Evidence map›Paper›PMID 29852260›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2018

The role of HIV infection in the etiology and epidemiology of diarrheal disease among children aged 0-59 months in Manhiça District, Rural Mozambique.

Sozinho Acácio, Tacilta Nhampossa, Llorenç Quintó, Delfino Vubil, Charfudin Sacoor, Karen Kotloff, Tamer Farag, Nasrin Dilruba, Eusebio Macete, Myron M Levine and 3 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Daily outdoor PMAtmospheric Environment: X · 2026
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  15. Molecular Characterisation ofPathogens (Basel, Switzerland) · 2021
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  18. Pathotyping and Antibiotic Resistance Profiling ofBioMed research international · 2020
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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

13 authors.

Sozinho AcácioCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique.
Tacilta NhampossaCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique.
Llorenç QuintóISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Delfino VubilCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Charfudin SacoorCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Karen KotloffCenter for Vaccine Development (CVD), University of Maryland School of Medicine, Baltimore, MD, USA.
Tamer FaragCenter for Vaccine Development (CVD), University of Maryland School of Medicine, Baltimore, MD, USA.
Nasrin DilrubaCenter for Vaccine Development (CVD), University of Maryland School of Medicine, Baltimore, MD, USA.
Eusebio MaceteCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique.
Myron M LevineCenter for Vaccine Development (CVD), University of Maryland School of Medicine, Baltimore, MD, USA.
Pedro AlonsoCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Inácio MandomandoCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique.
Quique BassatCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique; ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; ICREA, Pg. Lluís Companys 23, 08010 Barcelona, Spain; Pediatric Infectious Diseases Unit, Pediatrics Department, Hospital Sant Joan de Déu (University of Barcelona), Barcelona, Spain. Electronic address: quique.bassat@isglobal.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiarrhea is an important health problem among HIV-infected patients. This study evaluated the role of HIV in the epidemiology, etiology, and severity of diarrheal disease among children.

methodsThe Global Enteric Multicenter Study enrolled children with moderate-to-severe diarrhea (MSD) and less-severe diarrhea (LSD) between December 2007 and November 2012. One to three controls for MSD cases and one per LSD case were enrolled and matched by age, sex, and neighborhood. All children were tested for HIV. Clinical data, anthropometric data, and stool samples were collected. Follow-up was performed at 60 days.

resultsTwo hundred and fourteen MSD cases and 418 controls, together with 349 LSD cases and 214 controls were tested. HIV prevalence was 25% among MSD cases (4% for matched controls) and 6% among LSD cases (6% among matched controls). HIV-infected children were more likely to have MSD (odds ratio 5.6, p<0.0001). Mortality rates were higher among HIV-infected children than among the uninfected (34 vs. 5 per 1000 child-weeks at risk; p=0.0039). Cryptosporidium, Giardia, and enteroaggregative Escherichia coli (aatA only) were more prevalent among HIV-infected MSD cases than among uninfected ones.

conclusionHIV is an important risk factor for MSD. The high mortality rate implies that children with MSD should be screened for HIV and managed accordingly.

Indexed as

Child, PreschoolDiarrheaFemaleHIV InfectionsHumansInfantInfant, NewbornMaleMozambiquePrevalenceRural PopulationChildrenEtiologyHIVLess-severe diarrheaModerate-to-severe diarrheaMortality

Identifiers

PMID29852260
PMCPMC6069671

What OpenQuestion holds

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LicenceCC BY
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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.