TY - JOUR
T1 - Prevalence of hepatitis B and C at a major tuberculosis centre in Denmark
AU - Jørgensen, Anja
AU - Bjørn-Mortensen, Karen
AU - Graff Jensen, Sidse
AU - Sloth Andersen, Ellen
AU - Ravn, Pernille
PY - 2021/3/4
Y1 - 2021/3/4
N2 - BACKGROUND: Denmark is a low-prevalence country for tuberculosis (TB), hepatitis B (HBV), and hepatitis C (HCV) but the three diseases have similar sociodemographic risk factors. We estimated the prevalence and possible risk factors of HBV and HCV among TB-patients in a large TB clinic in Denmark.METHODS: All patients starting anti-TB-treatment at Copenhagen University Hospital, Herlev-Gentofte from April 1st 2018 through June 1st 2019 were included. Results from HBV and HCV testing as well as sociodemographic information were collected. Risk factor analyses were carried out using descriptive statistics.RESULTS: Of 82 patients tested for HBV, one (1.2%) had chronic HBV and 16 (19.5%) had serocleared HBV. Of 91 patients tested for HCV, three (3.3%) had chronic HCV and one (1.1%) had serocleared HCV. Country of origin other than Denmark was significantly associated with HBV-seropositivity among TB-patients, particularly patients from Greenland, Asia, Africa and Eastern Europe. No other significantly associated risk factors were found.CONCLUSION: The prevalences of chronic and prior HBV and HCV among TB-patients were lower compared to studies in TB high endemic areas but higher than those found in the Danish background population. We calculated the number needed to test to find one patient with HBV ranged between 27 and 83 and we suggest continuing screening of chronic HBV and HCV in TB-patients in Denmark.
AB - BACKGROUND: Denmark is a low-prevalence country for tuberculosis (TB), hepatitis B (HBV), and hepatitis C (HCV) but the three diseases have similar sociodemographic risk factors. We estimated the prevalence and possible risk factors of HBV and HCV among TB-patients in a large TB clinic in Denmark.METHODS: All patients starting anti-TB-treatment at Copenhagen University Hospital, Herlev-Gentofte from April 1st 2018 through June 1st 2019 were included. Results from HBV and HCV testing as well as sociodemographic information were collected. Risk factor analyses were carried out using descriptive statistics.RESULTS: Of 82 patients tested for HBV, one (1.2%) had chronic HBV and 16 (19.5%) had serocleared HBV. Of 91 patients tested for HCV, three (3.3%) had chronic HCV and one (1.1%) had serocleared HCV. Country of origin other than Denmark was significantly associated with HBV-seropositivity among TB-patients, particularly patients from Greenland, Asia, Africa and Eastern Europe. No other significantly associated risk factors were found.CONCLUSION: The prevalences of chronic and prior HBV and HCV among TB-patients were lower compared to studies in TB high endemic areas but higher than those found in the Danish background population. We calculated the number needed to test to find one patient with HBV ranged between 27 and 83 and we suggest continuing screening of chronic HBV and HCV in TB-patients in Denmark.
KW - Denmark/epidemiology
KW - Hepatitis B/complications
KW - Hepatitis C/complications
KW - Humans
KW - Prevalence
KW - Tuberculosis/epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85099314678&partnerID=8YFLogxK
U2 - 10.1080/23744235.2020.1865562
DO - 10.1080/23744235.2020.1865562
M3 - Journal article
C2 - 33406978
SN - 2374-4235
VL - 53
SP - 196
EP - 200
JO - Infectious diseases (London, England)
JF - Infectious diseases (London, England)
IS - 3
ER -