Evidence map›Paper›PMID 32017971›Full record

ArticleThe Journal of infection2020

Ocular Chlamydia trachomatis infection, anti-Pgp3 antibodies and conjunctival scarring in Vanuatu and Tarawa, Kiribati before antibiotic treatment for trachoma.

Robert Butcher, Becca Handley, Mackline Garae, Raebwebwe Taoaba, Harry Pickering, Annie Bong, Oliver Sokana, Matthew J Burton, Nuno Sepúlveda, Ana Cama and 6 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Trachoma.Lancet (London, England) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Viruses Associated with Acute Conjunctivitis in Vanuatu.The American journal of tropical medicine and hygiene · 2023
    Article
  13. Where should we offer mass drug administration for trachoma?The Medical journal of Australia · 2022
    Article
  14. Article
  15. Trachoma.Nature reviews. Disease primers · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Conjunctival Scarring, Corneal Pannus, and Herbert's Pits in Adolescent Children in Trachoma-endemic Populations of the Solomon Islands and Vanuatu.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  20. 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

16 authors at 5 institutions in 4 countries.

Robert ButcherClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom. Electronic address: robert.butcher@lshtm.ac.uk.
Becca HandleyClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Mackline GaraeDepartment of Neglected Tropical Diseases, Vanuatu Ministry of Health and Medical Services, Port Vila, Vanuatu.
Raebwebwe TaoabaEye Department, Kiribati Ministry of Health and Medical Services, Bikenibeu, Tarawa, Kiribati.
Harry PickeringClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Annie BongEye Department, Vanuatu Ministry of Health and Medical Services, Port Vila, Vanuatu.
Oliver SokanaEye Department, Solomon Islands Ministry of Health and Medical Services, Honiara, Solomon Islands.
Matthew J BurtonClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Nuno SepúlvedaDepartment of Infection Biology, London School of Hygiene & Tropical Medicine & Centre of Statistics and Its Applications, University of Lisbon, Portugal.
Ana CamaFred Hollows Foundation, Melbourne, Australia.
Richard Le MesurierFred Hollows Foundation, Melbourne, Australia.
Anthony W SolomonClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
David MabeyClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
Fasihah TaleoDepartment of Neglected Tropical Diseases, Vanuatu Ministry of Health and Medical Services, Port Vila, Vanuatu.
Rabebe TekeraoiEye Department, Kiribati Ministry of Health and Medical Services, Bikenibeu, Tarawa, Kiribati.
Chrissy H RobertsClinical Research Department, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.
University of London · GBVanuatu Cultural Centre · VULondon School of Hygiene & Tropical Medicine · GBMinistry of Fisheries and Marine Resource Development · KIUniversity of Lisbon · PT

Funding

Wellcome TrustWellcome Trust 098481/Z/12/ZWellcome Trust 105609
6 · The paper itself

Abstract

introductionIn the peri-elimination setting, the positive predictive value of trachomatous inflammation-follicular (TF), the primary marker used to determine need for antibiotics for trachoma, is suboptimal. Here, three non-TF measures are used to compare two regions where TF prevalence exceeds the threshold for intervention, but where the Chlamydia trachomatis (Ct) prevalence is different.

methodsPopulation prevalence of trachoma was measured in Vanuatu (n = 3470) and Kiribati (n = 2922). Dried blood spots (DBS) and conjunctival photographs were collected from every survey participant, and conjunctival swabs were collected from those aged 1-9 years. Individuals were tested for blood anti-Pgp3 antibodies, Ct DNA at the conjunctiva and severity of conjunctival scarring.

resultsThe prevalence of TF in 1-9-year-olds was 16.5% in Vanuatu and 38.2% in Tarawa. 7% of people aged ≥1 year in Vanuatu had conjunctival scarring compared to 27% in Tarawa. The prevalence of ocular Ct infection in 1-9-year-olds was 1.5% in Vanuatu and 27.4% in Tarawa. The seroconversion rate amongst 1-9-year-old children in Vanuatu and Tarawa was 0.018 and 0.197 events per child per year, respectively.

conclusionsComparing Vanuatu to Tarawa demonstrates several markers that could be used to differentiate the trachoma status of populations in these (and other) locations.

Indexed as

TrachomaAgedAnti-Bacterial AgentsChildChild, PreschoolChlamydia trachomatisCicatrixHumansInfantMicronesiaVanuatuAnti-Bacterial AgentsAnti-Pgp3 antibodiesChlamydia trachomatisKiribatiNeglected tropical diseasesTrachomaVanuatu

Identifiers

PMID32017971
PMCPMC7113835
OpenAlexW3003952862

What OpenQuestion holds

Textmetadata
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.