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ORIGINAL ARTICLE
Year : 2014  |  Volume : 27  |  Issue : 4  |  Page : 847-852

Seroprevalence of hepatitis B among pregnant women attending maternal and child health centres in Shebin El-Kom district (Menoufia governorate)


1 Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Clinical Pathology, Menoufia University, Menoufia, Egypt
3 Department of Public Health, National Liver Institute, Menoufia University, Menoufia, Egypt

Correspondence Address:
Sania Ali Soliman Yehia
Shebin El-Kom, Menoufia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.149805

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Objectives This work aimed to determine the seroprevalence and the risk factors for acquiring hepatitis B virus (HBV) among pregnant women in Shebin El-Kom district, Menoufia governorate. Background HBV infection is a major global health problem. Egypt is among the countries with an intermediate endemicity of hepatitis B surface antigen (HBsAg) (range 2-8%). In areas with high/intermediate endemicity, the most common route of infection is still the vertical transmission from mother to child. Passive immunoprophylaxis with hepatitis B immunoglobulin and active immunoprophylaxis with hepatitis B vaccine in the infants of HBV-positive carrier mothers are necessary for the protection of newborns. Participants and methods A cross-sectional study was carried out on 397 pregnant women, who were randomly selected from pregnant women attending maternal and child health centres in Shebin El-Kom district, Menoufia governorate, and were subjected to a personal interview with a predesigned questionnaire and screened for HBsAg in the serum using enzyme-linked immunosorbent assay. Results The seroprevalence of HBV among pregnant women in Shebin El-Kom district, Menoufia governorate, was 2.3%, and the main risk factors for acquiring infection were the habit of one-syringe multiple use [odds ratio (OR) = 12.03], a family history of HBV infection (OR = 8.73), and HBV infection in the husband (OR = 96.5). Conclusion HBV is of intermediate endemicity among pregnant women in Shebin El-Kom district, Menoufia governorate, and the Ministry of Health and Population should adopt a program for the screening of all pregnant women for HBsAg at maternal and child health centres and for health education of the public about the modes of transmission of HBV and the application of infection control measures at health facilities to control the spread of HBV.


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