Evidence map›Paper›PMID 28662043›Full record

Trial reportPloS one2017

Treating village newcomers and travelers for trachoma: Results from ASANTE cluster randomized trial.

Sheila K West, Beatriz Munoz, Harran Mkocha, Laura Dize, Charlotte A Gaydos, Bonnie Swenor, Ann-Margret Ervin, Thomas C Quinn

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01767506 (A Surveillance and Azithromycin Treatment for Newcomers and Travelers Evaluation), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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.

NCT01767506 nacompletednot on this map

A Surveillance and Azithromycin Treatment for Newcomers and Travelers Evaluation: The ASANTE Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2013 to 2016Enrolled52ConditionsTrachomaArmsSurveillance and treatment with azithromycin of newcomer and traveler families, Usual care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. When the Neighboring Village is Not Treated: Role of Geographic Proximity to Communities Not Receiving Mass Antibiotics for Trachoma.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Trial
  3. Article
  4. Article
  5. Review
  6. 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

8 authors at 2 institutions in 1 country.

Sheila K WestDana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore MD, United States of America.ORCID http://orcid.org/0000-0003-0818-8100
Beatriz MunozDana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore MD, United States of America.
Harran MkochaKongwa Trachoma Project, Kongwa, Tanzania.
Laura DizeInternational Chlamydia Laboratory, Johns Hopkins School of Medicine, Baltimore MD, United States of America.
Charlotte A GaydosInternational Chlamydia Laboratory, Johns Hopkins School of Medicine, Baltimore MD, United States of America.
Bonnie SwenorDana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore MD, United States of America.
Ann-Margret ErvinJohns Hopkins Bloomberg School of Public Health, Baltimore MD, United States of America.
Thomas C QuinnDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, NIH, Bethesda MD, United States of America.
Johns Hopkins University · USNational Institute of Allergy and Infectious Diseases · US

Funding

Immunopathogenesis Of Chlamydia trachomatis InfectionZIAAI000358 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI QUINN, THOMAS · 2009 to 2022
$7.0M
Surveillance & Treatment of Community Newcomers & Travelers for Trachoma ControlU10EY022584 · NEI · JOHNS HOPKINS UNIVERSITY · PI WEST, SHEILA K · 2012 to 2015
$4.5M
NEI NIH HHS U10 EY022584
6 · The paper itself

Abstract

TRIAL

designTrachoma is targeted for global elimination. Infection rates with Chlamydia trachomatis are higher in new arrivals to a community and in travelers who leave for extended periods, suggesting they are sources of re-infection. This community-randomized, clinical trial was designed to determine if a surveillance program that targeted newcomers and travelers, identified weekly, would result in more communities achieving levels of infection of ≤1%.

methods52 communities were randomly allocated 1:1 to the control (annual MDA alone if warranted) or intervention arm (annual MDA if warranted, plus a surveillance program to identify and treat newcomers and travelers). In each community, surveys were completed every six months on a random sample of 100 children ages 1-9 years for trachoma and infection. The primary outcome was the proportion of communities in the intervention arm, compared to the control arm, which had a prevalence of infection at ≤1% by 24 months. Registered: clinicaltrials.gov(NCT01767506).

resultsIntervention communities experienced an average of 110 surveillance events per month. At 24 months, 7 (27%) of 26 intervention communities achieved a prevalence of infection ≤1% compared to 4 (15%) of the 26 control communities (odds ratio = 2·6, 95%CI = 0·56-11·9). At 24 months, the average infection prevalence in the intervention communities was 4·8, compared to 6·9 in the control communities (p = ·06).

conclusionDespite surveillance programs for community newcomers and travelers, the proportion of intervention communities with a level of infection ≤1% was lower than expected and not significantly different from control communities.

Indexed as

TravelAnti-Bacterial AgentsAzithromycinChildChild, PreschoolCluster AnalysisFemaleHumansInfantMalePopulation SurveillanceTrachomaAnti-Bacterial AgentsAzithromycin

Identifiers

PMID28662043
PMCPMC5490954
OpenAlexW2726774641

What OpenQuestion holds

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Registered trials

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.