Evidence map›Paper›PMID 26843145›Full record

ArticleVirology journal2016

The natural history of recent hepatitis C virus infection among blood donors and injection drug users in the country of Georgia.

Tengiz Tsertsvadze, Lali Sharvadze, Nikoloz Chkhartishvili, Lela Dzigua, Marine Karchava, Lana Gatserelia, Akaki Abutidze, Kenrad E Nelson

Abstract read
In one paragraph

Article in Virology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prevalence of HIV, HCV and HBV in Central Asia and the Caucasus: A systematic review.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Pooled it
  2. Advancing blood transfusion safety using molecular detection in the country of Georgia.Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. 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

8 authors.

Tengiz TsertsvadzeFaculty of Medicine, Ivane Javakhishvili Tbilisi State University, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. tengizt@gol.ge.
Lali SharvadzeFaculty of Medicine, Ivane Javakhishvili Tbilisi State University, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. sharvadzel@yahoo.com.
Nikoloz ChkhartishviliInfectious Diseases, AIDS and Clinical Immunology Research Center, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. nikoloch@yahoo.com.
Lela DziguaInfectious Diseases, AIDS and Clinical Immunology Research Center, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. dzigu14@yahoo.com.
Marine KarchavaInfectious Diseases, AIDS and Clinical Immunology Research Center, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. kmarika79@yahoo.com.
Lana GatsereliaInfectious Diseases, AIDS and Clinical Immunology Research Center, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. lgatserelia@yahoo.com.
Akaki AbutidzeInfectious Diseases, AIDS and Clinical Immunology Research Center, 16 Al. Kazbegi Avenue, Tbilisi, 0160, Georgia. akakiabutidze@yahoo.com.
Kenrad E NelsonBloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Room E7638, Baltimore, Maryland, 21205, USA. knelson3@jhu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHepatitis C virus (HCV) infection is a serious health problem in Georgia.

methodsWe conducted a prospective study to identify and characterize the natural history of recent HCV infection since very first days of infection. Recent HCV infection was defined as detectable plasma HCV RNA in the absence of anti-HCV antibodies.

resultsA total of 7600 HCV seronegative blood donors and 3600 HCV seronegative drug users were screened for recent HCV infection. Among them 7 (0.09 %) blood donors and 10 (0.28 %) drug users tested positive for HCV RNA and were classified as having recent HCV infection. Of these 17 patients 4 (23.5 %) spontaneously cleared the virus by the end of 24 week follow-up. Five clinical forms of recent HCV infection were identified during the follow-up. Four patients had symptomatic disease, including 3 patients with jaundice and other clinical symptoms (2 of them cleared virus) and 1 patient only had other symptoms without jaundice. All symptomatic patients had ALT elevation. Three distinct variants of asymptomatic disease were identified in 13 patients: 9 patients had ALT elevation and none cleared the virus; 2 patients developed chronic disease without ALT elevation; 2 patients cleared virus without anti-HCV seroconversion and without ALT elevation; this form can be described as transitory HCV viremia.

conclusionAdditional studies are needed to define clinical and public health implications of transitory HCV viremia. Our study suggests the need for implementing nucleic acid testing of blood donors and key populations in order to more effectively identify HCV infected persons.

Indexed as

Blood DonorsDrug UsersHepacivirusAdultFemaleGeorgia (Republic)Hepatitis CHepatitis C AntibodiesHumansMaleProspective StudiesRNA, ViralViral LoadYoung AdultHepatitis C AntibodiesRNA, Viral

Identifiers

PMID26843145
PMCPMC4739321

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Registered trials

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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.