Evidence map›Paper›PMID 30208084›Full record

ArticlePloS one2018

Aetiology of viral hepatitis among jaundiced patients presenting to a tertiary hospital in Ghana.

Michael Owusu, Joseph Kofi Bonney, Augustina Angelina Annan, Gifty Mawuli, Kennedy Okyere, Mohamed Mutocheluh, Juliana Aryeequaye, Nicholas Kwabena Adjei, Mary Afihene, Kathryn Spangenberg and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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

14 authors at 4 institutions in 3 countries.

Michael OwusuKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0001-5066-150X
Joseph Kofi BonneyDepartment of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Augustina Angelina AnnanKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-7691-914X
Gifty MawuliDepartment of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Kennedy OkyereDepartment of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-1396-5085
Mohamed MutocheluhDepartment of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Juliana AryeequayeDepartment of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Nicholas Kwabena AdjeiDepartment of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Mary AfiheneDepartment of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Kathryn SpangenbergDepartment of Family Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.ORCID 0000-0002-1022-576X
Justice SylverkenDepartment of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Ellis Owusu-DaboKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Christian DrostenInstitute of Virology, Charité - Universitätsmedizin Berlin, Berlin, Germnany.
Yaw Adu-SarkodieDepartment of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kwame Nkrumah University of Science and Technology · GHKomfo Anokye Teaching Hospital · GHUniversity of Ghana · GHInstitute of Virology of the Slovak Academy of Sciences · SK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViral hepatitis continues to play significant role in causing morbidity and mortality in sub-Saharan Africa. Apart from the few population based studies available, not many have investigated the burden of these viruses in jaundiced patients. Among the few studies, hepatitis E is the least studied among jaundiced patients. This study was aimed at describing the frequency, distribution and risk of the different hepatitis viruses among jaundiced patients reporting to the second largest teaching hospital in Ghana.

methodsFrom November, 2015 to April, 2016, a cross-sectional study was conducted among jaundiced patients attending the Komfo Anokye Teaching Hospital. Between 3-5 ml of blood was collected from each patient and screened for viral hepatitis agents using both serologic and molecular-based assays.

resultsIn the 155 patients recruited, hepatitis B was the most prevalent [54.2% (95% CI = 46.0%-62.2%)] followed by hepatitis E [32.9% (95% CI = 25.6-40.9%)]. Most cases of hepatitis E occurred as co-infections with hepatitis B (18%), with the predominant clinical feature being hepatocellular carcinoma. Risk factor variable analysis showed middle and older aged individuals were more at risk of hepatitis B exposure whereas younger age groups (<18 years) were more at risk of hepatitis E virus infection.

conclusionHepatitis viruses are still important in the viral aetiology of jaundice in Ghana. Hepatitis B and hepatitis E co-infections could play significant roles in causing severe disease. A more aggressive approach needs to be adopted in order to reduce the morbidity and mortality associated with hepatitis causing viruses in Ghana and other developing countries.

Indexed as

AdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesFemaleGhanaHepatitis AHepatitis BHepatitis CHepatitis EHepatitis, Viral, HumanHumansInfantJaundice

Identifiers

PMID30208084
PMCPMC6135398
OpenAlexW2891047744

What OpenQuestion holds

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LicenceCC BY
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.