Hepatitis B virus infection among oncohematologic disease patients in central Brazil: prevalence, risk factors and immunization

Resumo

Introduction: Carriers of oncohematological diseases are at high risk for hepatitis B virus (HBV) infection. Objective and method: To investigate the epidemiology of HBV infection in Goiânia, Central Brazil, 322 individuals with oncohematological diseases (leukemias, Hodgkin lymphoma and non-Hodgkin lymphoma) were interviewed and blood samples were collected for the detection of serological markers of HBV-DNA by polymerase chain reaction (PCR). Medical records of participants were also reviewed. Results: Non-Hodgkin’s lymphomas (n = 99) and chronic myeloid leukemia (n = 108) were the most frequent oncohematological diseases. The overall prevalence of HBV was 13.97% (45/322). Of the total participants, 8.69% (28/322) presented isolated positivity for anti-HBs, suggesting low vaccine coverage. HBV-DNA was detected in 25% (1/4) of HBsAg positive sam ples and in 25% (3/12) of anti-HBc isolated, suggesting HBV occultinfection. All samples were identified as subgenotype A1. Entries in patient records and the findings of this investigation suggest anti-HBc seroconversion during oncologic treatment. Age 50 years or over and use of a central catheter during therapy were associated with HBV exposure.

Descrição

Palavras-chave

Epidemiology, Leukemia, Lymphoma, Hepatitis B, Oncology

Citação

PESSONI, Grécia C. et al. Hepatitis B virus infection among oncohematologic disease patients in central Brazil: prevalence, risk factors and immunization. Hematology, Transfusion and Cell Therapy, Rio de Janeiro, v. 41, n. 3, p. 199-204, 2019. DOI: 10.1016/j.htct.2018.11.008. Disponível em: https://www.sciencedirect.com/science/article/pii/S253113791930032X?via%3Dihub. Acesso em: 7 fev. 2025.