High and persistent excretion of hepatitis A virus in immunocompetent patients tjon2006high

This study investigates the duration and level of hepatitis A virus (HAV) excretion in blood and feces of 27 patients with acute hepatitis A, with a median age of 33 years, over a period of up to 26 weeks. The study also includes single blood donations from 55 other patients with acute HAV, with a median age of 32 years. Virus loads were quantified using competitive nested RT-PCR. The study found that HAV was excreted in feces for a median period of 81 days after disease onset, with high levels of excretion in the first month. Viraemia was detected for a median period of 42 days. The study highlights the potential for prolonged infectiousness and the need for awareness in blood banks regarding viraemia persistence.

Analytes

stool_hepatitis_A_virus

Hepatitis A virus shedding in stool samples measured by competitive nested RT-PCR

exponential for stool_hepatitis_A_virus

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: hepatitis A virus
Specimen: stool
Units: gc/mL
Participants: 3
Negative samples: 10
Positive samples (not quantifiable): 0
Quantifiable samples: 13
Limit of quantification: 100
Limit of detection: 10