Evidence map›Paper›PMID 36363780›Full record

ArticleMicroorganisms2022

Visceral Leishmaniasis Urbanization in the Brazilian Amazon Is Supported by Significantly Higher Infection Transmission Rates Than in Rural Area.

Rodrigo R Furtado, Ana Camila Alves, Luciana V R Lima, Thiago Vasconcelos Dos Santos, Marliane B Campos, Patrícia Karla S Ramos, Claudia Maria C Gomes, Márcia D Laurenti, Vânia Lucia da Matta, Carlos Eduardo Corbett and 1 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2022. 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
1.0field-weighted citation impact, top 23% 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, 5 citations in OpenAlex.

  1. Review
  2. Article
  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 2 institutions in 1 country.

Rodrigo R FurtadoParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.
Ana Camila AlvesParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.
Luciana V R LimaParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.ORCID 0000-0002-3240-2835
Thiago Vasconcelos Dos SantosParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.ORCID 0000-0002-0229-4861
Marliane B CamposParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.
Patrícia Karla S RamosParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.
Claudia Maria C GomesPathology Department, Medical School of São Paulo University, São Paulo 1246-903, Paulo, Brazil.
Márcia D LaurentiPathology Department, Medical School of São Paulo University, São Paulo 1246-903, Paulo, Brazil.ORCID 0000-0002-1080-2440
Vânia Lucia da MattaPathology Department, Medical School of São Paulo University, São Paulo 1246-903, Paulo, Brazil.ORCID 0000-0003-3509-6121
Carlos Eduardo CorbettPathology Department, Medical School of São Paulo University, São Paulo 1246-903, Paulo, Brazil.
Fernando T SilveiraParasitology Department, Evandro Chagas Institute (Secretary of Science, Technology and Innovation, Ministry of Health), Ananindeua 67030-000, Pará, Brazil.ORCID 0000-0002-0412-6060
Ministério da Saúde · BRUniversidade de São Paulo · BR

Funding

Evandro Chagas Institute not aplicableSão Paulo Research Foundation #2016/50315-0Tropical Medicine Nucleus-Federal University of Pará not applicable
6 · The paper itself

Abstract

This was an open cohort prospective study (2016−2018) that analyzed the prevalence and incidence rates of human Leishmania (L.) infantum chagasi-infection and the evolution of their clinical-immunological profiles in distinct urban and rural scenarios of American visceral leishmaniasis (AVL) in Pará State, in the Brazilian Amazon. These infection profiles were based on species-specific DTH/IFAT-IgG assays and clinical evaluation of infected individuals, comprising five profiles: three asymptomatic, Asymptomatic Infection [AI], Subclinical Resistant Infection [SRI], and Indeterminate Initial Infection [III]; and two symptomatic, Subclinical Oligosymptomatic Infection [SOI] and Symptomatic Infection [SI = AVL]. The two distinct scenarios (900 km away) were the urban area of Conceição do Araguaia municipality and the rural area of Bujaru municipality in the southeast and northeast of Pará State. Human populations were chosen based on a simple convenience sampling design (5−10% in each setting), with 1723 individuals (5.3%) of the population (32,464) in the urban area and 1568 individuals (8.9%) of the population (17,596) in the rural one. A serological survey (IFAT-IgG) of canine infection was also performed in both scenarios: 195 dogs in the urban area and 381 in the rural one. Prevalence and incidence rates of human infection were higher in the urban area (20.3% and 13.6/100 person-years [py]) than in the rural setting (14.1% and 6.8/100-py). The AI profile was the most prevalent and incident in both urban (13.4% and 8.1/100-py) and rural (8.3% and 4.2/100-py) scenarios, but with higher rates in the former. An III profile case evolved to SOI profile after four weeks of incubation and another to SI (=AVL) after six. The prevalence of canine infection in an urban setting (39.2%) was also higher (p < 0.05) than that (32%) in the rural zone. AVL urbanization in Pará State, in the Brazilian Amazon, has led to infection rates significantly higher than those in rural sites, requiring more intense control measures.

Indexed as

Brazilian Amazonclinical-immunological profileshuman infectionLeishmania (L.) infantum chagasiprevalence and incidenceurban and rural scenarios

Identifiers

PMID36363780
PMCPMC9692416
OpenAlexW4308723864

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.