Evidence map›Paper›PMID 32043448›Full record

ArticleThe American journal of tropical medicine and hygiene2020

Impact of Doxycycline as Malaria Prophylaxis on Risk of Influenza-Like Illness among International Travelers.

Kathryn Lago, Kalyani Telu, David Tribble, Anuradha Ganesan, Anjali Kunz, Charla Geist, Jamie Fraser, Indrani Mitra, Tahaniyat Lalani, Heather Yun and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 7 institutions in 2 countries.

Kathryn LagoUniformed Services University of the Health Sciences, Bethesda, Maryland.
Kalyani TeluThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland.
David TribbleDepartment of Preventive Medicine and Biostatistics, Infectious Disease Clinical Research Program, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Anuradha GanesanWalter Reed National Military Medical Center, Bethesda, Maryland.
Anjali KunzLandstuhl Regional Medical Center, Landstuhl, Germany.
Charla GeistLandstuhl Regional Medical Center, Landstuhl, Germany.
Jamie FraserThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland.
Indrani MitraThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland.
Tahaniyat LalaniNaval Medical Center, Portsmouth, Virginia.
Heather YunUniformed Services University of the Health Sciences, Bethesda, Maryland.
For The Infectious Disease Clinical Research Program TravMil Study Group
Henry M. Jackson Foundation · USJoint Base San Antonio · USLandstuhl Regional Medical Center · DEMadigan Army Medical Center · USNaval Medical Center Portsmouth · USUniformed Services University of the Health Sciences · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Travelers are often at risk for both influenza-like illness (ILI) and malaria. Doxycycline is active against pathogens causing ILI and is used for malaria prophylaxis. We evaluated the risk factors for ILI, and whether the choice of malaria prophylaxis was associated with ILI. TravMil is a prospective observational study enrolling subjects presenting to military travel clinics. Influenza-like illness was defined as subjective fever with either a sore throat or cough. Characteristics of trip and use of malaria prophylaxis were analyzed to determine association with development of ILI. Poisson regression models with robust error variance were used to estimate relative risk (RR) of ILI. A total of 3,227 trips were enrolled: 62.1% male, median age of 39 years (interquartile range [IQR] 27,59), median travel duration 19 days (IQR 12, 49); 32% traveled to Africa, 40% to Asia, and 27% to the Caribbean and Latin America. Military travel (46%) and vacation (40%) were most common reasons for travel. Among them, 20% took doxycycline, 50% other prophylaxis, and 30% took none; 8.7% developed ILI. Decreased RR of ILI was associated with doxycycline (RR 0.65 [0.43-0.99],

Indexed as

TravelAdultAgedAntimalarialsDoxycyclineFemaleHumansInfluenza, HumanMalariaMaleMiddle AgedAntimalarialsDoxycycline

Identifiers

PMID32043448
PMCPMC7124920
OpenAlexW3006265731

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.