No evidence of sexual transmission of HEV among individuals using HIV pre-exposure prophylaxis.


Journal

Journal of viral hepatitis
ISSN: 1365-2893
Titre abrégé: J Viral Hepat
Pays: England
ID NLM: 9435672

Informations de publication

Date de publication:
12 2020
Historique:
received: 08 03 2020
revised: 10 06 2020
accepted: 19 07 2020
pubmed: 3 8 2020
medline: 1 9 2021
entrez: 3 8 2020
Statut: ppublish

Résumé

We investigated the seroprevalence and incidence of hepatitis E virus (HEV) infection in men who have sex with men (MSM) who have been exposed to pre-exposure prophylaxis (PrEP) against HIV as sexual transmission of HEV has been suggested. A total of 147 PrEP-using MSM and 147 blood donors matched for sex, age and geographical area were tested for anti-HEV IgG and IgM. Among them, 135 have been followed for 1 year, at the end of which serological tests for HEV were performed retrospectively on stored samples. Laboratory data on sexual transmitted infections (STIs) and viral hepatitis, including hepatitis A virus (HAV), were collected. Baseline seroprevalence rates in PrEP users were 42.2% (anti-HEV IgG) and 3.4% (anti-HEV IgM). Those of the control blood donors were similar (anti-HEV IgG 43.5% and anti-HEV IgM 4.1%). There was no incident of HEV infection despite the rates of bacterial STIs (incidence rate (IR) = 46.6%) and HAV infection (IR = 15.8%). Age was the only risk factor associated with anti-HEV IgG seropositivity at baseline and at the end of follow-up. Sexual transmission does not seem to be a major route of HEV infection in MSM, unlike HAV.

Identifiants

pubmed: 32741049
doi: 10.1111/jvh.13367
doi:

Substances chimiques

Hepatitis Antibodies 0
Immunoglobulin M 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1495-1501

Informations de copyright

© 2020 John Wiley & Sons Ltd.

Références

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Auteurs

Marion Migueres (M)

Centre de Physiopathologie de Toulouse Purpan, U1043, INSERM, Toulouse, France.
Laboratoire de virologie, Centre National de Référence Hépatite E, Institut Fédératif de Biologie, CHU Toulouse, Hôpital Purpan, Toulouse, France.

Maïlys Ducours (M)

Service des maladies infectieuses et tropicales, CHU Bordeaux, Groupe Hospitalier Pellegrin, Bordeaux, France.

Chloé Dimeglio (C)

Centre de Physiopathologie de Toulouse Purpan, U1043, INSERM, Toulouse, France.
Laboratoire de virologie, Centre National de Référence Hépatite E, Institut Fédératif de Biologie, CHU Toulouse, Hôpital Purpan, Toulouse, France.

Pascale Trimoulet (P)

Laboratoire de virologie, CHU Bordeaux, Groupe Hospitalier Pellegrin, Bordeaux, France.

Florence Abravanel (F)

Centre de Physiopathologie de Toulouse Purpan, U1043, INSERM, Toulouse, France.
Laboratoire de virologie, Centre National de Référence Hépatite E, Institut Fédératif de Biologie, CHU Toulouse, Hôpital Purpan, Toulouse, France.

Pierre Delobel (P)

Service des maladies infectieuses et tropicales, CHU Toulouse, Hôpital Purpan, Toulouse, France.

Charles Cazanave (C)

Service des maladies infectieuses et tropicales, CHU Bordeaux, Groupe Hospitalier Pellegrin, Bordeaux, France.
Infections humaines à mycoplasmes et à chlamydiae, Univ. Bordeaux, USC EA 3671, Bordeaux, France.
Centre National de Référence des Infections Sexuellement Transmissibles bactériennes, CHU Bordeaux, Bordeaux, France.

Jacques Izopet (J)

Centre de Physiopathologie de Toulouse Purpan, U1043, INSERM, Toulouse, France.
Laboratoire de virologie, Centre National de Référence Hépatite E, Institut Fédératif de Biologie, CHU Toulouse, Hôpital Purpan, Toulouse, France.

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