PT  - JOURNAL ARTICLE
AU  - Mohammad S. Bamaga
AU  - Turki M. Sobahy
AU  - Abdulaziz S. Attar
TI  - Quantitative DNA analysis of very low-level hepatitis B viremic patients reporting to the gastroenterology clinic
DP  - 2011 Feb 01
TA  - Saudi Medical Journal
PG  - 135--140
VI  - 32
IP  - 2
4099  - http://smj.org.sa/content/32/2/135.short
4100  - http://smj.org.sa/content/32/2/135.full
SO  - Saudi Med J2011 Feb 01; 32
AB  - OBJECTIVE: To examine data on very low-level viremic hepatitis B virus (HBV) infections in patients reporting to a gastroenterology clinic, and to investigate methods to improve analysis to avoid missing follow-up data and improve the management of HBV infection, and minimize morbidity and mortality outcomes.METHODS: A total of 104 patients with very low-level viremic HBV whom reported to the gastroenterology clinic at Al-Hada Armed Forces Hospital, Taif, Saudi Arabia and had a reading of <12 IU/mL on the real time (RT) polymerase chain reaction (PCR) detection system were enrolled in this study. For serological testing (for example, hepatitis B surface antigen [HBsAg]), we examined patients' results recorded in the laboratory information system since early 2007. Liver enzymes, alanine aminotransferase, and aspartate aminotransferase were assessed in some cases.RESULTS: After analyzing the data collected from 1,178 patients, we found 104 (8.83%) cases that fit the criteria for our study, including a reading of <12 IU/mL. We formed 6 groups of participants based on HBsAg reactivity and very low, elevated, or no viremia, and found 4 cases of continuous occult hepatitis B infection.CONCLUSION: The very low levels of DNA found had a diagnostic impact on the management of HBI and yielded several suggestions for clinicians regarding follow-up with patients. It is important to use a sensitive RT PCR to monitor the course of HBV infection.