Sexual behaviour and poor hygiene are related to recent hepatitis a virus community outbreaks

Bustabad, Alberto Hernández; González, Alejandra Álvarez; Vera, Antonia de; Díaz‐Flores, Felicitas; Lecuona, Marı́a; Gómez-Sirvent, Juan Luís; Calvo, Ana Avellón; Hernández‐Guerra, Manuel

doi:10.17235/reed.2020.6687/2019

Cited by 5 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bauer et al [6], in a study carried out in Vienna coinciding with a multinational hepatitis A outbreak in MSM, reported 53.6% of patients were hospitalized with severe disease, 9% required ICU support, and one patient received a liver transplant within 30 days. Spanish studies have found that recent hepatitis A outbreaks were closely related to a younger age and sexual practices [29,30]. Fortea et al [31] studied the characteristics of hepatitis A patients in Cantabria (Spain) in 2013-2016 and 2017-2018 and found that there was a greater proportion of MSM during the second period.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis A Outbreak Characteristics: A Comparison of Regions with Different Vaccination Strategies, Spain 2010–2018

et al. 2021

View full text Add to dashboard Cite

We compared the cumulative incidence and characteristics of hepatitis A outbreaks in two groups of Spanish autonomous regions according to whether a universal or risk group vaccination strategy was followed. Outbreaks between 2010 and 2018 were analyzed. The cumulative incidence rate of outbreaks was estimated and compared by estimating the rate ratio (RR). The characteristics of the outbreaks and those of the first cases were compared. Adjusted OR (aOR) were calculated using a multivariate logistic regression model. Outbreak incidence was 16.04 per million persons in regions with universal vaccination and 20.76 in those with risk-group vaccination (RR 0.77; 95%CI 0.62–0.94). Imported outbreaks accounted for 65% in regions with universal vaccination and 28.7% in regions with risk-group vaccination (aOR 3.88; 95%CI 2.13–7.09). Adolescents and young adults aged 15–44 years and men who have sex with men were less frequently the first case of the outbreak in regions with a universal vaccination strategy (aOR 0.54; 95%CI 0.32–0.92 and 0.23; 95%CI 0.07–0.82, respectively). The cumulative incidence rate of outbreaks was lower in regions with universal vaccination. In all regions, independently of the vaccination strategy, activities to vaccinate persons belonging to high-risk groups for infection should be emphasized.

show abstract

Section: Discussionmentioning

confidence: 99%