Prevalence of serological markers of hepatitis B and assessment of the level of immunization against hepatitis virus among HIV-infected persons

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Abstract

Objective. Assessment of the state of immunity against hepatitis B virus among HIV-infected individuals.

Materials and methods. The study included HIV-infected patients undergoing follow-up care at the Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being. The study was conducted from October 2022 to September 2023. Laboratory examination of patients included: determination of the CD4+ lymphocyte number, the blood HIV RNA level, and serological markers of hepatitis B.

Results. 417 patients , including 274 (65.7%) men, were examined. The age of the patients ranged from 20 to 73 years, the mean age was 43 years. Current hepatitis B virus (HBV) infection was recorded in 10 (2.4%) patients. Previous hepatitis B was detected in 74 (18.2%) patients, latent or hidden HBV infection – in 38 (9.3%). 116 (28.5%) people were vaccinated against HBV. The number of participants not immune to HBV infection was 179 (44%).

Conclusion. The obtained results showed low coverage of vaccination against HBV among HIV-infected patients. Measures to increase the effectiveness and availability of vaccination are required.

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About the authors

Oksana S. Efremova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Author for correspondence.
Email: ks517@yandex.ru
ORCID iD: 0000-0001-5037-4041

Cand. Med. Sci., Infectiologist, Researcher

Russian Federation, Moscow

Anastasia V. Pokrovskaya

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Peoples’ Friendship University of Russia named after Patrice Lumumba

Email: pokrovskaya@cmd.su
ORCID iD: 0000-0002-2677-0404

MD, Senior Researcher, Central Research Institute of Epidemiology, Associate Professor, Department of Infectious Diseases with Courses of Epidemiology and Phthisiology, Medical Institute

Russian Federation, Moscow; Moscow

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2. Fig. 1. Proportion of vaccinated patients, patients with a history of hepatitis, latent hepatitis, and patients susceptible to HBV, depending on gender and route of HIV infection

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3. Fig. 2. Proportion of vaccinated patients, patients with a history of hepatitis, latent hepatitis, and patients susceptible to HBV, depending on age

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