학술논문

Prevalence of hepatitis B, D and C virus infections among children and pregnant women in Moldova: additional evidence supporting the need for routine hepatitis B vaccination of infants
Document Type
Article
Source
Epidemiology and Infection; December 1999, Vol. 123 Issue: 3 p463-467, 5p
Subject
Language
ISSN
09502688; 14694409
Abstract
Rates of acute hepatitis B are high in Moldova, but the prevalence of chronic infection is unknown. In 1994, we surveyed children and pregnant women, collected demographic information, and drew blood for laboratory testing. Among the 439 children (mean age, 5 years), the prevalence of antibody to hepatitis B core antigen (anti-HBc) and hepatitis B surface antigen (HBsAg) were 17·1 and 6·8%, respectively. Among the 1098 pregnant women (mean age, 26 years), 52·4% were anti-HBc-positive and 9·7% were HBsAg-positive. Of the HBsAg-positive pregnant women, 35·6% were hepatitis B e antigen (HBeAg) positive and 18·3% had antibodies to hepatitis D virus. The prevalence of antibody to hepatitis C virus was 1·4% in children and 2·3% in pregnant women. The high HBeAg prevalence among HBsAg-positive pregnant women and the high anti-HBc prevalence among children indicate that both perinatal and early childhood transmission contribute to the high hepatitis B virus endemicity in Moldova.