Evidence map›Paper›PMID 32130213›Full record

ArticlePLoS neglected tropical diseases2020

Detecting extra-ocular Chlamydia trachomatis in a trachoma-endemic community in Ethiopia: Identifying potential routes of transmission.

Anna Last, Bart Versteeg, Oumer Shafi Abdurahman, Ailie Robinson, Gebeyehu Dumessa, Muluadam Abraham Aga, Gemechu Shumi Bejiga, Nebiyu Negussu, Katie Greenland, Alexandra Czerniewska and 7 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  9. Trachoma.Lancet (London, England) · 2025
    Review
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  15. Article
  16. The Emergence Potential ofArchives of Razi Institute · 2024
    Review
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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

17 authors at 5 institutions in 3 countries.

Anna LastClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Bart VersteegClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0003-2606-8057
Oumer Shafi AbdurahmanClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Ailie RobinsonDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Gebeyehu DumessaThe Fred Hollows Foundation, Ethiopia.
Muluadam Abraham AgaThe Fred Hollows Foundation, Ethiopia.
Gemechu Shumi BejigaOromia Regional Health Bureau, Addis Ababa, Ethiopia.
Nebiyu NegussuFederal Ministry of Health, Addis Ababa, Ethiopia.
Katie GreenlandDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Alexandra CzerniewskaDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0001-8370-879X
Nicholas ThomsonDepartment of Pathogen Molecular Biology, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Sandy CairncrossDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-5342-1269
Virginia SarahThe Fred Hollows Foundation, London, United Kingdom.
David MacleodDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Anthony W SolomonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
James LoganDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Matthew J BurtonClinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
London School of Hygiene & Tropical Medicine · GBFred Hollows Foundation · AUFederal Ministry of Health · ETOromiyaa Regional Health Bureau · ETWellcome Sanger Institute · GB

Funding

Medical Research Council MR/R010161/1Wellcome TrustWellcome Trust 206275/Z/17/Z
6 · The paper itself

Abstract

backgroundTrachoma elimination efforts are hampered by limited understanding of Chlamydia trachomatis (Ct) transmission routes. Here we aimed to detect Ct DNA at non-ocular sites and on eye-seeking flies.

methodsA population-based household survey was conducted in Oromia Region, Ethiopia. Ocular and non-ocular (faces, hands, clothing, water containers and sleeping surfaces) swabs were collected from all individuals. Flies were caught from faces of children. Flies, ocular swabs and non-ocular swabs were tested for Ct by quantitative PCR.

resultsIn total, 1220 individuals in 247 households were assessed. Active trachoma (trachomatous inflammation-follicular) and ocular Ct were detected in 10% and 2% of all-ages, and 21% and 3% of 1-9-year-olds, respectively. Ct was detected in 12% (95% CI:8-15%) of tested non-ocular swabs from ocular-positive households, but in none of the non-ocular swabs from ocular-negative households. Ct was detected on 24% (95% CI:18-32%) of flies from ocular-positive households and 3% (95% CI:1-6%) of flies from ocular-negative households.

conclusionCt DNA was detected on hands, faces and clothing of individuals living in ocular-positive households suggesting that this might be a route of transmission within Ct infected households. In addition, we detected Ct on flies from ocular-positive households and occasionally in ocular-negative households suggesting that flies might be a vector for transmission within and between Ct infected and uninfected households. These potential transmission routes may need to be simultaneously addressed to suppress transmission.

Indexed as

Disease Transmission, InfectiousAdolescentAdultAnimalsChildChild, PreschoolChlamydia InfectionsChlamydia trachomatisClothingCommunity-Acquired InfectionsCross-Sectional StudiesDipteraEthiopiaFecesFemaleFomites

Identifiers

PMID32130213
PMCPMC7075638
OpenAlexW3009359290

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.