Evidence map›Paper›PMID 31017926›Full record

Trial reportPloS one2019

Perinatal hepatitis B virus transmission in Lao PDR: A prospective cohort study.

Vatthanaphone Latthaphasavang, Philippe Vanhems, Nicole Ngo-Giang-Huong, Philavanh Sibounlang, Phimpha Paboriboune, Laurent Malato, Valy Keoluangkhot, Syvilay Thammasack, Nicolas Salvadori, Woottichai Khamduang and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Hepatitis B Virus andViruses · 2025
    Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Prevention of HBV infection.Clinical liver disease
    Review
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 8 institutions in 4 countries.

Vatthanaphone LatthaphasavangMahosot Hospital, Xiengneun village, Sisatanak district, Vientiane capital, Lao PDR.ORCID 0000-0001-5098-3517
Philippe VanhemsClaude Bernard University Lyon, Villeurbanne, France.
Nicole Ngo-Giang-HuongInstitut de recherche pour le développement (IRD, France), PHPT, Changklan, Muang, Chiang Mai, Thailand.
Philavanh SibounlangCenter Infectiology Lao Christophe-Mérieux, Kaoyod village, Sisatanak district, Vientiane capital, Lao PDR.
Phimpha PaboribouneCenter Infectiology Lao Christophe-Mérieux, Kaoyod village, Sisatanak district, Vientiane capital, Lao PDR.
Laurent MalatoCenter Infectiology Lao Christophe-Mérieux, Kaoyod village, Sisatanak district, Vientiane capital, Lao PDR.
Valy KeoluangkhotMahosot Hospital, Xiengneun village, Sisatanak district, Vientiane capital, Lao PDR.
Syvilay ThammasackMahosot Hospital, Xiengneun village, Sisatanak district, Vientiane capital, Lao PDR.
Nicolas SalvadoriInstitut de recherche pour le développement (IRD, France), PHPT, Changklan, Muang, Chiang Mai, Thailand.
Woottichai KhamduangChiang Mai University, Faculty of Associated Medical Sciences, Sripoom, Chiang Mai, Thailand.
Nicolas SteenkesteFondation Mérieux, Lyon, France.
Christian TrépoFondation Mérieux, Lyon, France.
Paul DényINSERM U_1052 UMR CNRS 5286 -Cancer Research center of Lyon, Lyon, France.
Gonzague JourdainInstitut de recherche pour le développement (IRD, France), PHPT, Changklan, Muang, Chiang Mai, Thailand.
Centre d’Infectiologie Christophe Mérieux of Laos · LAMahosot Hospital · LACentre National de la Recherche Scientifique · FRHarvard University · USChiang Mai University · THFondation Mérieux · FRInstitut de Recherche pour le Développement · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMother-to-child transmission of hepatitis B virus (HBV) is the main cause of new infections worldwide. We aimed at assessing the percentage of infants successfully immunized in two major hospitals in Vientiane, Lao PDR where HB immune globulin (HBIg) is not available.

methodsWe studied a prospective cohort of chronically HBV infected pregnant women and their infants until 6 months post-partum from January 2015 to March 2017. All infants received HB vaccine at birth and 6, 10 and 14 weeks thereafter, and HBV status was assessed at 6 months of age. HBV surface gene sequencing was performed in infected mother-infant pairs.

resultsOf 153 mothers with HB surface antigen (HBsAg), 60 (39%) had detectable serum HBe antigen (HBeAg). HBeAg positive pregnant women were younger than those negative (median age 26 versus 28 years; p = 0.02) and had a significantly higher HBV viral load at delivery (median 8.0 versus 4.0 log10 IU/mL, p <0.001). Among the 120 infants assessed at 6 months of age, 5 (4%) were positive for HBsAg and had detectable HBV viral load by polymerase chain reaction. All were born to mothers with HBeAg and viral load >8.5 log10 IU/mL. However, only four (3.3%, 95% CI 0.5% to 7.0%) had a virus strain closely related to their mother's strain. HBV surface gene mutations were detected in 4 of the 5 infected infants. Anti-HBs antibody levels were below 10 IU/L in 10 (9%) uninfected infants at 6 months of age.

conclusionsMother-to-child transmission occurred less frequently than expected without the use of HBIg. Adding HBIg and/or maternal antiviral prophylaxis may have prevented some of these infections. The observation of unsatisfactory levels of anti-HBs antibodies in 9% of the uninfected infants at 6 months highlights the need for improvement of the universal immunization procedures.

Indexed as

Hepatitis BInfectious Disease Transmission, VerticalAdultDNA, ViralFemaleHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B VaccinesHumansInfantInfant, NewbornMalePregnancyPregnancy Complications, InfectiousProspective StudiesVietnamDNA, ViralHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B Vaccines

Identifiers

PMID31017926
PMCPMC6481786
OpenAlexW2942256774

What OpenQuestion holds

Textmetadata
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.