HEPATITIS B SURFACE ANTIGEN PREVALENCE IN THE OUTPATIENT ADULT HIV POPULATION IN GABORONE, BOTSWANA Premal Patel MD MSc, Stephanie Davis MD, Michael Tolle MD MPH, Vincent Mabikwa, Gabriel Anabwani MD Baylor International Pediatric AIDS Initiative Botswana-Baylor Children’s Clinical Centre of Excellence Gaborone, Botswana

Background Hepatitis B and HIV Coinfection Hepatitis B Prevalence in SSA Botswana HIV Treatment Guidelines Methods Retrospective review of the EMR Patients between the ages of 18 to 80 were screened for Hepatitis B (HBsAg) from 2005 to 2009 HBSAg results from 268 patients

Results Overall HBsAg Prevalence: 5.2% Transaminitis: 3/14 (21.4%)

Conclusion Limitations –Retrospective Study –HBsAg testing only –Female Predominance Botswana-Specific Context: –Significant Prevalence –Access to resources –Availability of TDF/FTC in public sector (1 st line) Routine HBsAg screening as part of the Botswana National HIV Guidelines

Acknowledgements Patients and Staff at the BBCCOE Stephanie Davis MD Michael Tolle MD MPH Vincent Mabikwa Gabriel Anabwani MD Matthew Dacso MD MSc Parth Mehta MD Baylor International Pediatric AIDS Initiative Pediatric AIDS Corps Baylor College of Medicine