High Anti-HCV Seroprevalence and Low Performance of ICT Strip in Diagnosing Hepatitis C Virus Infection in Children in Enugu Metropolis



Maryann Chinenye Ezeilo1, *, Godwill Azeh Engwa2, *, Romanus Ifeanyi Iroha3, Damian Nonso Odimegwu4
1 Department of Microbiology, Godfrey Okoye University, P.M.B 01014, Thinkers Corner Enugu Nigeria
2 Department of Chemical Sciences, Godfrey Okoye University, P.M.B 01014, Thinkers Corner Enugu Nigeria
3 Department of Microbiology, Ebonyi State University, Abakiliki Nigeria
4 Department of Pharmaceutics, University of Nigeria Nsukka, Enugu State of Nigeria

Abstract

Background:

The lack of a vaccine for Hepatitis C virus (HCV) places children at a high risk of contracting the infection. It becomes necessary to accurately diagnose this infection for proper treatment as well as identifying potential risk factors for effective management.

Aim:

This study was conceived to assess the test performance of the commonly used Immunochromatographic test (ICT) strip and identify the associated clinical manifestations and risk factors of HCV in children in Enugu Metropolis.

Method:

A cross-sectional study involving randomly selected 270 children below six years of age was conducted in Enugu Nigeria. The subjects were screened for anti-HCV by ICT and enzyme-linked immunosorbent assay (ELISA) and the demographics, signs and symptoms and risk factors were collected.

Results:

A total of 50 out of 270 children were positive for anti-HCV with a seropositivity of 18.5%. ICT strip had a very low sensitivity of 38.00% with an accuracy of 88.52% in detecting anti-HCV. The presence of dark urine was associated (p = 0.01) with HCV infection.

Conclusion:

A seroprevalence of 18.5% of Anti-HCV was found in children below six years old in Enugu metropolis and the performance of ICT in diagnosing HCV infection was poor compared to ELISA.

Keywords: Hepatitis C virus, Immunochromatographic test strip, ELISA, seroprevalence, Children, risk factors.


Abstract Information


Identifiers and Pagination:

Year: 2018
Volume: 12
Publisher Item Identifier: EA-TOVJ-2018-6

Article History:

Received Date: 31/05/2018
Revision Received Date: 31/10/2018
Acceptance Date: 05/11/2018
Electronic publication date: 22/11/2018
Collection year: 2018

© 2018 Ezeilo et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Correspondence: Address correspondence to this author at the Department of Microbiology, Godfrey Okoye University, P.M.B 01014, Thinkers Corner Enugu Nigeria: Department of Chemical Sciences, Godfrey Okoye University, P.M.B 01014, Thinkers Corner Enugu Nigeria: Email: engwagodwill@gmail.com ; gengwa@gouni.edu.ng; nenny00@yahoo.com; cezeilo@gouni.edu.ng