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Infectious Disease32 papers

Viral hepatitis E

Last edited: 4/10/2026

Overview

Hepatitis E virus (HEV) infection is an emerging zoonotic viral disease that poses an international public health challenge 4. Both Hepatitis A (HAV) and HEV are considered major public health threats worldwide, with an increasing number of cases reported in developed countries 3.

Diagnosis

  • HEV testing is necessary in hospitalized patients with chronic liver disease (CLD) due to the high prevalence of HEV infection observed in this group 1.
  • Management

  • No specific management strategies are detailed in the provided abstracts.
  • Special Populations

  • In individuals with underlying chronic liver disease (CLD), HEV infection can trigger acute-on-chronic liver failure 1.
  • The rates of liver failure and mortality in CLD patients with HEV superinfection are significantly higher, particularly in cirrhotic patients 1.
  • HEV superinfection significantly increases the risk of liver failure and mortality in CLD patients 1.
  • Key Recommendations

  • HEV testing should be performed in hospitalized patients with chronic liver disease 1. (Evidence: Moderate)
  • Public health authorities should prioritize facing challenges regarding the prevalence of HAV and HEV and implement control strategies to prevent outbreaks 3. (Evidence: Moderate)
  • Vaccinating children and adopting sanitary measures are essential for HAV disease prevention, and vaccinating at-risk groups may further reduce disease burden 2. (Evidence: Moderate)
  • References

    1 Qiu LX, Huang Y, Quan JL, Bi ZF, Zhong GH, Wang JY et al.. Prognosis of hepatitis E infection in patients with chronic liver disease: A meta-analysis. Journal of viral hepatitis 2023. link 2 Badur S, Öztürk S, AbdelGhany M, Khalaf M, Lagoubi Y, Ozudogru O et al.. Hepatitis A in the Eastern Mediterranean Region: a comprehensive review. Human vaccines & immunotherapeutics 2022. link 3 Chatziprodromidou IP, Dimitrakopoulou ME, Apostolou T, Katopodi T, Charalambous E, Vantarakis A. Hepatitis A and E in the Mediterranean: A systematic review. Travel medicine and infectious disease 2022. link 4 Raji YE, Toung OP, Mohd Taib N, Sekawi ZB. A systematic review of the epidemiology of Hepatitis E virus infection in South - Eastern Asia. Virulence 2021. link

    Original source

    1. [1]
      Prognosis of hepatitis E infection in patients with chronic liver disease: A meta-analysis.Qiu LX, Huang Y, Quan JL, Bi ZF, Zhong GH, Wang JY et al. Journal of viral hepatitis (2023)
    2. [2]
      Hepatitis A in the Eastern Mediterranean Region: a comprehensive review.Badur S, Öztürk S, AbdelGhany M, Khalaf M, Lagoubi Y, Ozudogru O et al. Human vaccines & immunotherapeutics (2022)
    3. [3]
      Hepatitis A and E in the Mediterranean: A systematic review.Chatziprodromidou IP, Dimitrakopoulou ME, Apostolou T, Katopodi T, Charalambous E, Vantarakis A Travel medicine and infectious disease (2022)
    4. [4]
    5. [5]
      Epidemiology and Transmission of Hepatitis A Virus and Hepatitis E Virus Infections in the United States.Hofmeister MG, Foster MA, Teshale EH Cold Spring Harbor perspectives in medicine (2019)
    6. [6]
      Multiplex hydrolysis probe real-time PCR for simultaneous detection of hepatitis A virus and hepatitis E virus.Qiu F, Cao J, Su Q, Yi Y, Bi S International journal of molecular sciences (2014)
    7. [7]
      Molecular detection of transfusion transmitted virus coinfection with some hepatotropic viruses.Zaki Mel-S, el-Hady NA Archives of pathology & laboratory medicine (2006)
    8. [8]
      Age-specific seroepidemiology of hepatitis A, B, and E infections among children in Istanbul, Turkey.Sidal M, Unüvar E, Oğuz F, Cihan C, Onel D, Badur S European journal of epidemiology (2001)

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