1. [Seroprevalence of hepatitis A in hemophiliacs].
- Author
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Molina R, Lorenzo JI, Gómez MD, Sarrión A, Haya S, Querol F, and Aznar JA
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Comorbidity, Hepatitis A etiology, Hepatitis A Antibodies, Hepatitis Antibodies blood, Humans, Prevalence, Transfusion Reaction, Hemophilia A epidemiology, Hepatitis A epidemiology
- Abstract
Purpose: To study the seroprevalence of hepatitis A virus (HAV) infection in haemophiliacs treated with factor VIII/IX concentrates., Patients and Methods: Anti-HAV IgG antibodies were tested in 133 haemophiliacs previously treated (20 of them only infused with virus-inactivated factor concentrates), 11 previously untreated haemophiliacs and 60 healthy individuals (> 25 yr. old)., Results: The overall anti-HAV prevalence was 43%. Anti-HAV was found in 2 (10%) of the patients treated only with virus-inactivated concentrates and in 55 (49%) of those who had received non-inactivated concentrates. The seroprevalence in the untreated haemophiliacs was 27% and 90% in the healthy control group. The anti-HAV seroprevalence showed a significant (p < 0.001) dependence on patient age, it being higher in patients aged > 25 (77%) than in those aged 10-25 (31%) and < 10 (4%). The seroprevalence of anti-HAV was lower in the treated haemophiliacs aged 25 or more than in the healthy individuals, although the difference did not reach statistical significance (p = 0.06)., Conclusion: These results show that the seroprevalence of HAV infection in haemophiliacs is similar to that in the general population, and that there is not a significant excess of HAV infections amongst haemophiliacs with high exposure to coagulation factor concentrates.
- Published
- 1996