Evidence map›Paper›PMID 29580279›Full record

ArticleInfectious diseases of poverty2018

Distinct clinical characteristics and helminth co-infections in adult tuberculosis patients from urban compared to rural Tanzania.

George Sikalengo, Jerry Hella, Francis Mhimbira, Liliana K Rutaihwa, Farida Bani, Robert Ndege, Mohamed Sasamalo, Lujeko Kamwela, Khadija Said, Grace Mhalu and 10 more

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Article in Infectious diseases of poverty, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

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20citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  12. Strong Effect of Demographic Changes on Tuberculosis Susceptibility in South Africa.medRxiv : the preprint server for health sciences · 2023
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  13. Prevalence and Clinical Relevance ofOpen journal of epidemiology · 2023
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4 · The record

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5 · Who and what money

Authors and funding

20 authors.

George SikalengoIfakara Health Institute, Dar es Salaam, Tanzania.
Jerry HellaIfakara Health Institute, Dar es Salaam, Tanzania. jhella@ihi.or.tz.
Francis MhimbiraIfakara Health Institute, Dar es Salaam, Tanzania.
Liliana K RutaihwaIfakara Health Institute, Dar es Salaam, Tanzania.
Farida BaniIfakara Health Institute, Dar es Salaam, Tanzania.
Robert NdegeIfakara Health Institute, Dar es Salaam, Tanzania.
Mohamed SasamaloIfakara Health Institute, Dar es Salaam, Tanzania.
Lujeko KamwelaIfakara Health Institute, Dar es Salaam, Tanzania.
Khadija SaidIfakara Health Institute, Dar es Salaam, Tanzania.
Grace MhaluIfakara Health Institute, Dar es Salaam, Tanzania.
Yeromin MlachaIfakara Health Institute, Dar es Salaam, Tanzania.
Christoph HatzSwiss Tropical and Public Health Institute, Basel, Switzerland.
Stefanie KnoppSwiss Tropical and Public Health Institute, Basel, Switzerland.
Sébastien GagneuxSwiss Tropical and Public Health Institute, Basel, Switzerland.
Klaus ReitherSwiss Tropical and Public Health Institute, Basel, Switzerland.
Jürg UtzingerSwiss Tropical and Public Health Institute, Basel, Switzerland.
Marcel TannerSwiss Tropical and Public Health Institute, Basel, Switzerland.
Emilio LetangIfakara Health Institute, Dar es Salaam, Tanzania.
Maja WeisserIfakara Health Institute, Dar es Salaam, Tanzania.
Lukas FennerIfakara Health Institute, Dar es Salaam, Tanzania. lukas.fenner@ispm.unibe.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferences in rural and urban settings could account for distinct characteristics in the epidemiology of tuberculosis (TB). We comparatively studied epidemiological features of TB and helminth co-infections in adult patients from rural and urban settings of Tanzania.

methodsAdult patients (≥ 18 years) with microbiologically confirmed pulmonary TB were consecutively enrolled into two cohorts in Dar es Salaam, with ~ 4.4 million inhabitants (urban), and Ifakara in the sparsely populated Kilombero District with ~ 400 000 inhabitants (rural). Clinical data were obtained at recruitment. Stool and urine samples were subjected to diagnose helminthiases using Kato-Katz, Baermann, urine filtration, and circulating cathodic antigen tests. Differences between groups were assessed by χ

resultsBetween August 2015 and February 2017, 668 patients were enrolled, 460 (68.9%) at the urban and 208 (31.1%) at the rural site. Median patient age was 35 years (interquartile range [IQR]: 27-41.5 years), and 454 (68%) were males. Patients from the rural setting were older (median age 37 years vs. 34 years, P = 0.003), had a lower median body mass index (17.5 kg/m

conclusionsClinical characteristics and helminth co-infections pattern differ in TB patients in urban and rural Tanzania. The differences underline the need for setting-specific, tailored public health interventions to improve clinical management of TB and comorbidities.

Indexed as

HelminthiasisTuberculosisAdolescentAdultCohort StudiesCoinfectionFemaleHumansMaleMiddle AgedRural PopulationTanzaniaUrban PopulationYoung AdultCo-infectionHelminth infectionRecurrent tuberculosisSchistosomiasisTanzaniaTuberculosis

Identifiers

PMID29580279
PMCPMC5868052

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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.