Evidence map›Paper›PMID 25884178›Full record

ArticleBMC infectious diseases2015

Syphilis among people with HIV infection in southern Ethiopia: sero-prevalence and risk factors.

Techalew Shimelis, Kinfe Lemma, Henock Ambachew, Endale Tadesse

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

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  16. An Update on the Global Epidemiology of Syphilis.Current epidemiology reports · 2018
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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

4 authors at 1 institution in 1 country.

Techalew ShimelisDepartment of Medical Laboratory Science, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia. techalew03@yahoo.com.
Kinfe LemmaDepartment of Internal Medicine, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia. wudiekinfe@yahoo.com.
Henock AmbachewDepartment of Medical Laboratory Science, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia. henock_ama@yahoo.com.
Endale TadesseDepartment of Medical Laboratory Science, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia. endaletd@yahoo.com.
Hawassa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSyphilis facilitates both HIV (human immunodeficiency virus) transmission and acquisition, reflecting the complex interplay between the two infections. Scarce information exists regarding syphilis epidemiology in Ethiopian context. Thus, this study determined the sero-prevalence of syphilis and associated risk factors in people with HIV infection.

methodsA cross-sectional study was conducted at Hawassa Referral Hospital, southern Ethiopia from January to May, 2014. A consecutive 993 HIV-infected participants were studied; but individuals under 15 years of age or treated for syphilis or those with a CD4+ T-cell count below 50 cells/μl were excluded. Structured questionnaires were used to collect data on socio-demography and potential risk factors for syphilis. Moreover, blood samples were collected from all participants and screened for syphilis using rapid plasma reagin (RPR) test, and those found sero-positive were confirmed using treponema pallidum haemagglutination assay (TPHA).

resultsThe sero-prevalence of syphilis was found to be 7.3% (95% CI 5.7- 9%). The rate of infection was significantly higher among participants who were ART (antiretroviral therapy) naive (odds ratio (OR) = 2.2; 95% CI 1.22 - 4.1), men (OR = 2.2; 95% CI 1.22 - 3.87), older than 50 years of age (OR = 3.9; 95% CI 1.45 - 6.94), had only primary school level education (OR = 7.8; 95% CI 2.63 - 23.2) and had a history of blood transfusion (OR = 3.9; 95% CI 1.5 - 10.4).

conclusionThe high prevalence of syphilis among HIV-infected population warrants integrating syphilis screening with HIV care to limit the clinical consequences of untreated syphilis as well as its adverse impact on HIV transmission.

Indexed as

AdultAge FactorsCross-Sectional StudiesEthiopiaFemaleHIV InfectionsHumansMaleMass ScreeningMiddle AgedPrevalenceRisk FactorsSeroepidemiologic StudiesSex FactorsSyphilisSyphilis Serodiagnosis

Identifiers

PMID25884178
PMCPMC4406018
OpenAlexW2072298501

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Registered trials

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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.