Evidence map›Paper›PMID 19716560›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2009

Effect of prenatal and perinatal antibiotics on maternal health in Malawi, Tanzania, and Zambia.

Said Aboud, Gernard Msamanga, Jennifer S Read, Lei Wang, Chelu Mfalila, Usha Sharma, Francis Martinson, Taha E Taha, Robert L Goldenberg, Wafaie W Fawzi

Open access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Article
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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

10 authors at 7 institutions in 2 countries.

Said AboudDepartment of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. aboudsaid@yahoo.com
Gernard Msamanga
Jennifer S Read
Lei Wang
Chelu Mfalila
Usha Sharma
Francis Martinson
Taha E Taha
Robert L Goldenberg
Wafaie W Fawzi
Fred Hutch Cancer Center · USMuhimbili University of Health and Allied Sciences · TZDrexel University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USHarvard University · USJohns Hopkins University · USNational Institutes of Health · US

Funding

HIV PREVENTION TRIALS UNIT--MALAWIU01AI048005 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TAHA, TAHA E · 2000 to 2006
$37.6M
UAB-ZAMBIA-HAITI HIV PREVENTION TRIALS UNITU01AI047972 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STRINGER, JEFFREY SAMUEL ALLEN · 2000 to 2006
$16.5M
HIV PREVENTION TRIALS UNITU01AI048006 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 2000 to 2005
$14.3M
Vanderbilt University-CIDRZ AIDS International Training and Research ProgramD43TW001035 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 1998 to 2014
$10.9M
STATISTICAL &CLINICAL COORDINATING CENTER (SC)N01AI045200 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SELF, STEVEN G. · 1994 to 2000
$853k
INTNL.VACC.EFFICACY TRIALS MASTER CONTRACT (IMC)N01AI035173 · NIAID · FAMILY HEALTH INTERNATIONAL · PI CATES, WILLARD · 1993 to 2000
$0k
FIC NIH HHS D43 TW001035FIC NIH HHS D43-TW01035-07NIAID NIH HHS N01 AI035173NIAID NIH HHS N01-AI-035173NIAID NIH HHS N01-AI-035173-117/412NIAID NIH HHS N01 AI045200NIAID NIH HHS N01-AI-045200NIAID NIH HHS U01 AI047972NIAID NIH HHS U01-AI-047972NIAID NIH HHS U01 AI048005NIAID NIH HHS U01-AI-048005NIAID NIH HHS U01 AI048006NIAID NIH HHS U01-AI-048006
6 · The paper itself

Abstract

objectiveWe assessed the effect of prenatal and peripartum antibiotics on maternal morbidity and mortality among HIV-infected and uninfected women.

methodsA multicenter trial was conducted at clinical sites in 4 Sub-Saharan African cities: Blantyre and Lilongwe, Malawi; Dar es Salaam, Tanzania; and Lusaka, Zambia. A total of 1558 HIV-infected and 271 uninfected pregnant women who were eligible to receive both the prenatal and peripartum antibiotic/placebo regimens were enrolled. Pregnant women were interviewed at 20-24 weeks of gestation and a physical examination was performed. Women were randomized to receive either antibiotics or placebo. At the 26-30 week visit, participants were given antibiotics or placebo to be taken every 4 hours beginning at the onset of labor and continuing after delivery 3 times a day until a 1-week course was completed. Logistic regression and Cox proportional hazards models were used.

resultsThere were no significant differences between the antibiotic and placebo groups for medical conditions, obstetric complications, physical examination findings, puerperal sepsis, and death in either the HIV-infected or the uninfected cohort.

conclusionAdministration of study antibiotics during pregnancy had no effect on maternal morbidity and mortality among HIV-infected and uninfected pregnant women.

Indexed as

Antibiotic ProphylaxisAdultAnti-Bacterial AgentsFemaleHIV InfectionsHumansIncidenceMalawiMaternal MortalityMaternal WelfareObstetric Labor ComplicationsOdds RatioPerinatal CarePregnancyPrenatal CarePuerperal InfectionAnti-Bacterial Agents

Identifiers

PMID19716560
PMCPMC2783250
OpenAlexW2009157840

What OpenQuestion holds

Textmetadata
LicenceTDM
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.