Evidence map›Paper›PMID 30359447›Full record

ArticlePloS one2018

Long-lasting effect of oral azithromycin taken by women during labour on infant nutrition: Follow-up cohort of a randomized clinical trial in western Gambia.

Anna Roca, Bully Camara, Claire Oluwalana, Kodou Lette, Christian Bottomley, Umberto D'Alessandro

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01800942 (Prevention of Bacterial Infections in the Newborn by Pre-delivery Administration of Azithromycin), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 40% 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.

NCT01800942 phase3completednot on this map

Prevention of Bacterial Infections in the Newborn by Pre-delivery Administration of Azithromycin (AZI): a Placebo-controlled Randomized Trial

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2013 to 2015Enrolled829ConditionsNeonatal InfectionArmsAzithromycin and Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. 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

6 authors at 2 institutions in 2 countries.

Anna RocaMRC Unit at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Bully CamaraMRC Unit at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Claire OluwalanaMRC Unit at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Kodou LetteMRC Unit at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Christian BottomleyLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Umberto D'AlessandroMRC Unit at the London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
MRC Unit the Gambia · GMLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MC_EX_MR/J010391/1Medical Research Council MC_UP_A900_1119Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

objectiveTo assess the effect of administering an oral dose of 2g of azithromycin in Gambian women during labour on infant growth.

methodsChildren whose mothers had been randomized to receive either an oral dose of 2g of azithromycin or placebo during labour were visited at home at the end of infancy by trained study nurses blind to the treatment allocation. The follow-up visit of these cohorts (exposed and non-exposed to azithromycin), which was not part of the original trial design, was conducted between November 2014 and May 2015 when the infants were 11 to 13 months of age. During visits, nurses recorded anthropometrical measurements and transcribed information from the infants' welfare cards.

resultsFour-hundred and sixty-five (79.6%) of the 584 infants aged 11-13 months at the time of the survey were recruited. The proportion of children with an age-adjusted Z-score <-2SD for mid-upper-arm circumference (MUAC) was lower among those exposed to azithromycin [1.3% versus 6.3%, OR = 0.21 95%CI (0.06,0.72), p = 0.006] and there was weak evidence of a difference in the proportion of infants with weight-for-age (WAZ) Z-score <-2SD [7.1% versus 12.1%, OR = 0.58 95%CI (0.33,1.04), p = 0.065]. For all other malnutrition indicators the proportions were similar in the exposed and un-exposed cohort.

conclusionsOur results show that azithromycin in labour may have a beneficial effect in MUAC among children who are below the curve. Larger studies with closer follow-up are warranted. TRIAL REGISTRATION (MAIN TRIAL): ClinicalTrials.gov Identifier NCT01800942.

Indexed as

Follow-Up StudiesPrenatal Exposure Delayed EffectsAdministration, OralAzithromycinBody WeightChild DevelopmentFemaleGambiaHumansInfantInfant Nutritional Physiological PhenomenaPregnancyRandomized Controlled Trials as TopicAzithromycin

Identifiers

PMID30359447
PMCPMC6201939
OpenAlexW2898266053

What OpenQuestion holds

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LicenceCC BY
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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.