Evidence map›Paper›PMID 24370706›Full record

ArticleVaccine2014

Hepatitis B vaccine immunogenicity among adults vaccinated during an outbreak response in an assisted living facility--Virginia, 2010.

Thomas John Bender, Umid Sharapov, Okey Utah, Jian Xing, Dale Hu, Jolanta Rybczynska, Jan Drobeniuc, Saleem Kamili, Philip R Spradling, Anne C Moorman

Abstract read
In one paragraph

Article in Vaccine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Thomas John BenderEpidemic Intelligence Service Program, The Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control, Atlanta, GA, United States.
Umid SharapovDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Okey UtahVirginia Department of Health, Richmond, VA, United States.
Jian XingDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Dale HuDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jolanta RybczynskaDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jan DrobeniucDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Saleem KamiliDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Philip R SpradlingDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Anne C MoormanDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: amoorman@cdc.gov.
Centers for Disease Control and Prevention · USEpidemic Intelligence Service · USVirginia Department of Health · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundFailure to adhere to infection control guidelines, especially during assisted monitoring of blood glucose, has caused multiple hepatitis B outbreaks in assisted living facilities (ALFs). In conjunction with the response to such an outbreak at an ALF ("Facility X") where most residents had neuropsychiatric disorders, we evaluated seroprotection rates conferred by hepatitis B vaccine and assessed the influence of demographic factors on vaccine response.

methodsResidents were screened for hepatitis B and C infection, and those susceptible were vaccinated against hepatitis A and hepatitis B with one dose of TWINRIX™ (GSK) given at 0, 1, and 7 months. Blood samples were collected 1-2 months after receipt of the third vaccine dose to test for antibody to hepatitis B surface antigen (anti-HBs).

resultsOf the 27 residents who had post-vaccination blood specimens collected, 22 (81%) achieved anti-HBs concentrations ≥10 mIU/mL. Neither age nor neuropsychiatric comorbidity was a significant determinant of seroprotection. Geometric mean concentration was lower among residents aged 60-74 years (74.3 mIU/mL) than among residents aged 46-59 years (105.3 mIU/mL) but highest among residents aged ≥75 years (122.5 mIU/mL). The effect of diabetes on vaccination response could not be examined because 16/17 (94%) diabetic residents had HBV infection by the time of investigation.

conclusionsAdult vaccine recipients of all ages, even those over 60 years of age, demonstrated a robust capacity for achieving hepatitis B seroprotection in response to the combined hepatitis A/hepatitis B vaccine. The role for vaccination in interrupting HBV transmission during an outbreak remains unclear, but concerns about age-related response to hepatitis B vaccine may be insufficient to justify foregoing vaccination of susceptible residents of ALFs.

Indexed as

Assisted Living FacilitiesAdultAgedAged, 80 and overDisease OutbreaksFemaleHepatitis BHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B VaccinesHumansMaleMiddle AgedVaccinationVirginiaHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B VaccinesAgeHBVHepatitis BNeuropsychiatricVaccination

Identifiers

PMID24370706
PMCPMC5719870
OpenAlexW2010950776

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.