Evidence map›Paper›PMID 36718922›Full record

Observational studyCentral European journal of public health2022

Hepatitis B immunization data of patients living with HIV/AIDS: a multi-centre study.

Servet Öztürk, Ayşe Serra Özel, Pinar Ergen, Seniha Şenbayrak, Canan Ağalar

Open access · bronzeAbstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in Central European journal of public health, 2022. 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
0.5field-weighted citation impact, top 34% 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, 4 citations in OpenAlex.

  1. Observational
  2. Observational
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

5 authors at 5 institutions in 1 country.

Servet ÖztürkClinic of Infectious Diseases and Clinical Microbiology, Okan University Hospital, Istanbul, Turkey.
Ayşe Serra ÖzelClinic of Infectious Diseases and Clinical Microbiology, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Pinar ErgenClinic of Infectious Diseases and Clinical Microbiology, Prof. Dr. Suleyman Yalcin Hospital, Medeniyet University, Istanbul, Turkey.
Seniha ŞenbayrakClinic of Infectious Diseases and Clinical Microbiology, Haydarpasa Numune Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Canan AğalarClinic of Infectious Diseases and Clinical Microbiology, Medicana Atasehir Hospital, Fenerbahce University, Istanbul, Turkey.
Fenerbahçe University · TRIstanbul Medeniyet University · TROkan University · TRSağlık Bilimleri Üniversitesi · TRÜmraniye Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHuman immunodeficiency virus (HIV) and hepatitis B virus (HBV) are the two leading viruses that cause the greatest number of virus-related morbidities in the world. HIV/HBV coinfection is correlated with high morbidity and mortality. For this particular reason hepatitis B vaccination is crucial for people living with HIV.

methodsPatients who are being followed-up for HIV/AIDS and who have received a hepatitis B vaccine in 4 HIV clinics over a 5-year time period have been studied. Our multi-centered, retrospective, cross-sectional and observational study investigates factors that affect hepatitis B vaccination immune response of individuals living with HIV. The patients have been studied for the parameters such as age, sex, CD4 count at the time of diagnosis or vaccination, HIV-RNA levels, comorbidities, vaccine dosage, success of immunization after vaccination, and the demographics of the patients who have and have not developed immunity.

resultsOf 645 patients that are being followed-up in our clinics, 158 received hepatitis B vaccine; 39 of these 158 patients have been excluded from the study because they did not fulfil the inclusion criteria. Finally, 119 patients were evaluated in the study, 17 of the patients (14.3%) were females and 102 (85.7%) were males. The median age was 41.11 ± 10.09 (min-max: 18-75). Twenty-three of the patients (19.3%) were at the stage of AIDS during diagnosis while 80.7% were at the stage of HIV infection. Ninety-one of the patients (76.5%) have been administered a single dose hepatitis B vaccine on the standard 0, 1st, 6th month vaccination schedule, whereas 23.5% were administered a double dose on the same vaccination schedule. When further evaluated to find whether the patient was able to develop sufficient immunity (anti-HBs ≥ 10), it was found that the immune response was statistically significantly higher in the patients whose CD4 count was greater than 200 at the time of the first diagnosis and vaccination (p = 0.05 and p = 0.001, respectively). The patients have also been evaluated according to the number of doses they received (1 vs. 2). The immune response of the patients who received two doses was statistically significantly higher (p = 0.041).

conclusionWe can conclude that in the patients with CD4 count less than 200 at the time of their diagnosis and vaccination a high dose recombinant hepatitis B vaccine should definitely be administered as the normal dose and higher dose have similar side effect profiles and the higher dose provides greater immunity.

Indexed as

Acquired Immunodeficiency SyndromeHepatitis BHIV InfectionsAdultCross-Sectional StudiesFemaleHepatitis B AntibodiesHepatitis B VaccinesHepatitis B virusHIVHumansImmunizationImmunization ScheduleMaleMiddle AgedRetrospective StudiesHepatitis B AntibodiesHepatitis B Vaccineshepatitis B vaccineHIV/AIDSTurkeyvaccination

Identifiers

PMID36718922
OpenAlexW4318669738

What OpenQuestion holds

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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.