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Inicio Annals of Hepatology P-72 HEPATITIS B AND C VIRUS PREVALENCE USING RAPID TEST IN A CHILEAN COHORT
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Vol. 29. Núm. S3.
Abstracts of the 2023 Annual Meeting of the ALEH
(diciembre 2024)
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Vol. 29. Núm. S3.
Abstracts of the 2023 Annual Meeting of the ALEH
(diciembre 2024)
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P-72 HEPATITIS B AND C VIRUS PREVALENCE USING RAPID TEST IN A CHILEAN COHORT
Visitas
10
Javier Eduardo Pérez Valenzuela1, Franco Antonio Weisser Vuskovic2, Freddy Siegel3, Herman Aguirre4, Jaime Poniachik5, Gonzalo Vizueta6, Elizabeth Araya7, Juan Rozas8, Luis Felipe Bustamante9, Fabiola Castro10, Lilian Isla4, Daniela Simian5, Andrea Martínez6, Luis Sotillet7, Daniela García9, Javiera Achondo10, Lorena Castro Solari10, Gabriel Mezzano Puentes10
1 Departamento de Medicina Interna, Clínica Universidad de los Andes, Chile, Santiago, Chile
2 Residente Medicina Interna, Universidad de los Andes, Chile, Santiago, Chile
3 Hospital de Valdivia, Valdivia, Chile, Santiago, Chile
4 Gastroenterología, Hospital del Salvador, Santiago, Chile, Santiago, Chile
5 Hospital Clínico Universidad de Chile, Santiago, Chile, Santiago, Chile
6 Hospital Juan Noé, Arica, Chile, Santiago, Chile
7 Hospital San José del Carmen, Copiapó, Chile, Santiago, Chile
8 Complejo asistencial Dr. Víctor Ríos Ruiz, Los Ángeles, Los Ángeles, Chile, Santiago, Chile
9 Hospital Hernán Henríquez Aravena, Temuco, Chile, Santiago, Chile
10 Centro de Enfermedades Digestivas, Clínica Universidad de los Andes, Santiago, Chile
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Vol. 29. Núm S3

Abstracts of the 2023 Annual Meeting of the ALEH

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Conflict of interest

Yes, Laboratorio Gador financió los tests rápidos.

Introduction and Objectives

Hepatitis B (HBV) and C (HCV) viruses are one of the main causes of morbidity and mortality worldwide. Their epidemiology in Chile is not completely known, with an estimated prevalence of 0.034-0.15% for HBV and 0.1-0.19% for HCV. Although, in Chile, there is a wide coverage and availability of antiviral treatments, the main barrier to achieve the elimination of these viruses is the lack of knowledge of the serological condition. Objectives: To stablish the prevalence of HBV and HCV infection in the population at risk in Chile.

Patients / Materials and Methods

Cross-sectional, multicenter study, with participation of 8 Chilean health centers. HBV/HCV rapid tests (CTK-BIOTECH) were applied in people aged 18 years-old or older with at least 1 risk factor. Demographic and clinical data were collected using REDCap®. Statistical analysis was performed using Stata 16.0 software.

Results and Discussion

A total of 806 patients were included in the analysis, mean age was 44.6 ± 15.1 years and 53.6% were women. The main risk factors were: being in prison (22.5%), exposed health care personnel (16.9%) and obesity with steatotic liver disease (16.6%). Three patients tested positive for HBV and one patient had HBV/HCV coinfection. Seroprevalence of HBV and HCV infection was 0.49% and 0.12%, respectively. Two of the patients had coinfection with HIV. Serological confirmation to date was done in 3 of the 5 positive tests and confirmed the diagnosis in 3 of them (2 HBV and 1 HCV).

Conclusions

In this preliminary study, the prevalence of HBV and HCV infection in the population at risk is low. Further patient recruitment is required to identify the population on which to focus screening efforts and other preventive public health measures.

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Table 1. Clinical and demographic characteristics.

  Total N = 806 (%) 
Age, years (mean ± SD)  44.6 ± 15.1 
Sex, n (%)   
Female  432 (53.6) 
Male  367 (45.5) 
No binary  5 (0.6) 
Non informed  2 (0.2) 
Residency region, n (%)   
Metropolitana de Santiago  387 (48.0) 
Los Ríos  119 (14.8) 
Arica y Parinacota  101 (12.5) 
Araucanía  55 (6.8) 
Atacama  53 (6.6) 
Biobío  47 (5.8) 
Maule  13 (1.6) 
Los Lagos  9 (1.1) 
Valparaíso  8 (1.0) 
Ñuble  3 (0.4) 
Coquimbo  2 (0.2) 
Libertador General Bernardo O'Higgins  2 (0.2) 
Magallanes y Antártica  2 (0.2) 
Tarapacá  1 (0.1) 
Antofagasta  1 (0.1) 
Aysén  1 (0.1) 
Native people, n (%)  78 (9.7) 
Alcohol consumption, n (%)   
Yes  180 (22.3) 
No  503 (62.4) 
Comorbidities, n (%)   
Steatotic liver disease  165 (20.5) 
Hypertension  164 (20.3) 
Insuline resistance  97 (12.0) 
Diabetes Mellitus  69 (8.6) 
Hypothyroidism  44 (5.5) 
Cirrhosis  36 (4.5) 
Chronic kidney disease  7 (0.9) 
Other  147 (18.2) 
HVB/HVC risk factors, n (%)   
Being in prison  181 (22.5) 
Exposed health-care personnel  136 (16.9) 
Obesity with steatotic liver disease  134 (16.6) 
Transaminase elevation  120 (14.9) 
HIV coinfection  49 (6.1) 
Alcoholic cirrhosis  23 (2.9) 
Pregnancy  18 (2.2) 
Blood donor  17 (2.1) 
Men who have sex with men  14 (1.7) 
Blood transfusion before 1996  10 (1.2) 
Other  380 (47.2) 

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