Evidence map›Paper›PMID 26020541›Full record

Trial reportPloS one2015

Radiological findings in young children investigated for tuberculosis in Mozambique.

Alberto L García-Basteiro, Elisa López-Varela, Orvalho Joaquim Augusto, Kizito Gondo, José Muñoz, Jahit Sacarlal, Ben Marais, Pedro L Alonso, José L Ribó

Erratum issuedOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Alberto L García-BasteiroCentro de Investigação em Saude de Manhiça (CISM). Rua 12, Cambeve CP 1929 Maputo, Mozambique; ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Rossello, 132, 08036, Barcelona, Spain.
Elisa López-VarelaCentro de Investigação em Saude de Manhiça (CISM). Rua 12, Cambeve CP 1929 Maputo, Mozambique; ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Rossello, 132, 08036, Barcelona, Spain.
Orvalho Joaquim AugustoISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Rossello, 132, 08036, Barcelona, Spain.
Kizito GondoCentro de Investigação em Saude de Manhiça (CISM). Rua 12, Cambeve CP 1929 Maputo, Mozambique.
José MuñozISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Rossello, 132, 08036, Barcelona, Spain.
Jahit SacarlalCentro de Investigação em Saude de Manhiça (CISM). Rua 12, Cambeve CP 1929 Maputo, Mozambique.
Ben MaraisMarie Bashir Institute for Infectious Diseases and Biosecurity Institute (MBI) and The Children's Hospital at Westmead, The University of Sydney, Australia. Westmead NSW 2145 Australia.
Pedro L AlonsoCentro de Investigação em Saude de Manhiça (CISM). Rua 12, Cambeve CP 1929 Maputo, Mozambique; ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Rossello, 132, 08036, Barcelona, Spain.
José L RibóRadiology Department, Hospital San Juan de Dios. Passeig Sant Joan de Déu, 2. 08950 Esplugues de Llobregat, Barcelona, Spain.
Barcelona Institute for Global Health · ESManhiça Health Research Centre · MZUniversitat de Barcelona · ESChildren's Hospital at Westmead · AUHospital Sant Joan de Déu Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChest radiography remains a critical tool for diagnosing intrathoracic tuberculosis (TB) in young children who are unable to expectorate. We describe the radiological findings in children under 3 years of age investigated for TB in the district of Manhiça, southern Mozambique, an area with a high prevalence of TB and HIV.

methodsDigital antero-posterior and lateral projections were performed and reviewed by two independent readers, using a standardized template. Readers included a local pediatrician and a pediatric radiologist blinded to all clinical information. International consensus case definitions for intra-thoracic TB in children were applied.

resultsA total of 766 children were evaluated of whom 43 (5.6%) had TB. The most frequent lesion found in TB cases was air space consolidation (65.1%), followed by suggestive hilar lymphadenopathy (17.1%) and pleural effusion (7.0%). Air space consolidation was significantly more common in TB cases than in non-TB cases (odds ratio 8.9; 95% CI: 1.6-50.5), as were hilar lymphadenopathy (OR 17.2; 95% CI: 5.7-52.1). The only case with miliary infiltrates and 3 with pleural effusions occurred in HIV-infected children.

conclusionFrequent air space consolidation complicates radiological distinction between TB and bacterial pneumonia in young children, underscoring the need for epidemiological contextualization and consideration of all relevant signs and symptoms.

Indexed as

Child, PreschoolFemaleHIV InfectionsHumansInfantInfant, NewbornMaleMozambiquePleural EffusionPrevalenceRadiographyTuberculosis, Pulmonary

Identifiers

PMID26020541
PMCPMC4447385
OpenAlexW1492768581

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.