1. High prevalence of hepatitis A and B nonimmunity in pediatric liver transplant recipients.
- Author
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de St Maurice A, Ng G, Aryasomayajula C, Liman A, McDiarmid SV, Venick RS, and Wozniak LJ
- Subjects
- Humans, Child, Prevalence, Retrospective Studies, Transplant Recipients, Hepatitis B Vaccines, Hepatitis A epidemiology, Hepatitis A etiology, Liver Transplantation adverse effects, Hepatitis B prevention & control
- Abstract
Background: Pediatric liver transplant recipients are at increased risk of post-transplant infections. The purpose of this study was to quantify hepatitis A and B non-immunity based on antibody titers in liver transplant recipients., Methods: We conducted a retrospective chart review of 107 pediatric liver transplant recipients at a single medical center from 2000 to 2017. We compared hepatitis immune patients to non-immune patients and studied response to vaccination in patients immunized post-transplantation., Results: Eighty-one percent of patients had pre-transplant immunity to hepatitis A whereas 68% had pre-transplant immunity to hepatitis B. Post-transplant hepatitis B immunity decreased to 33% whereas post-transplant hepatitis A immunity remained high at 82%. Older age and time since transplantation were significantly associated with hepatitis B non-immunity. Most patients responded to doses post-transplantation with 78% seroconversion following hepatitis A re-immunization and 83% seroconversion following hepatitis B re-immunization., Conclusions: Pediatric liver transplant recipients are at risk of hepatitis A and B non-immunity, particularly with respect to hepatitis B. Boosters post-transplant may improve immunity to hepatitis viruses., (© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2023
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