Hepatitis D Viremia Among Injection Drug Users in San Francisco.

Mahale, Parag; Aka, Peter V; Chen, Xiaohua; Liu, Ping; Fram, Benjamin J; Wang, Alan S; Simenel, Scott; Tseng, Fan-Chen et al. · J Infect Dis · 2018

cross_sectional · Level IV

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Abstract

People who inject drugs (PWID) are commonly exposed to hepatitis B virus (HBV) and hepatitis D virus (HDV). We evaluated the prevalence of HDV viremia among hepatitis B surface antigen (HBsAg)-positive PWID (n = 73) using a new quantitative microarray antibody capture (Q-MAC) assay, HDV western blot, and HDV RNA. HDV Q-MAC performed well in this cohort: anti-HDV, 100% sensitivity and specificity; HDV viremia, 61.5% sensitivity and 100% specificity. Hepatitis D viremia was present in 35.6% of HBsAg-positive participants and was more common in those with resolved compared to chronic hepatitis C (5.1% vs 0.6%; adjusted odds ratio, 9.80; P < .0001).

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