PMID- 34589552 OWN - NLM STAT- MEDLINE DCOM- 20220112 LR - 20220427 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2021 DP - 2021 TI - Prevalence and Predominant Genotype of Hepatitis C Virus Infection and Associated Risk Factors among Pregnant Women in Iran. PG - 9294276 LID - 10.1155/2021/9294276 [doi] LID - 9294276 AB - OBJECTIVE: Knowledge regarding the prevalence and risk factors of hepatitis C virus (HCV) infection among pregnant women can give clue to health care providers regarding the appropriate management of HCV infection. Therefore, this study was conducted to determine the prevalence, genotypic pattern, and risk factors of HCV infection among pregnant women in the northern shores of the Persian Gulf, south of Iran. METHODS: From January 2018 to June 2019, serum samples were obtained from 1425 pregnant women, ages ranging from 14 to 46 years (28.1 +/- 5.99). Serum samples were tested for detection of anti-HCV antibodies using an enzyme-linked immunosorbent assay (ELISA) (HCV Ab ELISA kit, Dia.Pro, Milan, Italy). Following the extraction of nucleic acid, the molecular evaluation of HCV infection was performed by seminested reverse transcriptase-polymerase chain reaction assay (RT-PCR), targeting the 5' untranslated region (5'UTR) and core of HCV genome and sequencing. RESULTS: Of the 1425 pregnant women, 19 women (1.33%, 95% CI: 0.85%-2.07%) were positive for anti-HCV antibodies. The majority of HCV-seropositive women were in the third trimester of pregnancy, educated, and had a history of blood transfusion, abortion, surgery, or dentistry. Moreover, Arab and Fars pregnant women and those aged >39 years had the highest rate of HCV seroprevalence. Nevertheless, none of these variables were significantly associated with HCV seropositivity. In contrast, HCV seropositivity was associated with place of residency, so that residents of Khormuj city had significantly higher HCV seroprevalence compared to the residents of other cities (OR: 7.05; 95% CI: 1.75-28.39; P = 0.006). According to the molecular evaluation, 9 of the 19 HCV-seropositive pregnant women (47.37%) had HCV viremia with genotype 3a. CONCLUSION: This study reports the HCV prevalence of 1.33% for anti-HCV antibodies and 0.63% for HCV RNA among pregnant women in the south of Iran. Considering the asymptomatic nature of chronic HCV infection and the fact that vertical transmission is possible in women with detectable viremia, therefore, screening of women before pregnancy is recommended to reduce the risk of HCV infection and its complications during pregnancy. CI - Copyright (c) 2021 Fatemeh Farshadpour et al. FAU - Farshadpour, Fatemeh AU - Farshadpour F AUID- ORCID: 0000-0002-8317-9573 AD - Department of Virology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. AD - Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran. FAU - Taherkhani, Reza AU - Taherkhani R AUID- ORCID: 0000-0001-6499-0531 AD - Department of Virology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. AD - Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran. FAU - Bakhtiari, Farkhondeh AU - Bakhtiari F AUID- ORCID: 0000-0001-8743-6218 AD - Department of Virology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. LA - eng PT - Journal Article DEP - 20210918 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Antibodies, Viral) RN - 0 (RNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Viral/immunology MH - Female MH - Genotype MH - Hepacivirus/*genetics/immunology MH - Hepatitis C/*epidemiology/genetics/immunology/*virology MH - Humans MH - Iran/epidemiology MH - Middle Aged MH - Pregnancy MH - *Pregnant Women MH - Prevalence MH - RNA, Viral/genetics MH - Risk Factors MH - Viremia/complications/immunology MH - Young Adult PMC - PMC8476243 COIS- The authors declared that they do not have anything to disclose regarding conflict of interest with respect to this manuscript. EDAT- 2021/10/01 06:00 MHDA- 2022/01/13 06:00 PMCR- 2021/09/18 CRDT- 2021/09/30 07:17 PHST- 2021/05/16 00:00 [received] PHST- 2021/08/02 00:00 [revised] PHST- 2021/08/24 00:00 [accepted] PHST- 2021/09/30 07:17 [entrez] PHST- 2021/10/01 06:00 [pubmed] PHST- 2022/01/13 06:00 [medline] PHST- 2021/09/18 00:00 [pmc-release] AID - 10.1155/2021/9294276 [doi] PST - epublish SO - Biomed Res Int. 2021 Sep 18;2021:9294276. doi: 10.1155/2021/9294276. eCollection 2021.