Evidence map›Paper›PMID 21653932›Full record

Trial reportSexually transmitted infections2011

Patterns of herpes simplex virus shedding over 1 month and the impact of acyclovir and HIV in HSV-2-seropositive women in Tanzania.

Clare Tanton, Helen A Weiss, Jerome LeGoff, John Changalucha, Tim C Clayton, David A Ross, Laurent Belec, Richard J Hayes, Deborah Watson-Jones

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted infections, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Changes in the soluble mucosal immune environment during genital herpes outbreaks.Journal of acquired immune deficiency syndromes (1999) · 2012
    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 at 6 institutions in 3 countries.

Clare TantonCentre for Sexual Health and HIV Research, Research Department of Infection and Population Health, University College London, Mortimer Market Centre, off Capper Street, London WC1E 6JB, UK. c.tanton@ucl.ac.uk
Helen A Weiss
Jerome LeGoff
John Changalucha
Tim C Clayton
David A Ross
Laurent Belec
Richard J Hayes
Deborah Watson-Jones
London School of Hygiene & Tropical Medicine · GBAmref Health Africa · TZHôpital Européen Georges-Pompidou · FRHôpital Saint-Louis · FRNational Institute for Medical Research · TZUniversity College London · GB

Funding

Medical Research Council G0400456Medical Research Council G0700837Wellcome TrustWellcome Trust 066688
6 · The paper itself

Abstract

objectivesFew studies have examined the frequency and duration of genital herpes simplex virus (HSV) shedding in sub-Saharan Africa. This study describes HSV shedding patterns among a sample of HSV-2-seropositive women enrolled in a placebo-controlled trial of HSV suppressive therapy (acyclovir 400 mg twice a day) in Tanzania.

methodsTrial participants were invited to participate in a substudy involving 12 clinic visits over 4 weeks. At each visit, cervical, vaginal and external skin swabs were taken and analysed for HSV DNA using inhouse real-time PCR.

resultsHSV shedding was mainly subclinical (90%; 57/63 shedding days in the placebo arm). The most frequent shedding site was the external skin, but HSV DNA was detected from all three sites on 42% (27/63) of shedding days. In HIV-negative women, HSV DNA was detected on 3% (9/275) of days in the acyclovir versus 11% (33/309) in the placebo arm, while in HIV-positive women, detection was on 14% (23/160) versus 19% (30/155) of days, respectively.

conclusionsHSV shedding was common, varying greatly by individual. Shedding rates were similar to studies in African and non-African settings. Among HIV-negative women, shedding rates were lower in the acyclovir arm; however, acyclovir did not substantially impact on HSV shedding in HIV-positive women.

Indexed as

HIV-1AcyclovirAdultAntiviral AgentsDNA, ViralFemaleHerpes GenitalisHerpesvirus 2, HumanHIV SeronegativityHIV SeropositivityHumansTanzaniaTime FactorsVirus SheddingAcyclovirAntiviral AgentsDNA, Viral

Identifiers

PMID21653932
PMCPMC3273761
OpenAlexW2130323445

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.