Evidence map›Paper›PMID 34358216›Full record

ArticleVaccines2021

Timely Birth Dose Vaccine to Prevent Vertical Transmission of Hepatitis B: A Single Center Experience on the Road to the WHO Elimination Goals in Italy.

Michele Pinon, Laura Giugliano, Emanuele Nicastro, Omar Kakaa, Alessandra Coscia, Caterina Carbonara, Lorenzo D'Antiga, Pier Luigi Calvo

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
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

8 authors at 2 institutions in 1 country.

Michele PinonPediatric Gastroenterology Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, 10126 Turin, Italy.
Laura GiuglianoPediatric Gastroenterology Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, 10126 Turin, Italy.ORCID 0000-0001-6073-6608
Emanuele NicastroPaediatric Hepatology, Gastroenterology and Transplantation, ASST Ospedale Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-4518-9375
Omar KakaaDepartment of Pediatrics and Public Health Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0001-9118-3604
Alessandra CosciaNeonatology Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, 10126 Turin, Italy.
Caterina CarbonaraNeonatology Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, 10126 Turin, Italy.
Lorenzo D'AntigaPaediatric Hepatology, Gastroenterology and Transplantation, ASST Ospedale Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0001-7150-3148
Pier Luigi CalvoPediatric Gastroenterology Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, 10126 Turin, Italy.
University of Turin · ITOspedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Italy was one of the first industrialized countries to implement a program of routine vaccination against hepatitis B virus (HBV) infection. However, currently, no HBV vaccine is administered at birth if the screened mother is HBsAg negative, whilst babies born to HBsAg positive mothers are given vaccine and hepatitis B immunoglobulin, within 12-24 post-delivery hours. A single center retrospective analysis of policies and practices to prevent mother-to-child transmission of HBV was carried out, to evaluate their adherence to HBV care guidelines. Paired maternal-infant medical records for consecutive live births, between January 2015 and December 2019, were reviewed at the AOU Città della Salute e Scienza di Torino, where a total of 235/35,506 babies (0.7%) were born to HBsAg positive mothers. Markers of active viral replication, i.e., HBV DNA level and/or HBeAg, were reported in only 66/235 (28%) of the mothers' medical records. All newborns had immunoprophylaxis at birth: 61% at <12 h, 31% between 12 and 24 h, 7% between 24 and 36 h and 1% at >36 h. In 2019, two cases of vertical HBV transmission occurred, despite timely immunoprophylaxis, as their mothers' viral load was detected too late for antiviral prophylaxis. Missed early identification of pregnant women with high viremia levels or late vaccinations may contribute to perinatal HBV infection. Immunoprophylaxis should be given to babies born to HBsAg positive mothers at the latest within 12 h. In Italy, policies aimed at achieving the WHO 2030 goal of eliminating viral hepatitis should be further implemented.

Indexed as

hepatitis B virusimmunoprophylaxisprevention strategiestimely vaccinationvertical transmission

Identifiers

PMID34358216
PMCPMC8310039
OpenAlexW3184412928

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.