Evidence map›Paper›PMID 31832636›Full record

Trial reportThe Journal of infectious diseases2021

Determinants of Urogenital Schistosomiasis Among Pregnant Women and its Association With Pregnancy Outcomes, Neonatal Deaths, and Child Growth.

Wellington Murenjekwa, Rachel Makasi, Robert Ntozini, Bernard Chasekwa, Kuda Mutasa, Lawrence H Moulton, James M Tielsch, Jean H Humphrey, Laura E Smith, Andrew J Prendergast and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01824940 (Sanitation, Hygiene, Infant Nutrition Efficacy Project), which is not on this 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
1.4field-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.

NCT01824940 nacompletednot on this map

Sanitation, Hygiene, Infant Nutrition Efficacy Project

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2012 to 2017Enrolled5,280ConditionsGrowth, Stunting, Nutritional, AnemiaArmsStandard care, WASH, Infant and young child feeding, WASH and Nutrition
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
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  8. Article
  9. Review
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  12. Article
  13. Review
  14. Low prevalence ofSouthern African journal of infectious diseases · 2023
    Article
  15. The Global Prevalence ofTropical medicine and infectious disease · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Schistosomiasis infections in South African pregnant women: A review.Southern African journal of infectious diseases · 2020
    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

11 authors at 4 institutions in 3 countries.

Wellington MurenjekwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Rachel MakasiZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Robert NtoziniZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Bernard ChasekwaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Kuda MutasaZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Lawrence H MoultonDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
James M TielschDepartment of Global Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
Jean H HumphreyZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Laura E SmithZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Andrew J PrendergastZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Claire D BourkeZvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe.
Zvitambo Institute for Maternal and Child Health Research · ZWJohns Hopkins University · USQueen Mary University of London · GBMilken Institute · US

Funding

Effect of a sanitation & nutrition intervention on HIV-exposed infant healthR01HD060338 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HUMPHREY, JEAN HAWES · 2008 to 2012
$2.0M
NICHD NIH HHS R01 HD060338Wellcome Trust 108065/Z/15/ZWellcome Trust 206225/Z/17/Z
6 · The paper itself

Abstract

backgroundSchistosoma haematobium is a parasitic helminth that causes urogenital pathology. The impact of urogenital schistosomiasis during pregnancy on birth outcomes and child growth is poorly understood.

methodsRisk factors for urogenital schistosomiasis were characterized among 4437 pregnant women enrolled in a cluster-randomized community-based trial in rural Zimbabwe. Infection was defined via urine microscopy (≥1 S. haematobium egg) and urinalysis (hematuria). Associations between infection and pregnancy outcomes were assessed in case-control analyses using conditional logistic regression. The association of maternal infection with birthweight and length-for-age Z scores (LAZ) at 1 and 18 months of age were assessed using generalized estimating equations.

resultsUrogenital schistosomiasis (egg positive and/or hematuria positive) was detected in 26.8% of pregnant women. Risk factors significantly associated with infection were maternal age, education, marital status, and religion; household drinking water source and latrine; study region; and season. Urogenital schistosomiasis was not significantly associated with adverse pregnancy outcomes (miscarriage, stillbirth, preterm, and small-for-gestational age), birthweight, neonatal death, or LAZ.

conclusionsIncluding pregnant women in antihelminthic treatment programs would benefit a large number of women in rural Zimbabwe. However, clearance of the low-intensity infections that predominate in this context is unlikely to have additive benefits for pregnancy outcomes or child growth. CLINICAL TRIALS REGISTRATION: NCT01824940.

Indexed as

Perinatal DeathPregnancy OutcomeSchistosomiasis haematobiaAnimalsBirth WeightChild DevelopmentFemaleHematuriaHumansInfantInfant, NewbornMicroscopyPregnancyPregnancy Complications, ParasiticPregnant PeopleSchistosoma haematobiumadverse birth outcomesbirthweightchild healthpregnancySchistosoma haematobiumschistosomiasisstuntingwomenZimbabwe

Identifiers

PMID31832636
PMCPMC8064048
OpenAlexW2995434064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.