Prevalence of active hepatitis C viremia and HCV genotypes in different regions of Sindh, Pakistan

  • Bushra Bano Patoli University of Sindh, Jamshoro, Pakistan
  • Atif Ahmed Patoli Institute of Microbiology, University of Sindh, Jamshoro, Pakistan
  • Ashfaque Korejo University of Sindh, Jamshoro, Pakistan
  • Iram Hassan Khan General Medical Practitioner, Costa del Sol SAS. Malaga, Spain.
Keywords: HCV genotype, Nucleic Acid Amplification Test, Hepatitis C, HCV, HCV ANA, Sindh, Pakistan

Abstract

Background: Hepatitis C virus (HCV) infection is highly endemic in Pakistan with about 6% active HCV infection frequency. Sindh, the second largest populated province of Pakistan, is recognized with alarmingly high HCV seroprevalence in community. The present study estimates the frequency of active HCV infection with its genotypes and analyzes the associated determinants among the population in Sindh. Methodology: This was a cross-sectional study carried out in Asian Institute of Medical Sciences (AIMS) Hyderabad and University of Sindh, Jamshoro, Pakistan from Sep 2017 to Sep 2018. A total of 5,253 samples were confirmed anti‑HCV antibody positive using third generation Elecsys Anti‑HCV II assay. The samples were further processed for the Nucleic acid Amplification Test (NAT) and genotyping using Cobas® 4800 System. Results: HCV-RNA positivity was confirmed in 2,096 (39.9%) cases with statistically significant impact of gender on HCV-RNA positivity [OR=1.21, CI=1.08–1.35, p<0.05]. Pearson’s correlation co-efficient between age and active HCV viremia suggested a weak negative correlation in general (r= -0.290) and male (r= -0.459) category but not female (r=0.255). Genotype 3 was found the most common (81.6%) followed by genotype 1b (3.7%) and genotype 2 (0.9%). Bivariate correlation analysis suggested a non-significant, but weak positive correlation between age and genotypes (r=0.261). Conclusion: Prevalence of HCV infection is about 40% with the predominant genotype 3 among HCV patients in Sindh Province, Pakistan.

Author Biographies

Bushra Bano Patoli, University of Sindh, Jamshoro, Pakistan

University of Sindh, Jamshoro, Pakistan.

Atif Ahmed Patoli, Institute of Microbiology, University of Sindh, Jamshoro, Pakistan

Institute of Microbiology, University of Sindh, Jamshoro, Pakistan

Ashfaque Korejo, University of Sindh, Jamshoro, Pakistan

University of Sindh, Jamshoro, Pakistan

Iram Hassan Khan, General Medical Practitioner, Costa del Sol SAS. Malaga, Spain.

General Medical Practitioner, Costa del Sol SAS. Malaga, Spain.

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Published
2019-06-30
How to Cite
1.
Patoli B, Patoli A, Korejo A, Khan I. Prevalence of active hepatitis C viremia and HCV genotypes in different regions of Sindh, Pakistan. PJP [Internet]. 30Jun.2019 [cited 9Dec.2019];15(2):28-2. Available from: http://pjp.pps.org.pk/index.php/PJP/article/view/1051