Article
Distribution of hepatitis B virus (HBV) genotypes among HBV carriers in the Cote d'Ivoire: complete genome sequence and phylogenetic relatedness of HBV genotype E.
Department of Clinical Molecular Informative Medicine, Nagoya City University Graduate School of Medical Sciences, Japan.
Journal of Medical Virology (impact factor:
2.82).
04/2003;
69(4):459-65.
DOI:10.1002/jmv.10331
pp.459-65
Source: PubMed
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Citations (0)
- Cited In (1)
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Article: Diagnostic accuracy of biochemical markers of fibrosis in black African patients with chronic hepatitis B
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ABSTRACT: Contradictory results of the accuracy of bio-chemical markers to predict the stage of fibrosis in black African patients with chronic hepatitis B (CHB) were previously published. We con-ducted a prospective cohort study to determine the diagnostic accuracy of aspartate ami-notransferase to platelet ratio (APRI), aspartate aminotransferase to alanine aminotransferase ratio (AAR), platelet count, age-platelet (AP) in-dex, and FIB-4 index for the prediction of sig-nificant fibrosis or cirrhosis in 117 black African patients (median age: 38 years, males: 73 %) with CHB not previously treated. Among them, 45 had significant fibrosis and 18 had cirrhosis using the METAVIR score system. Factors as-sociated either with significant fibrosis or cir-rhosis were determined in logistic multivariate analysis. Areas under receiver operating curve were assessed and compared for APRI, AAR, AP index, FIB-4 index and platelet count. Sensitivity, specificity, positive and negative predictive values were determined for each biochemical markers. Multivariate analysis showed that as-partate aminotransferase (p<0.0001) and plate-lets (p=0.03) were the independent factors as-sociated with significant fibrosis and only platelets (p=0.01) were associated with cirrhosis. APRI (cut-off > 1.1) and FIB-4 index (cut-off > 2.1) ruled out significant fibrosis with high specific-ity of 84.7 % and 86.1 % respectively and nega-tive predictive values of 78.2 % and 72.9 % re-spectively. More accurately, APRI (cut-off > 0.63) or FIB-4 index (cut-off > 1.26) ruled out cirrhosis with high sensitivity of 94.4% and 88.9% and high negative predictive values of 98.1% and 96.3% respectively. In conclusion, APRI and FIB-4 index are simple readily available markers to exclude significant fibrosis or more accu-rately cirrhosis in black African patients with CHB.Health 12/2010; 02(12):1413-1420. · 2.10 Impact Factor
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Keywords
24 genotype E carriers
24 strains
48 HBV carriers
basic core promoter
BCP double mutation
BCP double variants
complete genome analysis
complete genome sequences
Cote d'Ivoire
genotype E infections
genotype E strains
genotype E. Complete genomes
genotype-related characteristics
HBV genotype distribution
HBV genotypes
hepatitis B virus
low genetic diversity
precore mutation
precore region
small S gene