Prevalence of hepatitis B and C virus infections in hemodialysis patients in Vietnam: A systematic review and meta‐analysis

• Published in: JGH open Vol. 4; no. 1; pp. 29 - 38
• Main Authors: Duong, Minh C, Nguyen, Van T T, Otsu, Satoko, McLaws, Mary‐Louise
• Format: Journal Article
• Language: English
• Published: Melbourne Wiley Publishing Asia Pty Ltd 01-02-2020; John Wiley & Sons, Inc; Wiley
• Subjects: Archives & records; Cities; Dissertations & theses; Grey literature; Hemodialysis; Hepatitis; Hepatitis B; hepatitis B virus; hepatitis C virus; Infections; Information sources; Meta-analysis; Original; Peritoneal dialysis; Studies; Surveillance; Systematic review; Vietnam; Vietnam; hemodialysis; hepatitis C virus; Vietnam; meta‐analysis; systematic review; hepatitis B virus
• ISSN: 2397-9070; 2397-9070
• DOI: 10.1002/jgh3.12199

Background and Aim
Chronic hemodialysis patients are at high risk of contracting hepatitis B (HBV) and C (HCV) virus infections. In Vietnam, the seroprevalence of HBV and HCV infections is approximately 10 and 4%, respectively. Although the chronic hemodialysis population is increasing, relatively little epidemiology is available for HBV and HCV infections in this population. To address this, we reviewed the current literature on the magnitude of these infections in the hemodialysis population in Vietnam.
Methods
Four databases were used to search for publications containing the prevalence of HBV and/or HCV infections in hemodialysis patients in Vietnam. Grey literature search was utilized to identify local publications. Prevalence and 95% confidence interval were used or calculated, and a meta‐analysis was conducted on HBV and HCV prevalence for comparison.
Results
Sixteen studies were included in the review. The search identified knowledge gaps in the current literature. Available data show that HBV and HCV infections remain prevalent in the hemodialysis population. HBV prevalence is not different between the north and the south of Vietnam. The pattern of HCV prevalence is different, with recent reports of lower prevalence in the south than in the north, while HCV prevalence varies between hemodialysis units in the same regions.
Conclusions
A national prevalence survey of hemodialysis patients would improve the reliability and generalizability of the findings. However, the review confirmed that both HBV and HCV were prevalent in hemodialysis patients. The findings support a reinforcement of infection prevention to minimize the risk of HBV and HCV transmission in hemodialysis facilities.
Chronic hemodialysis patients are at high risk of contracting hepatitis B (HBV) and C virus (HCV) infections. Although the chronic hemodialysis population is increasing in Vietnam, relatively little epidemiology is available for HBV and HCV infections in this population. To address this knowledge gap and to examine the implications of infection prevention of HBV and HCV in hemodialysis facilities, we reviewed the current literature on the magnitude of these infections in the hemodialysis population in Vietnam.