{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:40:23Z","timestamp":1765039223173},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,10,18]],"date-time":"2013-10-18T00:00:00Z","timestamp":1382054400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2013,10]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Hepatitis D<\/jats:styled-content> virus (HDV<\/jats:styled-content>) coinfection can adversely affect prognosis and complicate management of chronic hepatitis B<\/jats:styled-content>. The epidemiology and clinical practices surrounding HDV<\/jats:styled-content> in A<\/jats:styled-content>ustralia are poorly understood, with no robust estimates of the burden of disease, and the extent of appropriate testing and clinical follow up is unknown.<\/jats:p><\/jats:sec>Aims<\/jats:title>To determine the number of reported cases of HDV<\/jats:styled-content> in V<\/jats:styled-content>ictoria, A<\/jats:styled-content>ustralia between 2000\u20132009 and to explore screening practices in patients at risk of HDV<\/jats:styled-content> infection over the same time period.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data regarding HDV<\/jats:styled-content> diagnoses in V<\/jats:styled-content>ictoria for 2000\u20132009 were obtained from notifiable disease surveillance and public health laboratory testing records. Notifications data were analysed to determine risk factors and demographics of HDV<\/jats:styled-content> diagnoses where available, and laboratory records used to determine screening practices and follow up testing.<\/jats:p><\/jats:sec>Results<\/jats:title>Eighty\u2010seven notifications for HDV<\/jats:styled-content> were recorded between 2000 and 2009. The median age at diagnosis was 34 (interquartile range 27\u201344), and the majority of cases were men (77%) and born overseas (71.4% of those with country of birth reported). During the same period, 2314 V<\/jats:styled-content>ictorian residents were tested for HDV<\/jats:styled-content> infection, with 110 (4.75%) found to be positive. Both the number of people testing positive and the number of tests conducted steadily increased between 2005 and 2009. Of those patients with positive HDV<\/jats:styled-content> antibody results, less than half (44 patients, 40%) were subsequently evaluated for replicative infection by polymerase chain reaction.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The number of people being tested for HDV<\/jats:styled-content> has increased over the past decade; however, gaps in the appropriate follow\u2010up of infected patients are apparent. Birth overseas has become an increasingly important risk factor in V<\/jats:styled-content>ictorian notifications, highlighting the need for routine testing of people living with chronic hepatitis B<\/jats:styled-content> for HDV<\/jats:styled-content> infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12247","type":"journal-article","created":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T10:09:02Z","timestamp":1374487742000},"page":"1081-1087","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Hepatitis D<\/scp> virus in V<\/scp>ictoria 2000\u20132009"],"prefix":"10.1111","volume":"43","author":[{"given":"B.","family":"Shadur","sequence":"first","affiliation":[{"name":"WHO Regional Reference Laboratory for Hepatitis B Victorian Infectious Disease Reference Laboratory Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"MacLachlan","sequence":"additional","affiliation":[{"name":"WHO Regional Reference Laboratory for Hepatitis B Victorian Infectious Disease Reference Laboratory Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Cowie","sequence":"additional","affiliation":[{"name":"WHO Regional Reference Laboratory for Hepatitis B Victorian Infectious Disease Reference Laboratory Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne Melbourne Victoria Australia"},{"name":"Victorian Infectious Diseases Service Royal Melbourne Hospital Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2009.01.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(03)00331-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61931-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/655808"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.46.3.420"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/598955"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2893.2010.01353.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djs168"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2009.01.052"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.23190"},{"key":"e_1_2_7_12_1","volume-title":"Hepatitis Delta","year":"2001"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12049"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00611.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00634.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2009.01.004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhep.2000.17711"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005247"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.38.9.3311-3316.2000"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2893.2009.01159.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2893.2010.01329.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.21078"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.21590"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1983.tb04649.x"},{"key":"e_1_2_7_25_1","first-page":"235","article-title":"Hepatitis delta virus in homosexual men in Sydney","volume":"65","author":"Bodsworth NJ","year":"1989","journal-title":"Genitourin Med"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1986.tb113769.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.1890130404"},{"key":"e_1_2_7_28_1","unstructured":"Australian Government Department of Health and Ageing.National Notifiable Diseases Surveillance System.2013[cited 2013 Jun 6]. 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