Evidence map›Paper›PMID 29465686›Full record

ArticleSexually transmitted diseases2018

Prevalence and Detection of Trichomonas vaginalis in HIV-Infected Pregnant Women.

Collin M Price, Remco P H Peters, Janré Steyn, Maanda Mudau, Dawie Olivier, Lindsey De Vos, Erika Morikawa, Marleen M Kock, Andrew Medina-Marino, Jeffrey D Klausner

Abstract read
In one paragraph

Article in Sexually transmitted diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Molecular Diagnosis ofJournal of tropical medicine · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. PerformingSexually transmitted infections · 2024
    Article
  7. Trichomoniasis.Infectious disease clinics of North America · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. A review onSouthern African journal of infectious diseases · 2021
    Review
  13. Sexually transmitted infections in pregnant women from sub-Saharan Africa.Southern African journal of infectious diseases · 2021
    Review
  14. PersistentInternational journal of STD & AIDS · 2020
    Article
  15. Review
  16. Review
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.

Collin M Price
Remco P H Peters
Janré Steyn
Maanda Mudau
Dawie Olivier
Lindsey De Vos
Erika Morikawa
Marleen M Kock
Andrew Medina-Marino
Jeffrey D Klausner

Funding

Pilot Study of STI Screening and Treatment for PMTCTR21HD084274 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KLAUSNER, JEFFREY DAVID, MEDINA-MARINO, ANDREW · 2015 to 2016
$352k
NICHD NIH HHS R21 HD084274PEPFAR
6 · The paper itself

Abstract

backgroundTrichomonas vaginalis is a sexually transmitted infection associated with increased transmission of HIV and significant adverse birth outcomes; culture and polymerase chain reaction (PCR) are commonly used in diagnosis.

methodsConsenting HIV-infected pregnant women were recruited from clinics in South Africa and screened for T. vaginalis using PCR. Polymerase chain reaction-positive women provided an additional sample for culture. We compared T. vaginalis detection between PCR and culture, and investigated how PCR cycle threshold (Ct) values differ among culture results.

resultsA total of 359 women were enrolled and 76 (20%) tested T. vaginalis PCR positive. Cultures were obtained from 61 of the PCR-positive women, and 38 (62%) were culture positive. The median baseline Ct of the PCR-positive/culture-positive group was 22.6 versus 38.0 among those who were PCR positive/culture negative (P < 0.001). Culture-positive cases had lower Ct values (higher DNA load); a Ct value less than 30 predicted positivity with a sensitivity of 97% and a specificity of 96%.

conclusionsCulture was positive in roughly half of PCR-positive cases. The culture-negative cases had significantly higher Ct values, indicating a lower concentration of T. vaginalis DNA. A Ct value of 30 provides a reliable threshold for predicting culture positivity. The clinical significance of culture-negative infections detected by PCR is still unclear.

Indexed as

AdultCohort StudiesFemaleHIV InfectionsHumansPolymerase Chain ReactionPregnancyPregnancy Complications, InfectiousPrevalenceSensitivity and SpecificitySexually Transmitted DiseasesSouth AfricaTrichomonas InfectionsTrichomonas vaginalisTrichomonas VaginitisVaginal Smears

Identifiers

PMID29465686
PMCPMC5897177

What OpenQuestion holds

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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.