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Genes (Basel). 2018 May 17;9(5). doi: 10.3390/genes9050259.

Chronic and Occult Hepatitis B Virus Infection in Pregnant Women in Botswana.

Genes

Tshepiso Mbangiwa, Ishmael Kasvosve, Motswedi Anderson, Prisca K Thami, Wonderful T Choga, Austen Needleman, Bonolo B Phinius, Sikhulile Moyo, Melvin Leteane, Jean Leidner, Jason T Blackard, Gloria Mayondi, Betsy Kammerer, Rosemary M Musonda, Max Essex, Shahin Lockman, Simani Gaseitsiwe

Affiliations

  1. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  2. Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Botswana, Gaborone 0022, Botswana. [email protected].
  3. Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Botswana, Gaborone 0022, Botswana. [email protected].
  4. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  5. Department of Biological Sciences, Faculty of Science, University of Botswana, Gaborone 0022, Botswana. [email protected].
  6. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  7. Department of Biological Sciences, Faculty of Science, University of Botswana, Gaborone 0022, Botswana. [email protected].
  8. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  9. Harvard College, Cambridge, MA 02138, USA. [email protected].
  10. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  11. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  12. Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. [email protected].
  13. Department of Biological Sciences, Faculty of Science, University of Botswana, Gaborone 0022, Botswana. [email protected].
  14. Goodtables Data Consulting, Norman, OK 73019, USA. [email protected].
  15. University of Cincinnati College of Medicine, Cincinnati, OH 45627, USA. [email protected].
  16. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  17. Department of Psychiatry, Boston Children's Hospital, Boston, MA 02115, USA. [email protected].
  18. Brigham and Women's Hospital, Boston, MA 02115, USA. [email protected].
  19. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  20. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  21. Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. [email protected].
  22. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  23. Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. [email protected].
  24. Brigham and Women's Hospital, Boston, MA 02115, USA. [email protected].
  25. Botswana Harvard AIDS Institute Partnership, Gaborone BO320, Botswana. [email protected].
  26. Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. [email protected].

PMID: 29772814 PMCID: PMC5977199 DOI: 10.3390/genes9050259

Abstract

The hepatitis B virus (HBV) is a global problem; however, the burden of HBV infection in pregnant women in Botswana is unknown. We sought to determine the prevalence of chronic and occult HBV infection in human immunodeficiency virus (HIV)-infected and -uninfected pregnant women in Botswana. Samples from 752 pregnant women were tested for hepatitis B surface antigen (HBsAg), and HBsAg-positive samples were tested for hepatitis B e antigen (HBeAg) and HBV DNA load. Samples that were HBsAg negative were screened for occult HBV infection by determining the HBV DNA load. HBV genotypes were determined based on a 415-base-pair fragment of the surface gene. Among the 752 women tested during pregnancy or early postpartum, 16 (2.1%) (95% confidence interval (CI): 2.0⁻2.2) were HBsAg-positive. The prevalence of chronic HBV infection was higher (3.1%) among HIV-infected (95% CI: 3.0⁻3.2) compared with HIV-uninfected women (1.1%) (95% CI: 1.07⁻1.1,

Keywords: Botswana; hepatitis B virus (HBV); human immunodeficiency virus (HIV); pregnant women

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