Evidence map›Paper›PMID 31846605›Full record

Trial reportBlood transfusion = Trasfusione del sangue2019

Occult hepatitis B infection among blood donors from Yaoundé, Cameroon.

Diderot Fopa, Daniel Candotti, Claude T Tagny, Camille Doux, Dora Mbanya, Edward L Murphy, Hany I Kenawy, Farha El Chenawi, Syria Laperche

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood transfusion = Trasfusione del sangue, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Unrecognized Transmission Risks of Occult Hepatitis B Virus Infection Among Blood Donors in Central Ethiopia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Diderot FopaHaematology and Transfusion Service, University Teaching Hospital, Yaoundé, Cameroon.
Daniel CandottiNational Institute of Blood Transfusion/INTS, Department of Blood Borne Agents, National Reference Center for Infectious Risks in Blood Transfusion, Paris, France.
Claude T TagnyHaematology and Transfusion Service, University Teaching Hospital, Yaoundé, Cameroon.
Camille DouxNational Institute of Blood Transfusion/INTS, Department of Blood Borne Agents, National Reference Center for Infectious Risks in Blood Transfusion, Paris, France.
Dora MbanyaHaematology and Transfusion Service, University Teaching Hospital, Yaoundé, Cameroon.
Edward L MurphyUniversity of California San Francisco and Vitalant Research Institute, San Francisco, CA, United States of America.
Hany I KenawyFaculty of Pharmacy, Mansoura University, Mansoura, Egypt.
Farha El ChenawiFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Syria LapercheNational Institute of Blood Transfusion/INTS, Department of Blood Borne Agents, National Reference Center for Infectious Risks in Blood Transfusion, Paris, France.
Institut National de la Transfusion Sanguine · FRMansoura University · EG

Funding

Research training in HIV-related transfusion medicine and hematology in South AfricaD43TW010345 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI UTE JENTSCH, EDWARD L MURPHY · 2017 to 2026
$3.0M
Health Outcomes in Blood Donors and RecipientsK24HL075036 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MURPHY, EDWARD L · 2004 to 2013
$1.6M
FIC NIH HHS D43 TW010345NHLBI NIH HHS K24 HL075036
6 · The paper itself

Abstract

backgroundIn Cameroon, the prevention of hepatitis B virus (HBV) transmission by blood transfusion is still only based on hepatitis B surface antigen (HBsAg) screening. However, occult HBV infection (OBI) characterised by the absence of detectable HBsAg and low level of viral DNA remains a potential threat for blood safety. The prevalence of OBI was investigated in blood donors from Yaoundé to provide evidence-based recommendations to improve HBV blood safety. MATERIAL AND

methodsBlood donations from August 1

resultsOf 1,162 donations analysed, 91 (7.8%) were reactive for HBsAg. All of them were also anti-HBc positive. Among the 1,071 HBsAg negative samples, 522 (48.7%) were reactive for anti-HBc. Six (0.56% of all donations) samples fulfilled the consensus definition of OBI and showed low HBV DNA loads (all <6 IU/mL). Following nested polymerase chain reaction amplifications, HBV DNA sequences were obtained for 4 of these samples (1 nearly whole genome [3123 nt], 2 Pre-S/S regions [1,356 nt], and 1 S region [445 nt]). Phylogenetic analysis identified genotype E in all samples. DISCUSSION: Around 1 in 100 Cameroonian blood donors screened who resulted HBsAg negative and anti-HBc positive carried occult HBV infection. HBsAg alone for screening prospective donors is not sufficient to eliminate the risk of HBV transfusion transmission in Cameroon, and because anti-HBc screening does not seem to be feasible without compromising blood supply, implementation of HBV nucleic acid testing could be considered when possible.

Indexed as

Blood DonorsBlood SafetyDonor SelectionHepatitis B virusAdultCameroonDNA, ViralFemaleHepatitis BHepatitis B Surface AntigensHepatitis CHumansMalePolymerase Chain ReactionDNA, ViralHepatitis B Surface Antigens

Identifiers

PMID31846605
PMCPMC6917532
OpenAlexW2982666965

What OpenQuestion holds

Textmetadata
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.