Evidence map›Paper›PMID 21339819›Full record

ArticlePloS one2011

Secondary attack rate of tuberculosis in urban households in Kampala, Uganda.

Christopher C Whalen, Sarah Zalwango, Allan Chiunda, LaShaunda Malone, Kathleen Eisenach, Moses Joloba, W Henry Boom, Roy Mugerwa

Abstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 6 pooled it
–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

51 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Molecular detection of rifampicin-resistantFrontiers in medicine · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Incidence of tuberculous infection in a TB-endemic city.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2024
    Article
  11. Open forum infectious diseases · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Excess Risk of Tuberculosis Infection Among Extra-household Contacts of Tuberculosis Cases in an African City.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  18. Article
  19. Article
  20. Genetics and evolution of tuberculosis pathogenesis: New perspectives and approaches.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2020
    Review
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

8 authors.

Christopher C WhalenDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia, United States of America. ccwhalen@uga.edu
Sarah Zalwango
Allan Chiunda
LaShaunda Malone
Kathleen Eisenach
Moses Joloba
W Henry Boom
Roy Mugerwa

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
TRAINING IN HIV-RELATED MALIGNANCIESD43TW000011 · FIC · CASE WESTERN RESERVE UNIVERSITY · PI WHALEN, CHRISTOPHER C. · 1988 to 2012
$10.9M
Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
FIC NIH HHS D43 TW000011FIC NIH HHS TW-00011NIAID NIH HHS AI 36219NIAID NIH HHS HHSN266200700022C/N01-AI-7002NIAID NIH HHS N01 AI095383NIAID NIH HHS N01-AI-95383NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

backgroundTuberculosis is an ancient disease that continues to threaten individual and public health today, especially in sub-Saharan Africa. Current surveillance systems describe general risk of tuberculosis in a population but do not characterize the risk to an individual following exposure to an infectious case.

methodsIn a study of household contacts of infectious tuberculosis cases (n = 1918) and a community survey of tuberculosis infection (N = 1179) in Kampala, Uganda, we estimated the secondary attack rate for tuberculosis disease and tuberculosis infection. The ratio of these rates is the likelihood of progressive primary disease after recent household infection.

resultsThe secondary attack rate for tuberculosis disease was 3.0% (95% confidence interval: 2.2, 3.8). The overall secondary attack rate for tuberculosis infection was 47.4 (95% confidence interval: 44.3, 50.6) and did not vary widely with age, HIV status or BCG vaccination. The risk for progressive primary disease was highest among the young or HIV infected and was reduced by BCG vaccination.

conclusionsEarly case detection and treatment may limit household transmission of M. tuberculosis. Household members at high risk for disease should be protected through vaccination or treatment of latent tuberculosis infection.

Indexed as

Family CharacteristicsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansIncidenceMaleMiddle AgedRecurrenceRisk FactorsTuberculosisUganda

Identifiers

PMID21339819
PMCPMC3038854

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.