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עמוד בית
Sat, 22.06.24

ORIGINAL ARTICLES

IMAJ | volume 24

Journal 8, August 2022
pages: 529-532

Detection of Hepatitis D Virus: Performance in the Community

1Department of Family Medicine, Clalit Health Services, Northern Region, Nof Hagalil, Israel 2Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel 3Departments of Internal Medicine Emek Medical Center, Afula, Israel 4Departments of Gastroenterology, Emek Medical Center, Afula, Israel

Summary

Background:

Hepatitis D virus may cause a disease at various severities in the presence of hepatitis B virus, using hepatitis B surface antigen (HBsAg) on the external envelope in its replication process. Thus, people identified with HBsAg in blood tests should also be tested for hepatitis D virus.

Objectives:

To describe the situation of performance of blood tests for detection of hepatitis D virus in patients positive for hepatitis surface antigen during 9 years in a population with heterogeneous origins in the north region of Israel.

Methods

: We conducted a retrospective study using the database of Clalit Health Services.

Results

: We found 3367 people were positive for HBsAg during the study period; 613 (18%) were tested for hepatitis D. People who tested for hepatitis D were younger (47.3 ± 15 years vs. 50.5) and showed a higher rate of visiting the gastroenterology clinic (80.6% vs. 41%). The rate of positive blood tests for hepatitis D was too small for analysis, but it still demonstrated tendency for higher rates in the Ethiopian Jewish group.

Conclusion

: The recommendation for performance of blood test for hepatitis D virus was followed to a small extent. Considering the ethnic diversity of the population in Israel, activities to raise rates of performance should be considered.

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