Evidence map›Paper›PMID 33064142›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Excess Risk of Tuberculosis Infection Among Extra-household Contacts of Tuberculosis Cases in an African City.

Robert Kakaire, Noah Kiwanuka, Sarah Zalwango, Juliet N Sekandi, Trang Ho Thu Quach, Maria Eugenia Castellanos, Frederick Quinn, Christopher C Whalen

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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  11. Open forum infectious diseases · 2024
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  12. Article
  13. The Association Between Social Network Characteristics and Tuberculosis Infection Among Adults in 9 Rural Ugandan Communities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  14. Article
  15. Article
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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

8 authors.

Robert KakaireGlobal Health Institute, College of Public Health, University of Georgia, Athens, Georgia, USA.
Noah KiwanukaDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Sarah ZalwangoKampala Capital City Authority, Kampala, Uganda.
Juliet N SekandiGlobal Health Institute, College of Public Health, University of Georgia, Athens, Georgia, USA.
Trang Ho Thu QuachGlobal Health Institute, College of Public Health, University of Georgia, Athens, Georgia, USA.
Maria Eugenia CastellanosGlobal Health Institute, College of Public Health, University of Georgia, Athens, Georgia, USA.
Frederick QuinnDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA.
Christopher C WhalenGlobal Health Institute, College of Public Health, University of Georgia, Athens, Georgia, USA.

Funding

Community Transmission of Tuberculosis Urban AfricaR01AI093856 · NIAID · UNIVERSITY OF GEORGIA · PI WHALEN, CHRISTOPHER C. · 2012 to 2021
$5.7M
FIC NIH HHSNational Institute of Allergy and Infectious DiseasesNIH HHS R01 AI093856Schlumberger Foundation Faculty for the Future Fellowship
6 · The paper itself

Abstract

backgroundAlthough households of tuberculosis (TB) cases represent a setting for intense transmission of Mycobacterium tuberculosis, household exposure accounts for <20% of transmission within a community. The aim of this study was to estimate excess risk of M. tuberculosis infection among household and extra-household contacts of index cases.

methodsWe performed a cross-sectional study in Kampala, Uganda, to delineate social networks of TB cases and matched controls without TB. We estimated the age-stratified prevalence difference of TB infection between case and control networks, partitioned as household and extra-household contacts.

resultsWe enrolled 123 index cases, 124 index controls, and 2415 first-degree network contacts. The prevalence of infection was highest among household contacts of cases (61.5%), lowest among household contacts of controls (25.2%), and intermediary among extra-household TB contacts (44.9%) and extra-household control contacts (41.2%). The age-adjusted prevalence difference between extra-household contacts of cases and their controls was 5.4%. The prevalence of infection was similar among the majority of extra-household case contacts and corresponding controls (47%).

conclusionsMost first-degree social network members of TB cases do not have adequate contact with the index case to experience additional risk for infection, but appear instead to acquire infection through unrecognized exposures with infectious cases in the community.

Indexed as

Latent TuberculosisTuberculosisContact TracingCross-Sectional StudiesHumansTuberculin TestUgandahousehold contact investigationlatent tuberculosis infectiontransmissiontuberculin skin testtuberculosis

Identifiers

PMID33064142
PMCPMC8563168

What OpenQuestion holds

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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.