Epidemiologic shift in the prevalence of Hepatitis A virus in Saudi Arabia: A case for routine Hepatitis A vaccination

被引:24
作者
Almuneef, M. A.
Memish, Z. A.
Balkhy, H. H.
Qahtani, M.
AlOtaibi, B.
Hajeer, A.
Qasim, L.
Al Knawy, B.
机构
[1] King Abdulaziz Med City King Fahad Natl Guard Hos, Dept Infect Prevent & Control, Riyadh, Saudi Arabia
[2] King Abdulaziz Med City King Fahad Natl Guard Hos, Dept Pediat, Riyadh, Saudi Arabia
[3] King Abdulaziz Med City King Fahad Natl Guard Hos, Dept Internal Med, Riyadh, Saudi Arabia
[4] King Abdulaziz Med City King Fahad Natl Guard Hos, Dept Pathol & Lab Med, Riyadh, Saudi Arabia
关键词
children; Hepatitis A; prevalence; vaccination; Saudi Arabia;
D O I
10.1016/j.vaccine.2006.04.038
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This study aims to determine the seroprevalence of Hepatitis A among a selected group of Saudi children and thus, identify the best immunization strategy. A school-based seroprevalence study in children 4-18 years of age attending the National Guard schools was done. Of the 25,531 children attending the National Guard schools, 2399 (10%) were randomly selected through a stratified one-stage cluster survey. The overall prevalence of HAV-IgG was 28.9%. The prevalence was almost the same in male and female (28.2% versus 29.5%, respectively). There was a gradual increase in the HAV-IgG with 7% in children (< 8 years), 14% (8-11 years), 30% (12-15 years), and 52% (> 16 years) of age. Since a substantial proportion of this pediatric population confirms a continuing decrease in anti-HAV seroconversion rates, we recommend including Hepatitis A in the schedule of routine childhood vaccinations. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5599 / 5603
页数:5
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