Evidence map›Paper›PMID 23056584›Full record

ArticlePloS one2012

Smoking, BCG and employment and the risk of tuberculosis infection in HIV-infected persons in South Africa.

Tolu Oni, Hannah P Gideon, Nonzwakazi Bangani, Relebohile Tsekela, Ronnett Seldon, Kathryn Wood, Katalin A Wilkinson, Rene T Goliath, Tom H M Ottenhoff, Robert J Wilkinson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

14 citing papers in PubMed, 33 citations in OpenAlex.

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  13. Dose-response association between salivary cotinine levels and Mycobacterium tuberculosis infection.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2013
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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 4 institutions in 3 countries.

Tolu OniClinical Infectious Disease Research Initiative, Institute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, South Africa. tolullahoni@doctors.org.uk
Hannah P Gideon
Nonzwakazi Bangani
Relebohile Tsekela
Ronnett Seldon
Kathryn Wood
Katalin A Wilkinson
Rene T Goliath
Tom H M Ottenhoff
Robert J Wilkinson
Wellcome Centre for Infectious Diseases Research in Africa · ZAImperial College London · GBLeiden University Medical Center · NLUniversity of Cape Town · ZA

Funding

Medical Research Council MC_U117588499Wellcome TrustWellcome Trust 084323Wellcome Trust 088316
6 · The paper itself

Abstract

backgroundThe increased susceptibility to latent tuberculosis infection (LTBI) of HIV-1-infected persons represents a challenge in TB epidemic control. However few studies have evaluated LTBI predictors in a generalized HIV/TB epidemic setting.

methodsThe study recruited 335 HIV-infected participants from Khayelitsha, Cape Town between February 2008 and November 2010. Tuberculin skin tests and interferon-gamma release assays were performed on all participants and active TB excluded using a symptom screen, TB microscopy and culture.

resultsLTBI prevalence was 52.7% and 61.2% (TST and IGRA respectively). Being a recent TB contact (OR 2.07; 95% C.I. 1.15-3.69) was associated with TST positivity. Participants with a CD4>200 had a two-fold higher risk of IGRA positivity compared to those with CD4 counts <200 (OR 2.07; 95% C.I. 0.99-4.34). There was also a 19% increase in IGRA positivity risk for every additional year of schooling and a strong association between years of schooling and employment (p = 0.0004). A decreased risk of IGRA positivity was observed in persons with a BCG scar (OR 0.46; 95% C.I. 0.31-0.69) and in smokers (OR 0.47; 95% C.I. 0.23-0.96).

conclusionWe report the novel findings of a decreased risk of IGRA positivity in HIV-infected smokers possibly due to decreased interferon production, and in the persons with a BCG scar suggesting a protective role for BCG in this population. We also found an increased risk of TST positivity in employed persons, possibly due to ongoing transmission in public modes of transport.

Indexed as

EmploymentAdultFemaleHIV InfectionsHumansInterferon-gamma Release TestsMaleMycobacterium bovisSmokingSouth AfricaTuberculin TestTuberculosis

Identifiers

PMID23056584
PMCPMC3467259
OpenAlexW2056684332

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.