Evidence map›Paper›PMID 36064856›Full record

ArticleJournal of medical virology2023

A cautionary note to hepatitis B e antigen (HBeAg)-negative test results in pregnant women in an area prevalent of HBeAg-negative chronic hepatitis B.

Maisuri T Chalid, Turyadi, Susan I Ie, Rizalinda Sjahril, Ridha Wahyuni, M Nasrum Massi, David H Muljono

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical virology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Maisuri T ChalidDepartment of Obstetrics and Gynecology, Faculty of Medicine and Hasanuddin University Hospital, Hasanuddin University, Tamalanrea, Makassar, South Sulawesi, Indonesia.ORCID 0000-0001-8790-4915
TuryadiPost Graduate School, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.ORCID 0000-0002-1388-4920
Susan I IeHepatitis Research Laboratory, Eijkman Institute for Molecular Biology, North Jakarta, DKI Jakarta, Indonesia.ORCID 0000-0001-8469-932X
Rizalinda SjahrilDepartment of Microbiology, Faculty of Medicine and Hasanuddin University Hospital, Hasanuddin University, Makassar, South Sulawesi, Indonesia.ORCID 0000-0002-4678-9372
Ridha WahyuniDepartment of Microbiology, Faculty of Medicine and Hasanuddin University Hospital, Hasanuddin University, Makassar, South Sulawesi, Indonesia.ORCID 0000-0001-5519-3119
M Nasrum MassiDepartment of Microbiology, Faculty of Medicine and Hasanuddin University Hospital, Hasanuddin University, Makassar, South Sulawesi, Indonesia.ORCID 0000-0002-3347-6529
David H MuljonoHepatitis Research Laboratory, Eijkman Institute for Molecular Biology, North Jakarta, DKI Jakarta, Indonesia.ORCID 0000-0002-5542-106X
Hasanuddin University · IDEijkman Institute for Molecular Biology · IDThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal hepatitis B e Antigen (HBeAg) positivity poses a risk for hepatitis B virus (HBV) mother-to-child transmission (MTCT). In resource-constrained settings, HBeAg testing is recommended as an alternative to HBV DNA testing to establish antiviral prophylaxis eligibility. Nevertheless, the high prevalence of HBeAg-negative chronic hepatitis B (e-CHB) in many countries should not be overlooked. We studied HBV characteristics and explored the potential MTCT risk among HBeAg-negative/HBsAg-positive expectant mothers in an area prevalent of e-CHB. Among 1348 pregnant mothers screened for HBV infection, 81 (6.0%) were HBsAg-positive. These women were examined for HBeAg, HBV DNA, and cord blood HBV DNA. Sixteen (19.8%) of the HBsAg-positive mothers were HBeAg-positive, whereas 65 (80.2%) were HBeAg-negative, including eight inactive carriers (HBsAg <100 IU/ml, HBV DNA ≤ 2000 IU/ml, and ALT < 40 IU/L). Of the remaining 57 HBeAg-negative mothers, ten revealed HBV Basal Core Promoter or Precore mutations, with three having high viremia (HBV DNA > 200 000 IU/mL), which is associated with a high MTCT risk and therefore qualifies them for antiviral prophylaxis. This pilot study provides a cautionary note to the interpretation of negative HBeAg test results when determining eligibility for MTCT antiviral prophylaxis in situations with limited resources and in regions where e-CHB is prevalent.

Indexed as

Hepatitis BHepatitis B, ChronicPregnancy Complications, InfectiousAntiviral AgentsDNA, ViralFemaleHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B virusHumansInfectious Disease Transmission, VerticalPilot ProjectsPregnancyPregnant PeopleAntiviral AgentsDNA, ViralHepatitis B e AntigensHepatitis B Surface Antigenshepatitis B virusmutationvertical transmission

Identifiers

PMID36064856
PMCPMC10087600
OpenAlexW4294989668

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.