Hepatitis B virus infection among pregnant women on antenatal visits: rapid tests or ELISA?

*1,2Fowotade, A., 2Adetunji, S. O., 2Amadi, E., 2Ishola, I. O., and 3Omoruyi, E. C.

1Clinical Virology Unit, Department of Medical Microbiology and Parasitology, College of Medicine, University of Ibadan, Nigeria

2Department of Medical Microbiology and Parasitology, University College Hospital, Ibadan, Nigeria

3Institute of Child and Maternal Health, College of Medicine, University of Ibadan, Nigeria

*Correspondence to: temilabike@gmail.com

Abstract:

Background: Hepatitis B virus (HBV) infection is a global public health challenge with over 360 million people infected worldwide, and is one of the leading causes of death worldwide. The hepatitis B surface antigen (HBSAg) is the most important marker for HBV screening, and HBSAg rapid screening test methods are the most widely used compared with the enzyme-linked immunosorbent assay (ELISA) and nucleic acid testing methods. The objectives of this study are to evaluate the comparative efficacy of rapid test kits and ELISA for HBV screening among pregnant women on antenatal visits and to screen for other HBV serological markers among HBsAg positive patients.

Methodology: This is a cross-sectional study of 172 pregnant women who were recruited consecutively on their first antenatal visit at the University College Hospital, Ibadan, Nigeria between November 2018 and February 2019. All participants were screened for HBsAg using both rapid immunochromatographic test (ICT) and ELISA techniques. HBsAg negative samples were further screened for anti-HBeAg/Ab, anti-HBcAg and anti-HBs by ELISA. Socio-demographic data of the participants were obtained using a semi-structured questionnaire, and data were analyzed using EPI INFO 7.2 statistical software. Continue reading “Hepatitis B virus infection among pregnant women on antenatal visits: rapid tests or ELISA?”