Evidence map›Paper›PMID 41559625›Full record

Observational studyBMC infectious diseases2026

The risk of hepatitis B virus reactivation in COVID-19 patients treated with corticosteroids: a retrospective observational cohort study.

Daša Stupica, Stefan Collinet-Adler, Janina Jerman Grašič, Deja Juriševič, Nataša Kejžar, Mario Poljak, Tina Štamol

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07154212 (Managing the Risk of Hepatitis B Virus Reactivation in COVID-19 Patients Treated With Corticosteroids), which is not on this map. Not yet cited in PubMed.

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

NCT07154212 completednot on this map

Managing the Risk of Hepatitis B Virus Reactivation in COVID-19 Patients Treated With Corticosteroids

TypeobservationalSponsorUniversity Medical Centre LjubljanaRan2020 to 2022Enrolled1,793ConditionsCOVID-19 Pneumonia, Hypoxemia, Hepatitis BArmsHepatitis B virus infection
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Daša StupicaDepartment of Infectious Diseases, University Medical Centre Ljubljana, Vrazov Trg 1, Ljubljana, 1525, Slovenia. dasa.stupica@kclj.si.
Stefan Collinet-AdlerDepartment of Infectious Diseases, Methodist Hospital, Park Nicollet/Health Partners, Saint Louis Park, MN, USA.
Janina Jerman GrašičFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Deja JuriševičFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Nataša KejžarInstitute for Biostatistics and Medical Informatics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Mario PoljakInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, Ljubljana, 1000, Slovenia.
Tina ŠtamolInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, Ljubljana, 1000, Slovenia.

Funding

Slovenian Research Agency P3-0154University Medical center Ljubljana TP20220153
6 · The paper itself

Abstract

backgroundSystemic corticosteroids, recommended for adult patients with coronavirus disease 2019 (COVID-19) who require supplemental oxygen, may carry an increased risk of reactivating latent infections such as hepatitis B virus (HBV) infection.

methodsThis retrospective observational cohort study of prospectively collected clinical data evaluated HBV screening frequency and examined the prevalence and reactivation of HBV among hospitalised adults treated with systemic corticosteroids for COVID-19 at a tertiary care hospital in Slovenia.

resultsAnti-HBc screening was conducted in 1,793/2,134 (84%) hospitalised patients receiving corticosteroids for COVID-19 (median age 70 years [IQR 59‒79 years]; 1,082 [60.3%] were male). Among the 1,793 screened patients, 157 (8.8%) were anti-HBc positive, and 5 (0.3%) of them also HBsAg positive. All five HBsAg-positive patients were aviremic. HBV infection was previously known in three of these patients (two on long-term tenofovir treatment) and identified de novo in two. Entecavir was initiated for one patient. Throughout the hospitalisations and 12-month follow-up periods, no cases of HBV viral rebound were observed in any of the HBsAg positive patients; one of the treated patients succumbed to COVID-19 pneumonia. No HBV reactivation or unexplained hepatopathy occurred in the 152 anti-HBc positive/HBsAg negative patients, none of whom were given antiviral prophylaxis.

conclusionsCorticosteroids for COVID-19 did not appear to be a significant risk factor for HBV reactivation in cases of occult hepatitis B. Universal antiviral prophylaxis in HBsAg negative/anti HBc positive individuals may not be warranted with short courses of corticosteroids for COVID-19 in the absence of other risk factors for HBV reactivation.

trial registrationRetrospectively registered with ClinicalTrials.gov, NCT07154212, September 2, 2025.

Indexed as

Adrenal Cortex HormonesCOVID-19COVID-19 Drug TreatmentHepatitis BHepatitis B virusVirus ActivationAgedFemaleHepatitis B Surface AntigensHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSARS-CoV-2SloveniaAdrenal Cortex HormonesHepatitis B Surface AntigensCorticosteroidsCOVID-19Hepatitis B virusReactivation

Identifiers

PMID41559625
PMCPMC12905940

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Registered trials

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.