Evidence map›Paper›PMID 28464899›Full record

ArticleBMC infectious diseases2017

Prevalence of hepatitis B and C infection in persons living with HIV enrolled in care in Rwanda.

Justine Umutesi, Bryony Simmons, Jean D Makuza, Donatha Dushimiyimana, Aimable Mbituyumuremyi, Jean Marie Uwimana, Nathan Ford, Edward J Mills, Sabin Nsanzimana

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Justine UmutesiHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Bryony SimmonsClinton Health Access Initiative, Kigali, Rwanda.
Jean D MakuzaHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Donatha DushimiyimanaHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Aimable MbituyumuremyiHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Jean Marie UwimanaHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda.
Nathan FordCentre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa.
Edward J MillsUniversity of Rwanda, Kigali, Rwanda.
Sabin NsanzimanaHIV/AIDS & STIs Diseases Division, Rwanda Biomedical Centre, Kigali, Rwanda. nsabinco@gmail.com.
Rwanda Biomedical Center · RWUniversity Hospital of Basel · CHUniversity of Cape Town · ZAUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis B (HBV) and C (HCV) are important causes of morbidity and mortality in people living with human immunodeficiency virus (HIV). The burden of these co-infections in sub-Saharan Africa is still unclear. We estimated the prevalence of the hepatitis B surface antigen (HBsAg) and hepatitis C antibody (HCVAb) among HIV-infected individuals in Rwanda and identified factors associated with infection.

methodsBetween January 2016 and June 2016, we performed systematic screening for HBsAg and HCVAb among HIV-positive individuals enrolled at public and private HIV facilities across Rwanda. Results were analyzed to determine marker prevalence and variability by demographic factors.

resultsOverall, among 117,258 individuals tested, the prevalence of HBsAg and HCVAb was 4.3% (95% confidence interval [CI] (4.2-4.4) and 4.6% (95% CI 4.5-4.7) respectively; 182 (0.2%) HIV+ individuals were co-infected with HBsAg and HCVAb. Prevalence was higher in males (HBsAg, 5.4% [5.1-5.6] vs. 3.7% [3.5-3.8]; HCVAb, 5.0% [4.8-5.2] vs. 4.4% [4.3-4.6]) and increased with age; HCVAb prevalence was significantly higher in people aged ≥65 years (17.8% [16.4-19.2]). Prevalence varied geographically.

conclusionHBV and HCV co-infections are common among HIV-infected individuals in Rwanda. It is important that viral hepatitis prevention and treatment activities are scaled-up to control further transmission and reduce the burden in this population. Particular efforts should be made to conduct targeted screening of males and the older population. Further assessment is required to determine rates of HBV and HCV chronicity among HIV-infected individuals and identify effective strategies to link individuals to care and treatment.

Indexed as

AdolescentAdultAgedCoinfectionFemaleHepatitis BHepatitis B Surface AntigensHepatitis C AntibodiesHIV InfectionsHIV SeropositivityHumansMaleMiddle AgedRwandaYoung AdultHepatitis B Surface AntigensHepatitis C AntibodiesCo-infectionHepatitisHIVPrevalence

Identifiers

PMID28464899
PMCPMC5414306
OpenAlexW2611609040

What OpenQuestion holds

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LicenceCC BY
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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.