PMID- 34397025 OWN - NLM STAT- MEDLINE DCOM- 20210817 LR - 20220425 IS - 1119-3077 (Print) VI - 24 IP - 8 DP - 2021 Aug TI - Trends and Burden of Hepatitis B Viral Infection in Children and Adults in a Tertiary Health Facility in North East Nigeria Over a Fifteen-year Period. PG - 1164-1169 LID - 10.4103/njcp.njcp_425_20 [doi] AB - BACKGROUND: Hepatitis B infection is endemic in Nigeria where greater than six percent of the general population are chronic carriers. Transmission predominantly occurs in infants and children when compared with adults. Viral hepatitis deaths are mostly due to chronic liver disease. Routine immunization against hepatitis B virus infection in Nigeria is still low. AIMS: We planned to describe the burden and trend of hepatitis B viral infection at Federal Teaching Hospital, Gombe. METHODOLOGY: This study was a retrospective cross-sectional descriptive study. The results of all hepatitis B surface antigen (HBsAg) tests using rapid chromatographic immunoassay performed at the Federal Teaching Hospital, Gombe (FTHG), Nigeria from January 2000 to December 2014 were retrieved and analyzed. RESULTS: Between 2000 and 2014, 23,611 individuals ranging from 2 months to 98 years of age were tested for HBsAg. A total of 13,136 (55.6%) were males and 10,475 (44.4%) were females. Among individuals tested for hepatitis B surface antigen, 18.9% (4,456) were positive. A total of 70.6% (3,147) were males and 29.4% (11,239) were females. Male sex was significantly associated with HBsAg positivity (P < 0.001). The mean HBsAg prevalence over the 15-year periods among males and females were 22% and 12%, respectively (P < 0.001). The mean yearly HBV prevalence was 17.5%, 17.2%, 19.6%, 15.5%, and 4.4% among age-groups 0-18 years, 19-25 years, 26-45 years, 56-65 years, and >65 years, respectively (P = 0.132). The proportion of HBsAg-positive individuals was highest in the year 2012 (28.7%) and lowest in 2014 (1.8%). CONCLUSION: There was an increasing trend in HBV testing and diagnosis in children and adults in our facility over the last 15 years. Health facility capacity for HBV treatment and care requires strengthening. FAU - Isaac, W E AU - Isaac WE AD - Department of Paediatrics, College of Medical Sciences, Gombe State University, Gombe, Nigeria. FAU - Jalo, I AU - Jalo I AD - Department of Paediatrics, College of Medical Sciences, Gombe State University, Gombe, Nigeria. FAU - Ajani, A AU - Ajani A AD - Department of Paediatrics, Federal Teaching Hospital, Gombe, Nigeria. FAU - Oyeniyi, C O AU - Oyeniyi CO AD - Infectious Diseases Training and Research group, Gombe, Nigeria. FAU - Abubakar, J D AU - Abubakar JD AD - Department of Community Medicine, College of Medical Sciences, Gombe State University, Gombe, Nigeria. FAU - Aremu, J T AU - Aremu JT AD - Department of Internal Medicine, Federal Teaching Hospital, Gombe, Nigeria. FAU - Danlami, M H AU - Danlami MH AD - Department of Medical Microbiology, Federal Teaching Hospital, Gombe, Nigeria. LA - eng PT - Journal Article PL - India TA - Niger J Clin Pract JT - Nigerian journal of clinical practice JID - 101150032 RN - 0 (Hepatitis B Surface Antigens) SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Female MH - Health Facilities MH - *Hepatitis B/epidemiology MH - Hepatitis B Surface Antigens MH - *Hepatitis B virus MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Nigeria/epidemiology MH - Prevalence MH - Retrospective Studies OTO - NOTNLM OT - Burden OT - Nigeria OT - hepatitis B OT - trend COIS- None EDAT- 2021/08/17 06:00 MHDA- 2021/08/18 06:00 CRDT- 2021/08/16 08:49 PHST- 2021/08/16 08:49 [entrez] PHST- 2021/08/17 06:00 [pubmed] PHST- 2021/08/18 06:00 [medline] AID - NigerJClinPract_2021_24_8_1164_323856 [pii] AID - 10.4103/njcp.njcp_425_20 [doi] PST - ppublish SO - Niger J Clin Pract. 2021 Aug;24(8):1164-1169. doi: 10.4103/njcp.njcp_425_20.