Evidence map›Paper›PMID 40046894›Full record

ArticleOpen forum infectious diseases2025

Hepatitis E Virus Infection in Vietnamese Pregnant Women with Hepatitis B: Prevalence and Clinical Outcomes.

Le Thi Hong Van, Hoang Van Tong, Bui Thanh Thuyet, Bui Lan Anh, Le Chi Cao, Do Thu Trang, Nghiem Xuan Hoan, Trinh Xuan Huy, Ngo Thu Hang, Can Van Mao and 7 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

17 authors.

Le Thi Hong VanDepartment of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam.ORCID https://orcid.org/0009-0004-2357-4020
Hoang Van TongDepartment of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-7170-8810
Bui Thanh ThuyetVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.
Bui Lan AnhInstitute of Biomedicine and Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam.ORCID https://orcid.org/0009-0001-6503-0898
Le Chi CaoInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.ORCID https://orcid.org/0000-0002-7817-4479
Do Thu TrangVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.ORCID https://orcid.org/0009-0009-4874-6411
Nghiem Xuan HoanVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-6426-7818
Trinh Xuan Huy108 Military Central Hospital, Hanoi, Vietnam.
Ngo Thu HangDepartment of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam.
Can Van MaoDepartment of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam.
Tran Thi Thanh HuyenVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.
Nguyen Linh ToanDepartment of Pathophysiology, Vietnam Military Medical University, Hanoi, Vietnam.
Le Huu SongVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.
C Thomas BockInfectious Diseases Departments, Robert Koch Institute, Berlin, Germany.ORCID https://orcid.org/0000-0002-2773-486X
Heiner WedemeyerDepartment of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology at Hannover Medical School, Hannover, Germany.
Thirumalaisamy P VelavanVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-9809-9883
Bui Tien SyVietnamese-German Center for Medical Research (VG-CARE), Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-4615-0114

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hepatitis E virus (HEV) infection during pregnancy is associated with obstetric complications and adverse maternal and neonatal outcomes. This study aimed to determine the seroprevalence of HEV and RNA positivity in both healthy pregnant women and women coinfected with hepatitis B virus (HBV). Methods: A cross-sectional study was conducted involving 528 pregnant women (278 with and 250 without hepatitis B surface antigen [HBsAg]) in their third trimester. Anti-HEV specific immunoglobulin (Ig) G and IgM antibodies were tested for using enzyme-linked immunosorbent assay, while HEV RNA was detected by means of nested polymerase chain reaction. The status of anti-HEV antibodies was analyzed regarding pregnancy outcomes and the risks of obstetric complications. Results: The results indicated that 24% of participants (127 of 528) tested positive for anti-HEV IgG, while 2.5% (13 of 528) showed detectable anti-HEV IgM. Among HBV-positive women, 26% (55 of 250) had anti-HEV IgG, comparable to 22% (61 of 278) in HBV-negative controls. Notably, 28% (140 of 501) of cord blood samples were positive for anti-HEV IgG. No cases of HEV RNA were detected. The prevalence of anti-HEV IgG increased with maternal age and was associated with higher infant birth weights. Anti-HEV IgM positivity was associated with an increased risk of neonatal infections (odds ratio, 20.6; Conclusions: These findings highlight the endemic nature of HEV in Vietnam and underscore the potential risks of coinfection with HBV during pregnancy, which may lead to adverse obstetric outcomes.

Indexed as

anti-HEV IgGanti-HEV IgMhepatitis B virushepatitis E viruspregnancy

Identifiers

PMID40046894
PMCPMC11879115

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.