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ArticleWiener medizinische Wochenschrift (1946)2020

No evidence of occult HBV infection in population born after mass vaccination.

Mohammad Reza Aghasadeghi, Arezoo Aghakhani, Setareh Mamishi, Farahnaz Bidari-Zerehpoosh, Mohammad-Taghi Haghi Ashtiani, Shahram Sabeti, Mohammad Banifazl, Afsaneh Karami, Anahita Bavand, Amitis Ramezani

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Article in Wiener medizinische Wochenschrift (1946), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Hepatitis B Virus: From Diagnosis to Treatment.Polish journal of microbiology · 2020
    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

10 authors.

Mohammad Reza AghasadeghiHepatitis and AIDS Dept., Pasteur Institute of Iran, Tehran, Iran.
Arezoo AghakhaniClinical Research Dept., Pasteur Institute of Iran, Pasteur Ave., 13164, Tehran, Iran.
Setareh MamishiPediatric Infectious Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Farahnaz Bidari-ZerehpooshPathology Ward, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad-Taghi Haghi AshtianiPediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Shahram SabetiPathology Ward, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad BanifazlIranian Society for Support of Patients with Infectious Disease, Tehran, Iran.
Afsaneh KaramiZanjan University of Medical Sciences, Zanjan, Iran.
Anahita BavandClinical Research Dept., Pasteur Institute of Iran, Pasteur Ave., 13164, Tehran, Iran.
Amitis RamezaniClinical Research Dept., Pasteur Institute of Iran, Pasteur Ave., 13164, Tehran, Iran. amitisramezani@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite access to efficient hepatitis B virus (HBV) vaccine and universal immunization schedules, HBV infection remains a global health concern. HBV infection has decreased by this program. Nevertheless, breakthrough infections occur due to generation of occult HBV infection (OBI) and surface gene mutants in the immunized population. We aimed to determine the presence of OBI in a population born after initiation of nationwide HBV vaccination in Tehran, Iran. A HBV mass vaccination schedule was launched in Iran in 1993. For this study, we enrolled 1120 cases younger than 24 years. ELISA was applied to evaluate the presence of HBsAg, anti-HBs and anti-HBc. HBV-DNA presence was determined in all HBsAg-negative cases using nested polymerase chain reaction. The prevalence of HBsAg, anti-HBc and anti-HBs was 0.1, 0.54 and 39.9% respectively. Out of 6 anti-HBc-positive individuals, 4 cases also had anti-HBs. One case revealed HBsAg co-existence and the other one showed isolated anti-HBc. HBV-DNA was not detected in HBsAg-negative specimens. A very low prevalence of HBsAg and isolated anti-HBc was observed and no occult HBV infection was detected. It seems that evasion mutants are not a potential threat for HBV universal immunization efficacy in the vaccinated population.

Indexed as

Hepatitis BHepatitis B Surface AntigensHepatitis B virusHumansIranMass VaccinationHepatitis B Surface AntigensChronic hepatitis BExpanded program of immunizationInfectionOccult HBVVaccination

Identifiers

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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.