Evidence map›Paper›PMID 31272038›Full record

SynthesisJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2019

Case fatality rate and viral aetiologies of acute respiratory tract infections in HIV positive and negative people in Africa: The VARIAFRICA-HIV systematic review and meta-analysis.

Sebastien Kenmoe, Jean Joel Bigna, Abdou Fatawou Modiyingi, Marie S Ndangang, Paul Alain Ngoupo, Fredy Brice N Simo, Serges Tchatchouang, Elvis Temfack, Richard Njouom

Open access · greenAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Guidelines for Antibiotics Prescription in Critically Ill Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Effects of human immunodeficiency virus status on symptom severity in influenza-like illness in an otherwise healthy adult outpatient cohort.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Observational
  10. Article
  11. COVID-19 and VIH.Colombia medica (Cali, Colombia) · 2020
    Review
  12. 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

9 authors at 3 institutions in 2 countries.

Sebastien KenmoeNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: ken_sebas@yahoo.fr.
Jean Joel BignaNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: bignarimjj@yahoo.fr.
Abdou Fatawou ModiyingiNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: abfatawou@yahoo.fr.
Marie S NdangangDepartment of Medical Information and Informatics, Rouen University Hospital, Rouen, France. Electronic address: ndangangmarie@live.fr.
Paul Alain NgoupoNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: tagnouokam@pasteur-yaounde.org.
Fredy Brice N SimoNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: nenmgsi@yahoo.fr.
Serges TchatchouangNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: t_serges2005@yahoo.fr.
Elvis TemfackDepartment of Internal Medicine, Douala General Hospital, Douala, Cameroon. Electronic address: etemfack@hotmail.com.
Richard NjouomNational Influenza Centre, Centre Pasteur of Cameroon, Yaoundé, Cameroon. Electronic address: njouom@pasteur-yaounde.org.
Centre Pasteur du Cameroun · CMUniversité de Rouen Normandie · FRUniversity of Douala · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo set priorities for efficient control of acute respiratory tract infection (ARTI) in Africa, it is necessary to have accurate estimate of its burden, especially among HIV-infected populations.

objectivesTo compare case fatality rate (CFR) and viral aetiologies of ARTI between HIV-positive and HIV-negative populations in Africa. STUDY

designWe searched PubMed, EMBASE, Web of Knowledge, Africa Journal Online, and Global Index Medicus to identify studies published from January 2000 to April 2018. Random-effect meta-analysis method was used to assess association (pooled weighted odds ratios (OR) with 95% confidence interval (CI)).

resultsA total of 36 studies (126,526 participants) were included. CFR was significantly higher in patients with HIV than in HIV-negative controls (OR 4.10, 95%CI: 2.63-6.27, I²: 93.7%). The risk was significantly higher among children ≤5 years (OR 5.51, 95%CI 2.83-10.74) compared to people aged >5 years (OR 1.48, 95%CI 1.17-1.89); p = 0.0002. There was no difference between children (15 years) and adults and between regions of Africa. There was no difference for viral respiratory aetiologies (Enterovirus, Adenovirus, Bocavirus, Coronavirus, Metapneumovirus, Parainfluenza, Influenza, and Respiratory Syncytial Virus) of ARTI between HIV-positive and HIV-negative people, except for Rhinovirus where being HIV-negative was associated with Rhinovirus (OR 0.70; 95%CI 0.51-0.97, I²: 63.4%).

conclusionsThis study shows an increased risk of deaths among HIV-infected individuals with ARTI, however with no difference in viral aetiologies compared to HIV-negative individuals in Africa. ARTI deserves more attention from HIV health-care providers for efficient control. Specific strategies are needed for HIV-positive children under 5.

Indexed as

AfricaAge FactorsChildChild, PreschoolCoinfectionHIV InfectionsHumansInfantMortalityRespiratory Tract InfectionsAcute respiratory infectionsAfricaAIDSEpidemiologyHIVMortality

Identifiers

PMID31272038
PMCPMC7106531
OpenAlexW2954391702

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.