Evidence map›Paper›PMID 29741592›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Ocular Chlamydia trachomatis Infection Under the Surgery, Antibiotics, Facial Cleanliness, and Environmental Improvement Strategy in Amhara, Ethiopia, 2011-2015.

Scott D Nash, Aisha E P Stewart, Mulat Zerihun, Eshetu Sata, Demelash Gessese, Berhanu Melak, Tekola Endeshaw, Melsew Chanyalew, Ambahun Chernet, Belay Bayissasse and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Article
  8. Article
  9. Trachoma.Lancet (London, England) · 2025
    Review
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  18. Article
  19. Trachoma.Nature reviews. Disease primers · 2022
    Review
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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

16 authors at 6 institutions in 3 countries.

Scott D NashThe Carter Center, Atlanta, Georgia.
Aisha E P StewartThe Carter Center, Atlanta, Georgia.
Mulat ZerihunThe Carter Center, Addis Ababa.
Eshetu SataThe Carter Center, Addis Ababa.
Demelash GesseseThe Carter Center, Addis Ababa.
Berhanu MelakThe Carter Center, Addis Ababa.
Tekola EndeshawThe Carter Center, Addis Ababa.
Melsew ChanyalewAmhara Regional Health Bureau, Ethiopia.
Ambahun ChernetThe Carter Center, Addis Ababa.
Belay BayissasseThe Carter Center, Addis Ababa.
Jeanne MoncadaFrancis I. Proctor Foundation.
Thomas M LietmanFrancis I. Proctor Foundation.
Paul M EmersonInternational Trachoma Initiative, Decatur, Georgia.
Jonathan D KingWorld Health Organization, Geneva, Switzerland.
Zerihun TadesseThe Carter Center, Addis Ababa.
E Kelly CallahanThe Carter Center, Atlanta, Georgia.
The Carter Center · ETCarter Center · USAmhara Regional Health Bureau · ETInternational Trachoma Initiative · USUniversity of California, San Francisco · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: World Health Organization (WHO) recommendations for starting and stopping mass antibiotic distributions are based on a clinical sign of trachoma, which is indirectly related to actual infection with the causative agent, Chlamydia trachomatis. Methods: This study aimed to understand the effect of SAFE (surgery, antibiotics, facial cleanliness, and environmental improvement) interventions on ocular chlamydia in Amhara, Ethiopia, by describing the infection prevalence in a population-based sample of children aged 1-5 years. Trachoma surveys were conducted in all districts of Amhara, from 2011 to 2015 following approximately 5 years of SAFE. Ocular swabs were collected from randomly selected children to estimate the zonal prevalence of chlamydial infection. The Abbott RealTime polymerase chain reaction assay was used to detect C. trachomatis DNA. Results: A total of 15632 samples were collected across 10 zones of Amhara. The prevalence of chlamydial infection in children aged 1-5 years was 5.7% (95% confidence interval, 4.2%-7.3%; zonal range, 1.0%-18.5%). Chlamydial infection and trachomatous inflammation-intense (TI) among children aged 1-9 years were highly correlated at the zonal level (Spearman correlation [r] = 0.93; P < .001), while chlamydial infection and trachomatous inflammation-follicular were moderately correlated (r = 0.57; P = .084). Conclusions: After 5 years of SAFE, there is appreciable chlamydial infection in children aged 1-5 years, indicating that transmission has not been interrupted and that interventions should continue. The sign TI was highly correlated with chlamydial infection and can be used as a proxy indicator of infection.

Indexed as

Child, PreschoolChlamydia trachomatisEthiopiaEyeFemaleHumansInfantMalePrevalenceTrachoma

Identifiers

PMID29741592
PMCPMC6260158
OpenAlexW2800820649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.