Evidence map›Paper›PMID 39760055›Full record

ArticleInternational journal of health sciences

The hidden epidemic of occult hepatitis B and C among injection drug users (IDUs): A call for action.

Kholoud A Elkashef, Nelly R Abdel Fattah, Noha M Mesbah, Fatma F El-Shaarawy, Mahmoud Amer, Ahmed Elsadek Fakhr, Amal F Gharib, Dina M Abo-Elmatty, Asmaa R Abdel-Hamed

Abstract read
In one paragraph

Article in International journal of health sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Kholoud A ElkashefDepartment of Biochemistry, Faculty of Pharmacy, Sinai University, El-Arish, Egypt.
Nelly R Abdel FattahDepartment of Psychiatry, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Noha M MesbahDepartment of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, Egypt.
Fatma F El-ShaarawyDepartment of Biochemistry, Faculty of Pharmacy, Sinai University, El-Arish, Egypt.
Mahmoud AmerDepartment of Internal Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Elsadek FakhrDepartment of Medical Microbiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Amal F GharibDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taif University, Saudi Arabia.
Dina M Abo-ElmattyDepartment of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, Egypt.
Asmaa R Abdel-HamedDepartment of Biochemistry, Faculty of Pharmacy, Suez Canal University, Ismailia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to determine the prevalence of Occult Hepatitis B and C Infections among Egyptian injection drug users (IDUs) and identify key risk factors contributing to their occurrence within this high-risk group. Methods: In this cross-sectional study, 200 Egyptian IDUs were assessed. Participants were negative for Hepatitis B surface antigen and hepatitis C virus (HCV) RNA, with anti-HCV positive patients who achieved sustained virologic response after treatment included. Quantitative polymerase chain reaction (PCR) was used to detect HCV RNA in plasma and peripheral blood mononuclear cells, while HBV DNA was identified via nested PCR. Comparisons were made between Occult Hepatitis B infection (OBI) positive and OBI negative subgroups, as well as between other comprehensive income (OCI) positive and OCI negative subgroups. A significance level of 0.05 was set, with P-values below this indicating statistical significance. Statistical comparisons between OBI and OCI-positive and negative groups were performed using the Mann-Whitney U test and Chi-square test. Results: OBI was found in 32% of IDUs, while OCI was detected in 42% of IDUs, and was present in 53.6% of seropositive individuals. All OBI patients showed a significant increase in all liver function tests, while OCI patients had significant elevations in alanine transaminase and aspartate transaminase values. HIV coinfection was identified in 39.1% and 26.1% of OBI and OCI cases respectively. OBI and OCI coinfection were detected in 31 patients. Conclusion: Hidden infections such as OBI and OCI remain an overlooked public health issue in Egypt's IDU population. These findings highlight the need for targeted strategies to address these reservoirs of infection and could inform similar approaches in countries with comparable HBV/HCV epidemiology.

Indexed as

Injection drug usersoccult Hepatitis B virusoccult Hepatitis C virus

Identifiers

PMID39760055
PMCPMC11699232

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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.