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Current State of and Needs for Hepatitis B Screening: Results of a Large Screening Study in a Low-Prevalent, Metropolitan Region

Author

Listed:
  • Julie Bottero
  • Anders Boyd
  • Maud Lemoine
  • Fabrice Carrat
  • Joel Gozlan
  • Anne Collignon
  • Nicolas Boo
  • Philippe Dhotte
  • Brigitte Varsat
  • Gerard Muller
  • Olivier Cha
  • Nadia Valin
  • Jean Nau
  • Pauline Campa
  • Benjamin Silbermann
  • Marc Bary
  • Pierre-Marie Girard
  • Karine Lacombe

Abstract

Background: In low hepatitis B virus (HBV)-prevalent countries, most HBV-infected persons are unaware of their status. We aimed to evaluate whether (i) previous HBV-testing, (ii) physicians decision to screen, and (iii) CDC's recommendations identified infected individuals and which risk-factor groups needing testing. Methods: During a mass, multi-center HBV-screening study from September 2010-August 2011, 3929 participants were screened for hepatitis B surface antigen (HBsAg), anti-HBs and anti-Hepatitis B core antibodies (anti-HBcAb). Questions on HBV risk-factors and testing practices were asked to participants, while participants' eligibility for HBV-testing was asked to study medical professionals. Results: 85 (2.2%) participants were HBsAg-positive, while 659 (16.8%) had either resolved HBV infection or isolated anti-HBcAb. When comparing practices, HBV-testing was more likely to occur in HBV-infected participants if Centers for Disease Control and Prevention (CDC) recommendations were used (Sensitivity = 100%, 95%CI: 95.8–100) than physicians' discretion (Sensitivity = 87.1%, 95%CI: 78.0–93.4) or previous HBV-test (Sensitivity = 36.5%, 95%CI: 26.3–47.6) (p

Suggested Citation

  • Julie Bottero & Anders Boyd & Maud Lemoine & Fabrice Carrat & Joel Gozlan & Anne Collignon & Nicolas Boo & Philippe Dhotte & Brigitte Varsat & Gerard Muller & Olivier Cha & Nadia Valin & Jean Nau & Pa, 2014. "Current State of and Needs for Hepatitis B Screening: Results of a Large Screening Study in a Low-Prevalent, Metropolitan Region," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    • Handle: RePEc:plo:pone00:0092266
    DOI: 10.1371/journal.pone.0092266
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