Evidence map›Paper›PMID 33122339›Full record

Observational studyThe European respiratory journal2021

Tuberculosis prevention in children: a prospective community-based study in South Africa.

Anna M Mandalakas, Anneke C Hesseling, Alexander Kay, Karen Du Preez, Leonardo Martinez, Lena Ronge, Andrew DiNardo, Christoph Lange, H Lester Kirchner

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The European respiratory journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
0.5field-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.

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

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  15. Public Health Impact and Cost-Effectiveness of Screening for Active Tuberculosis Disease or Infection Among Children in South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  16. Gene Expression in Cord Blood and Tuberculosis in Early Childhood: A Nested Case-Control Study in a South African Birth Cohort.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 5 countries.

Anna M MandalakasGlobal Tuberculosis Program, Dept of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.ORCID https://orcid.org/0000-0002-8091-3509
Anneke C HesselingDesmond Tutu TB Centre, Dept of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Alexander KayGlobal Tuberculosis Program, Dept of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.ORCID https://orcid.org/0000-0001-5283-4697
Karen Du PreezDesmond Tutu TB Centre, Dept of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Leonardo MartinezDivision of Infectious Diseases and Geographic Medicine, School of Medicine, Stanford University, Stanford, CA, USA.
Lena RongeDesmond Tutu TB Centre, Dept of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Andrew DiNardoGlobal Tuberculosis Program, Dept of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Christoph LangeGerman Center for Infection Research (DZIF) Clinical Tuberculosis Center, Research Center Borstel, Borstel, Germany.
H Lester KirchnerGlobal Tuberculosis Program, Dept of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Baylor College of Medicine · USDesmond Tutu HIV Foundation · ZAKarolinska Institutet · SEStanford University · US

Funding

Developing Clinical Prediction Tools to Define Strategies for Differentiated Service Delivery in Children and Adolescents Living with HIV in sub-Saharan Africa.K01TW011482 · FIC · BAYLOR COLLEGE OF MEDICINE · PI KAY, ALEXANDER WILLIAM · 2020 to 2024
$749k
Interdisciplinary and multi-level approach to estimate the disease burden and outcomes of childhood tuberculous meningitis.K43TW011006 · FIC · STELLENBOSCH UNIVERSITY · PI DU PREEZ, KAREN · 2020 to 2024
$622k
FIC NIH HHS K01 TW011482FIC NIH HHS K43 TW011006
6 · The paper itself

Abstract

Tuberculosis (TB) preventive therapy reduces TB risk in children. However, the effectiveness of TB preventive therapy in children living in high TB burden settings is unclear.In a prospective observational community-based cohort study in Cape Town, South Africa, we assessed the effectiveness of routine TB preventive therapy in children ≤15 years of age in a high TB and HIV prevalence setting.Among 966 children (median (interquartile range) age 5.07 (2.52-8.72) years), 676 (70%) reported exposure to an adult with TB in the past 3 months and 240 out of 326 (74%) eligible children initiated isoniazid preventive therapy under programmatic guidelines. Prevalent (n=73) and incident (n=27) TB were diagnosed among 100 out of 966 (10%) children. Children who initiated isoniazid preventive therapy were 82% less likely to develop incident TB than children who did not (adjusted OR 0.18, 95% CI 0.06-0.52; p=0.0014). Risk of incident TB increased if children were <5 years of age, living with HIV, had a positive

Indexed as

HIV InfectionsTuberculosisAdultAntitubercular AgentsChildChild, PreschoolCohort StudiesHumansInfantIsoniazidProspective StudiesSouth AfricaAntitubercular AgentsIsoniazid

Identifiers

PMID33122339
PMCPMC8060782
OpenAlexW3095880960

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.