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Systematic serological testing for hepatitis E virus in kidney transplant recipients.

Abstract
Hepatitis E virus (HEV) genotype 3 is endemic in Europe and hyperendemic in southern France. Recent reports of a high prevalence of HEV RNA in blood donations and in culinary specialties from this geographical area confirmed the endemicity of HEV and sources of viral transmission in this geographical area. HEV causes acute and chronic hepatitis in solid organ transplant recipients. Since March 2012, we have implemented systematic HEV serological testing in our cohort of kidney transplant recipients (KTRs) in Marseille in southeastern France. The aim of our study was to assess HEV exposure in this cohort between March 2012 and May 2014. During these 27 months, we found that 39% of the patients who underwent kidney transplantation had an anti-HEV IgG response using a sensitive microplate enzyme immunoassay. This seroprevalence was approximately 43% at both 1 and 8 years after, using the same assay. In addition, systematic HEV serological testing detected 6 cases of HEV infection among 578 KTRs (1%) during the 27 months of the study, with 5 at an acute stage and 1 at a chronic stage. In conclusion, continuous HEV monitoring in this population is useful for better understanding the epidemiology of HEV in France, because these patients are a well-monitored population. Moreover, HEV monitoring in KTRs is clinically relevant because HEV represents a clinical threat in these patients. Nevertheless, HEV serological testing may be more fruitful for identifying HEV infections when performed in cases of biological liver abnormalities than when performed systematically.
AuthorsValérie Moal, Tristan Legris, Anne Motte, Henri Vacher-Coponat, Lucie Fages, Noémie Jourde-Chiche, Patrick Borentain, Dominique Jaubert, René Gerolami, Philippe Colson
JournalJournal of clinical microbiology (J Clin Microbiol) Vol. 53 Issue 5 Pg. 1523-30 (May 2015) ISSN: 1098-660X [Electronic] United States
PMID25694530 (Publication Type: Journal Article)
CopyrightCopyright © 2015, American Society for Microbiology. All Rights Reserved.
Chemical References
  • Antibodies, Viral
  • Immunoglobulin G
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Viral (blood)
  • Cohort Studies
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • France (epidemiology)
  • Hepatitis E (diagnosis, epidemiology)
  • Hepatitis E virus (immunology)
  • Humans
  • Immunoglobulin G (blood)
  • Kidney Transplantation (adverse effects)
  • Male
  • Mass Screening (methods)
  • Middle Aged
  • Seroepidemiologic Studies
  • Transplant Recipients
  • Young Adult

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