Evidence map›Paper›PMID 33083033›Full record

ArticleOman medical journal2020

Humoral Immune Memory to Hepatitis B Vaccine after Primary Vaccination of Children and Adolescents in Assiut, Egypt.

Iman I Salama, Samia M Sami, Safaa M Elserougy, Hanaa M Emam, Somaia I Salama, Hazem M Elhariri, Samia A Hemeda, Amal I Hassanain, Aida M Abdel Mohsen, Walaa A Fouad and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oman medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 2 institutions in 1 country.

Iman I SalamaCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Samia M SamiChild Health Department, National Research Center, Cairo, Egypt.
Safaa M ElserougyDepartment of Environmental and Occupational Medicine, National Research Center, Cairo, Egypt.
Hanaa M EmamDermatology and Venereology, National Research Center, Cairo, Egypt.
Somaia I SalamaCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Hazem M ElhaririCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Samia A HemedaCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Amal I HassanainChild Health Department, National Research Center, Cairo, Egypt.
Aida M Abdel MohsenCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Walaa A FouadCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Lobna A El EtrebyCommunity Medicine Research Department, National Research Center, Cairo, Egypt.
Zeinab N SaidMicrobiology and Immunology Department, Faculty of Medicine (for Girls), Al-Azhar University, Cairo, Egypt.
National Water Research Center · EGAl-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to assess the prevalence of hepatitis B virus (HBV) seroprotection among vaccinated children in the Assiut governorate, Egypt, and assess a booster dose immune memory response among non-seroprotected children.

methodsUsing a multistage cluster sample, 566 children were recruited from three clusters: one urban and two rural. Children were aged from nine months to 16 years old. All participants received the full three doses of the compulsory HBV vaccine during infancy. Serum hepatitis B surface antigen (HBsAg), total anti-hepatitis B core (anti-HBc) antibodies, and quantitative detection of anti-HBs were measured using enzyme-linked immunosorbent assay. Repeatedly positive samples for HBsAg/anti-HBc were submitted for quantitative HBV DNA detection using real-time polymerase chain reaction. Non-seroprotective participants (anti-HBs < 10 IU/L) were given a booster dose of HBV vaccine. Two weeks later, a blood sample was taken from each child to assess an anamnestic response.

resultsThe seroprotection rate was 53.2%, and only two children had HBV breakthrough infection (0.4%) with positive serum anti-HBc and HBV DNA. Age was the only significant predictor for non-seroprotection with an adjusted odds ratio (OR) of 3.2, 9.4, and 9.9 among children aged 5-10, 11-15, and > 15 years, respectively, compared to younger children (

conclusionsOlder age of children was the only significant predictor for HBV non-seroprotection. High anamnestic response rate signifies the presence of immune memory with long-term protection despite the waning of anti-HBs over time. However, some children with pre-booster undetectable anti-HBs titers may be unable to develop anamnestic response, and a second vaccination series might be necessary for HBV protection for these children.

Indexed as

EgyptHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B virusImmunization, Secondary

Identifiers

PMID33083033
PMCPMC7538637
OpenAlexW3091805335

What OpenQuestion holds

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LicenceCC BY-NC
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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.