Evidence map›Paper›PMID 33183254›Full record

ArticleBMC infectious diseases2020

Prevalence of hepatitis B among childbearing women and infant born to HBV-positive mothers in Togo.

Didier K Ekouevi, Lucile Larrouy, Fifonsi A Gbeasor-Komlanvi, Vincent Mackiewicz, Martin K Tchankoni, Alexandra M Bitty-Anderson, Gatibe Yendu-Suglpak Gnatou, Arnold Sadio, Mounerou Salou, Claver A Dagnra and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 5 institutions in 3 countries.

Didier K EkoueviDépartement de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo. didier.ekouevi@gmail.com.ORCID http://orcid.org/0000-0001-7644-9902
Lucile LarrouyUniversité de Paris, INSERM UMR 1137 IAME, F-75018, Paris, France.
Fifonsi A Gbeasor-KomlanviDépartement de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
Vincent MackiewiczLaboratoire de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, F-75018, Paris, France.
Martin K TchankoniCentre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo.
Alexandra M Bitty-AndersonProgramme PACCI - Site ANRS Côte d'Ivoire, CHU de Treichville, Abidjan, Côte d'Ivoire.
Gatibe Yendu-Suglpak GnatouDépartement de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
Arnold SadioDépartement de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
Mounerou SalouDépartement des Sciences Fondamentales, Laboratoire de Biologie Moléculaire, Université de Lomé, Lomé, Togo.
Claver A DagnraDépartement des Sciences Fondamentales, Laboratoire de Biologie Moléculaire, Université de Lomé, Lomé, Togo.
Diane DescampsUniversité de Paris, INSERM UMR 1137 IAME, F-75018, Paris, France.
Patrick A CoffieProgramme PACCI - Site ANRS Côte d'Ivoire, CHU de Treichville, Abidjan, Côte d'Ivoire.
Centre Africain de Recherche en Epidémiologie et en Santé Publique · TGUniversité Claude Bernard Lyon 1 · FRProgramme PAC-CI · CIUniversity of Lomé · TGUniversité de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis B virus (HBV) infection is a public health problem in Togo and transmission to the child occurs mainly during childbirth. The objective of this study was to estimate the prevalence of HBV among childbearing women and infants born to HBV positive mothers in Togo.

methodsA national cross-sectional study was carried out in six cities in Togo in the six health regions in Togo. Mother-child pairs were recruited from immunization centers or pediatric wards in Lomé, Tsévié, Atakpamé, Sokodé, Kara and Dapaong in 2017. Women aged 18 and over with one child of at least 6 months old were included. A standardized questionnaire was used for data collection and HBV screening was performed using Determine® rapid tests. The prevalence of HBV, defined by a positive HBV surface antigen (HBsAg), was estimated in mothers and then in infants of mothers who were positive for HBsAg. Logistic regression model was performed to identify risk factors for HBsAg positivity in mothers.

resultsA total of 2105 mothers-pairs child were recruited. The median age of mothers and infants was 29 years, interquartile range (IQR) [25-33] and 2.1 years, IQR [1-3] respectively. About 35% of women were screened for HBV during antenatal care and 85% of infants received three doses of HBV immunization. Among mothers, the prevalence of HBV was 10.6, 95% confidence interval (95% CI) [9.4-12.0%], and 177 had detectable HBV viral load (> 10 IU/mL). Among mothers with positive HBsAg, three infants also had positive HBsAg, a prevalence of 1.3, 95% CI [0.2-3.8%]. In multivariable analysis, HIV-infection (aOR = 2.19; p = 0.018), having at least three pregnancies (aOR = 1.46; p = 0.025) and living in Tsévié (aOR = 0.31; p < 0.001) compared to those living in Lomé, were associated to HBV infection in mothers.

conclusionIn this study, one out of 10 childbearing women were infected with HBV, but less than 2% of infant born to HBV positive mothers under 5 years' old who received immunization under the Expanded Program on Immunization were infected. Improving antenatal screening and providing targeted interventions in babies could help eliminate HBV in Togo.

Indexed as

VaccinationAdultChild, PreschoolCross-Sectional StudiesFemaleHepatitis BHepatitis B Surface AntigensHepatitis B virusHIVHIV InfectionsHumansInfantInfectious Disease Transmission, VerticalMalePregnancyPregnancy Complications, InfectiousHepatitis B Surface AntigensChildbearing-womenHepatitis BInfantsTogoVaccination

Identifiers

PMID33183254
PMCPMC7664060
OpenAlexW3100133443

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.