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ORIGINAL ARTICLE
Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 140-144

Prevalence of hepatitis B in human immunodeficiency virus patients in Kubwa General Hospital


1 Department of Medicine, Kubwa General Hospital, Abuja, Nigeria
2 Department of Obstetrics & Gynaecology, University of Ilorin Teaching Hospital, Nigeria
3 Department of Medicine, University of Ilorin Teaching Hospital, Nigeria
4 Department of Family & Specialty Medicine, Nisa Premier Hospital, Abuja, Nigeria

Correspondence Address:
Dr. Osaze Ojo
Kubwa General Hospital, Abuja
Nigeria
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DOI: 10.4103/smj.smj_5_18

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Background: Both human immunodeficiency virus (HIV) and hepatitis B infections are endemic in sub-Saharan Africa and both viruses have common routes of transmission. Objectives: To determine the prevalence of hepatitis B virus (HBV) in patients with HIV in Kubwa General Hospital, Abuja, Nigeria. Materials and Methods: We carried out a retrospective study of HBV positivity among patients diagnosed with retroviral disease seen over a 1-year period. Results: The case folders of a total number of 332 patients with HIV who received care over the study period were reviewed. Men and women accounted for 30.42% and 69.58%, respectively, with a male-to-female ratio of about 1:2. Their mean age was 34.76 ± 8.84 years, while the median age was 33.5 years. The categorization of the age groups was as follows: young (<40 years; 72.29%), middle age (40–65 years; 27.41%), and elderly (>65 years; 0.3%). Hepatitis B co-infection was present in 9.24% of patients with HIV. The mean CD4 count was 409.33 ± 262.22. The classification of CD4 count values was as follows: <200 (24.83%), 200–500 (47.20%), and > 500 (27.97%). Those who were either married (58.91%) or were single (32.32%) constituted the majority of the patients. Unprotected sex (73.79%), harmful traditional practice 17 (5.12%), history of blood transfusion (5.12%), intravenous drug abuse (0.60%), and commercial sex worker (0.30%) were the commonly identifiable risk factors. Conclusion: Among patients living with retroviral disease, hepatitis B infection is more prevalent in women as well as in young and middle-aged patients compared with the elderly. Unprotected sex was the most common identifiable risk factor for hepatitis B positivity.


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