Table 3 Pooled mean estimates for hepatitis C virus (HCV) antibody prevalence stratified by populations’ and subpopulations’ risk of exposure to HCV infection in Egypt.
Studies | Samples | Prevalence | Effect size | Heterogeneity measures | ||||
|---|---|---|---|---|---|---|---|---|
Total N | Total N | Range (%) | Mean (%) (95% CI) | Q (p-value)* | τ 2** | I² (confidence limits)ǂ | Prediction interval (%)ǁ | |
All populations | ||||||||
General population | 264 | 1,677,404 | 0.0–57.6 | 11.9 (11.1–12.6) | 38,386.8 (p < 0.0001) | 0.0257 | 99.3% (99.3–99.3%) | 3.5–24.0 |
Populations at high risk | 57 | 7,459 | 8.8–100 | 55.6 (49.4–61.7) | 1,437.3 (p < 0.0001) | 0.2079 | 96.1% (95.5–96.6%) | 13.1–93.6 |
Populations at intermediate risk | 45 | 9,427 | 0.0–90.0 | 14.3 (10.3–18.8) | 1,436.2 (p < 0.0001) | 0.1553 | 96.9% (96.4–97.4%) | 0–51.0 |
Populations with liver-related conditions | 72 | 47,214 | 4.3–100 | 56.0 (50.4–61.6) | 7,777.2 (p < 0.0001) | 0.2199 | 99.1% (99.0–99.2%) | 12.8–94.2 |
Special clinical populations | 34 | 5,542 | 0.5–96.1 | 35.0 (27.3–43.1) | 1206 (p < 0.0001) | 0.2256 | 97.3% (96.8–97.7%) | 1.5–81.8 |
General population (populations at low risk) | ||||||||
Blood donors | 116 | 1,566,669 | 0.0–38.0 | 10.4 (9.6–11.2) | 24,513.7 (p < 0.0001) | 0.0180 | 99.5% (99.5–99.6%) | 3.6–20.0 |
Family replacement | 15 | 262,535 | 3.8–14.6 | 7.1 (5.9–8.3) | 1,931.7 (p < 0.0001) | 0.0080 | 99.3% (99.1–99.4%) | 2.8–13.1 |
Voluntary | 27 | 1,025,535 | 0.7–27.2 | 5.4 (4.4–6.5) | 9,700.4 (p < 0.0001) | 0.0133 | 99.7% (99.7–99.8%) | 1.3–12.2 |
Pregnant women | 14 | 12,700 | 2.3–19.0 | 9.0 (6.0–12.6) | 455.0 (p < 0.0001) | 0.0405 | 97.1% (96.2–97.8%) | 0.4–26.1 |
Children | 10 | 3,408 | 0.0–38.0 | 6.4 (2.9–11.1) | 171.6 (p < 0.0001) | 0.0604 | 94.8% (92.2–96.5%) | 0–28.2 |
Egyptian expatriate workers undergoing mandatory pre-employment screening and Egyptians living abroad | 23 | 9,168 | 0.0–38.4 | 14.4 (9.3–20.4) | 1137.0 (p < 0.0001) | 0.0349 | 98.1% (97.7–98.4%) | 0–50.4 |
Other general populations | 101 | 85,459 | 0.0–57.6 | 14.3 (12.3–16.4) | 6472.6 (P < 0.0001) | 0.0192 | 98.5% (98.3–98.6%) | 0.9–38.3 |
Populations at high risk | ||||||||
Hemodialysis patients | 26 | 4,915 | 10.0–100.0 | 65.5 (56.5–74.1) | 809.1 (p < 0.0001) | 0.2119 | 96.9% (96.2–97.5%) | 18.9–98.6 |
Thalassemia patients | 21 | 1,812 | 8.8–82.0 | 46.3 (34.9–57.9) | 484.0 (p < 0.0001) | 0.2710 | 95.9% (94.7–96.8%) | 2.9–93.9 |
Multi-transfused patients | 6 | 449 | 15.2–81.6 | 42.9 (24.5–62.3) | 80.5 (p < 0.0001) | 0.2144 | 93.8% (89.1–96.5%) | 0–98.3 |
Other populations at high risk | 4 | 283 | 13.0–63.0 | 57.5 (36.8–76.9) | 34.6 (p < 0.0001) | 0.0393 | 91.3% (80.9–96.1%) | 0.0–100 |
Populations at intermediate risk | ||||||||
Healthcare workers | 10 | 3,402 | 0.0–42.1 | 8.4 (3.7–14.8) | 274.4 (p < 0.0001) | 0.0891 | 96.7% (95.4–97.7%) | 0–37.9 |
Diabetic patients | 6 | 1,384 | 12–60.3 | 24.7 (6.0–50.4) | 415.1 (p < 0.0001) | 0.4330 | 98.8% (98.3–99.1%) | 0–100 |
Household contacts of HCV infected persons | 13 | 2,339 | 0–46.0 | 13.7 (7.6–21.1) | 260.2 (p < 0.0001) | 0.1197 | 95.4% (93.6–96.7%) | 0–49.3 |
Hospitalized patients | 6 | 401 | 0–90.0 | 15.9 (0–57.8) | 411.1 (p < 0.0001) | 1.221 | 98.8% (98.3–99.1%) | 0–100 |
Other populations at intermediate risk | 10 | 1,547 | 8.4–41.4 | 15.2 (11.3–19.4) | 39.5 (p < 0.0001) | 0.0234 | 77.2% (58.1–87.6%) | 4.2–31.0 |
Populations with liver-related conditions | ||||||||
Hepatocellular carcinoma patients | 22 | 5,553 | 30.0–95.2 | 74.0 (67.1–80.3) | 506.2 (p < 0.0001) | 0.1071 | 95.9% (94.7–96.8%) | 39.4–97.2 |
Liver disease patients | 28 | 34,727 | 16.4–100 | 65.6 (60.9–70.2) | 1121.2 (p < 0.0001) | 0.0582 | 97.6% (97.1–98.0%) | 40.3–87.0 |
Liver cirrhosis patients | 2 | 130 | 56.0–75.4 | 66.0 (45.9–83.6) | 5.50 (p = 0.0190) | 0.0172 | 81.8% (23.1–95.7%) | 0.0–100 |
Viral hepatitis patients | 14 | 5,992 | 4.3–78.7 | 18.1 (11.4–25.8) | 360.8 (p < 0.0001) | 0.1152 | 96.4% (95.1–97.3%) | 0–54.2 |
Non-Hodgkin’s lymphoma patients | 6 | 812 | 7.4–50.6 | 35.3 (17.5–55.4) | 149.6 (p < 0.0001) | 0.2378 | 96.7% (94.7–97.9%) | 0–96.8 |
Special clinical populations | ||||||||
Special clinical populations | 34 | 5,542 | 0.5–96.1 | 35.0 (27.3–43.1) | 1,206 (p < 0.0001) | 0.2256 | 97.3% (96.8–97.7%) | 1.5–81.8 |