Evidence map›Paper›PMID 27084271›Full record

ArticleBMJ open2016

Determinants for tuberculosis in HIV-infected adults in Northwest Ethiopia: a multicentre case-control study.

Yihun Mulugeta Alemu, Worku Awoke, Annalies Wilder-Smith

Erratum issuedOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2016. 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 3 countries.

Yihun Mulugeta AlemuInstitute of Public Health, Heidelberg University, Heidelberg, Germany School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Worku AwokeSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Annalies Wilder-SmithInstitute of Public Health, Heidelberg University, Heidelberg, Germany Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Bahir Dar University · ETHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to identify determinants for tuberculosis (TB) among HIV-infected adults in Northwest Ethiopia.

designCase-control study.

settingThree hospitals and 10 health centres in Northwest Ethiopia.

participantsA total of 446 individuals consented to participate in the study (150 cases and 296 controls). Cases were HIV-infected adults diagnosed with active TB, and controls were HIV-infected adults without active TB.

main outcome measureThe link between TB and determinants was assessed using logistic regression. Determinants were categorised as sociodemographic, host-related, clinical and environmental.

resultsSmoking (adjusted OR (AOR) 5.47; 95% CI 2.26 to 13.22), presence of a TB patient in the family (AOR 2.66; 95% CI 1.25 to 5.66), alcohol consumption (AOR 2.49; 95% CI 1.29 to 4.80) and chewing khat (AOR 2.22; 95% CI 1.11 to 4.41) were independent determinants for increased occurrence of TB. Highly active antiretroviral therapy (HAART) (AOR 0.25; 95% CI 0.13 to 0.51), isoniazid preventive therapy (IPT) (AOR 0.22; 95% CI 0.11 to 0.41) and cotrimoxazole preventive therapy (AOR 0.32; 95% CI 0.19 to 0.55) had a protective effect against TB.

conclusionsHIV-infected adults with substance abuse (tobacco smoking, khat chewing and alcohol) should be prioritised for TB screening. This study reaffirmed that HAART and IPT are some of the best strategies for reducing TB occurrence in HIV-infected adults. These findings provide impetus to intensify tracing of TB household contacts.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveAntitubercular AgentsCase-Control StudiesCD4 Lymphocyte CountCoinfectionEthiopiaFemaleHIV InfectionsHumansIsoniazidLogistic ModelsMaleMultivariate AnalysisRetrospective StudiesSubstance-Related DisordersAntitubercular AgentsIsoniazidPUBLIC HEALTH

Identifiers

PMID27084271
PMCPMC4838743
OpenAlexW2336298885

What OpenQuestion holds

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LicenceCC BY-NC
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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.