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The aim of this study was to evaluate the prevalence of <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content> vaccine escape mutants (<jats:styled-content style=\"fixed-case\">VEM<\/jats:styled-content>s), diagnostic failure mutants (<jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>s) and treatment resistance mutants (<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s) among individuals from Buenos Aires, Argentina. <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content> surface antigen and polymerase sequences obtained from serum samples of 530 <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\u2010infected individuals were analysed. Samples belonged to genotypes A (28.1%), D (13.6%) and F (58.3%). <jats:styled-content style=\"fixed-case\">VEM<\/jats:styled-content>s, <jats:styled-content style=\"fixed-case\">DMF<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s were present in 40 (7.5%), 57 (10.7%) and 27 (5.1%) samples within the studied population. Additionally, eight nonpreviously reported <jats:styled-content style=\"fixed-case\">VEM<\/jats:styled-content>s and nine <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>s were identified. <jats:styled-content style=\"fixed-case\">VEM<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>s were biased by genotype, being higher in genotype D (33.3% and 33.3%) compared to genotype A (6% and 17.4%) and genotype F (2.3% and 2.3%) (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.001). On the contrary, there was no association between the presence of <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content> genotype (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.324). <jats:styled-content style=\"fixed-case\">VEM<\/jats:styled-content>s, <jats:styled-content style=\"fixed-case\">DFM<\/jats:styled-content>s and <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s create public health concerns. The current study provided valuable information about mutants in surface antigen and polymerase in <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\u2010infected patients from Argentina where <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\u2010F is the most prevalent genotype. Consequently, it constitutes an important reference for Latin American clinicians in order to optimize the management of <jats:styled-content style=\"fixed-case\">HBV<\/jats:styled-content>\u2010infected patients.<\/jats:p>","DOI":"10.1111\/jvh.13052","type":"journal-article","created":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T22:22:55Z","timestamp":1545430975000},"page":"552-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Molecular epidemiology of hepatitis B virus mutants associated with vaccine escape, drug resistance and diagnosis failure"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9771-9705","authenticated-orcid":false,"given":"Federico A.","family":"Di Lello","sequence":"first","affiliation":[{"name":"Facultad de Farmacia y Bioqu\u00edmica C\u00e1tedra de Virolog\u00eda Universidad de Buenos Aires  Buenos Aires Argentina"},{"name":"Consejo Nacional de 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