Evidence map›Paper›PMID 31581271›Full record

ArticlePloS one2019

Isoniazid preventive therapy: Uptake, incidence of tuberculosis and survival among people living with HIV in Bulawayo, Zimbabwe.

Saziso Nyathi, Riitta A Dlodlo, Srinath Satyanarayana, Kudakwashe C Takarinda, Hannock Tweya, Sithokozile Hove, Ronnie Matambo, Winnie Mandewo, Khulamuzi Nyathi, Edwin Sibanda and 1 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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  13. Minimally Invasive Tissue Sampling: A Tool to Guide Efforts to Reduce AIDS-Related Mortality in Resource-Limited Settings.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  14. Article
  15. Coverage of isoniazid preventive therapy among people living with HIV; A retrospective cohort study in Tanzania (2012-2016).International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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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

11 authors.

Saziso NyathiHealth Services Department, City of Bulawayo, Bulawayo, Zimbabwe.ORCID 0000-0003-1916-7313
Riitta A DlodloInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
Srinath SatyanarayanaInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.ORCID 0000-0002-5420-2551
Kudakwashe C TakarindaInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
Hannock TweyaLight House Trust, Lilongwe, Malawi.
Sithokozile HoveHealth Services Department, City of Bulawayo, Bulawayo, Zimbabwe.
Ronnie MatamboInternational Union Against Tuberculosis and Lung Disease (The Union), Harare, Zimbabwe.
Winnie MandewoElizabeth Glaser Peadiatric AIDS Foundation, Harare, Zimbabwe.
Khulamuzi NyathiHealth Services Department, City of Bulawayo, Bulawayo, Zimbabwe.
Edwin SibandaHealth Services Department, City of Bulawayo, Bulawayo, Zimbabwe.
Anthony D HarriesInternational Union Against Tuberculosis and Lung Disease (The Union), Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingFour primary health care clinics providing tuberculosis (TB) and Human Immunodeficiency Virus care services in Bulawayo, Zimbabwe.

objectivesTo assess isoniazid preventive therapy (IPT) initiation and completion, factors associated with IPT uptake and incidence of TB, and TB and antiretroviral treatment (ART) outcomes among people living with HIV (PLHIV).

designThis was a cohort study using routine data in the records for PLHIV initiated on ART from October 2013 to March 2014 with 31 December 2017 as the end of the follow-up period.

resultsA total of 408 PLHIV were eligible for IPT, 214 (52%) were initiated on IPT and 201 (94%) completed IPT. No person in the IPT-initiated group developed Tuberculosis (TB). Six persons with TB were reported among the non-IPT-initiated group leading to an incidence of 9 cases/1,000 person-years of follow-up. About 70% of those who developed and were treated for TB had a successful TB treatment outcome. The survival on ART at four years of follow-up was 88% among the IPT-initiated PLHIV that was significantly higher than the 75% survival in the group not- initiated on IPT.

conclusionThe study revealed low IPT initiation among eligible PLHIV who, if started on IPT, completed the six month regimen. TB was reported only among the PLHIV not-initiated on IPT and the four year ART survival was higher in the IPT-initiated group than in the non-initiated group. These findings reinforce the need to strengthen IPT uptake among PLHIV in Bulawayo.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveAntitubercular AgentsFemaleHIV InfectionsHumansIncidenceIsoniazidMaleMiddle AgedTuberculosisYoung AdultZimbabweAntitubercular AgentsIsoniazid

Identifiers

PMID31581271
PMCPMC6776297

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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.