Gut Liver. 2011 Jun;5(2):210-6. doi: 10.5009/gnl.2011.5.2.210. Epub 2011 Jun 23.
Distribution Characteristics of Hepatitis B Serological Markers in Hospitalized Children and Adolescents in Zhejiang, China between 2006 and 2010.
Gut and liver
Xuejun Chen, Yuefang Shen, Wenqing Xiang
Affiliations
Affiliations
- Department of Clinical Laboratory, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.
PMID: 21814603
PMCID: PMC3140668 DOI: 10.5009/gnl.2011.5.2.210
Abstract
BACKGROUND/AIMS: To investigate serological patterns of hepatitis B based on electrochemiluminescent immunoassays and the distribution characteristics of these patterns in hospitalized children and adolescents in Zhejiang, China between 2006 and 2010.
METHODS: Five serological markers, including hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), antibody to hepatitis B surface antigen (anti-HBs), antibody to hepatitis B e antigen (anti-HBe), and antibody to hepatitis B c antigen (anti-HBc), were chosen as a routine panel to monitor hepatitis B virus (HBV) infection and vaccination efficacy. A total of 33,187 children (21,187 boys and 12,000 girls) were selected using the following exclusion criteria: a previous diagnosis of hepatitis, age >16 years or an address outside of Zhejiang.
RESULTS: The average HBV vaccination coverage rates among 20,766 boys and 11,782 girls were 98.62% and 98.68%, respectively. Seventeen serological patterns of hepatitis B were found, and the dominant pattern was 'anti-HBs (+) alone' (62.03%) followed by 'negative pattern' (23.46%). The rates of the other 15 patterns ranged from 8.14% to 0.003%. Of 236 HBsAg-positive patients, the overall rate of seropositivity was 0.71%. The anti-HBs levels were grouped into 3 ranges (10-100 mIU/mL, 100-1,000 mIU/mL, and >1,000 mIU/mL) for all anti-HBs-positive children (36.08%, 43.43%, and 20.49%, respectively).
CONCLUSIONS: A low HBsAg carrier rate and a relatively high anti-HBs positive rate are present in hospitalized children and adolescents in Zhejiang. The distribution of serological patterns is associated with age but is mostly independent of gender.
Keywords: Chemiluminescent measurements; Children; Epidemiologic studies; Hepatitis B antibodies; Immunoassay
References
- Zhongguo Yi Miao He Mian Yi. 2009 Apr;15(2):159-62 - PubMed
- Am J Trop Med Hyg. 2010 Jul;83(1):189-93 - PubMed
- Chin Med J (Engl). 2009 Jan 5;122(1):98-102 - PubMed
- Acta Paediatr. 2003 Oct;92(10):1158-62 - PubMed
- J Med Virol. 2003 Nov;71(3):360-6 - PubMed
- Korean J Lab Med. 2007 Oct;27(5):355-9 - PubMed
- Clin Diagn Lab Immunol. 2000 Nov;7(6):865-6 - PubMed
- J Infect Dis. 2009 Jul 1;200(1):39-47 - PubMed
- Breastfeed Med. 2010 Jun;5(3):109-12 - PubMed
- Vaccine. 2009 Nov 5;27(47):6613-8 - PubMed
- Chin Med J (Engl). 2009 Jan 5;122(1):3-4 - PubMed
- J Clin Virol. 2003 Jul;27(2):162-9 - PubMed
- Niger J Med. 2007 Oct-Dec;16(4):326-9 - PubMed
- Clin Chem. 1994 Nov;40(11 Pt 1):2042-5 - PubMed
- Vaccine. 1993;11(9):941-5 - PubMed
- Acta Paediatr. 1996 Dec;85(12):1501-2 - PubMed
- Curr Clin Top Infect Dis. 1992;12:282-308 - PubMed
- Trop Gastroenterol. 1995 Oct-Dec;16(4):4-10 - PubMed
- N Engl J Med. 2004 Dec 30;351(27):2832-8 - PubMed
- J Clin Gastroenterol. 2004 Nov-Dec;38(10 Suppl 3):S158-68 - PubMed
- World J Gastroenterol. 2006 Feb 28;12(8):1255-60 - PubMed
- J Med Virol. 2009 Sep;81(9):1517-24 - PubMed
- J Infect Dev Ctries. 2010 Mar 29;4(3):168-70 - PubMed
- Vaccine. 2009 Nov 5;27(47):6550-7 - PubMed
- Am J Clin Pathol. 1981 Dec;76(6):773-7 - PubMed
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