Yu ; Mizukawa, Takahiro ; Shinjo, Hibiki ; Koike, Kiyomi ; Otsuka, Yasuhiro ; Takeda, Asami. / Hepatitis B Virus Infection Among Patients With Chronic Kidney Disease Who Attended an Educational Program in Japan. :: Therapeutic Apheresis and Dialysis. 2018 ; 巻 22, 番号 6. pp. 588-593.
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title = "Hepatitis B Virus Infection Among Patients With Chronic Kidney Disease Who Attended an Educational Program in Japan",
abstract = "The rate of hepatitis B infection among hemodialysis patients is high. However, it is not clear if this rate reflects the infection rate among patients with chronic kidney disease (CKD). Therefore, we evaluated the rate of hepatitis B infection among patients with CKD. This is an important clinical issue when considering the risk of infection to medical staff when performing invasive procedures in this clinical population. A retrospective, observational study was conducted among stable, non-dialysis patients with CKD who attended a CKD educational program at our hospital, between August 2012 and October 2017. We collected patients’ background and markers of hepatitis infection (HBsAg, HBcAb and HBsAb, as well as HBV-DNA when available) from medical records. The data from 496 patients (373 men and 123 women, with a mean age of 69.3 ± 13.0 years and mean level of creatinine of 3.15 ± 1.72 mg/dL, AST of 21.6 ± 10.5 IU/L, and ALT of 17.3 ± 12.5 IU/L), were included in the analysis. The rate of positive testing for hepatitis B virus infection was as follows: HBsAg, 1.6{\%}; HBsAb, 16.5{\%}; and HBcAb, 21.4{\%}. Of the patients with a negative HBsAg test, 20.1{\%} tested positive for HBcAb. Of the 66 patients in whom HBV-DNA testing was performed, 10.6{\%} tested positive. The rate of hepatitis B virus infection was specifically higher among patients ≥71-years-old. In patients with CKD, the rate of HBsAg positivity is high. Rate of HBcAb positivity is higher particularly in older individuals.",
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Hepatitis B Virus Infection Among Patients With Chronic Kidney Disease Who Attended an Educational Program in Japan. / Tanaka, Akihito; Inaguma, Daijo; Watanabe, Yu; Mizukawa, Takahiro; Shinjo, Hibiki; Koike, Kiyomi; Otsuka, Yasuhiro; Takeda, Asami.

:: Therapeutic Apheresis and Dialysis, 巻 22, 番号 6, 12.2018, p. 588-593.

研究成果: Article

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AU - Inaguma, Daijo

AU - Watanabe, Yu

AU - Mizukawa, Takahiro

AU - Shinjo, Hibiki

AU - Koike, Kiyomi

AU - Otsuka, Yasuhiro

AU - Takeda, Asami

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