Evidence map›Paper›PMID 38252673›Full record

ArticlePLoS neglected tropical diseases2024

Efficacy of short-course treatment for prevention of congenital transmission of Chagas disease: A retrospective cohort study.

Guillermo Moscatelli, Samanta Moroni, Juan Carlos Ramírez, Belén Warszatska, Lascano Fernanda, Nicolás González, Andrés Rabinovich, Jaime Altcheh

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

8 authors at 2 institutions in 1 country.

Guillermo MoscatelliServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.ORCID 0000-0002-6986-4646
Samanta MoroniServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.
Juan Carlos RamírezInstituto Multidisciplinario de Investigaciones en Patologías Pediatricas (IMIPP)- CONICET-GCBA, Buenos Aires, Argentina.
Belén WarszatskaServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.
Lascano FernandaServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.
Nicolás GonzálezServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.
Andrés RabinovichInstituto Multidisciplinario de Investigaciones en Patologías Pediatricas (IMIPP)- CONICET-GCBA, Buenos Aires, Argentina.
Jaime AltchehServicio de Parasitología y Chagas, Hospital de Niños "Ricardo Gutiérrez", Buenos Aires, Argentina.
Consejo Nacional de Investigaciones Científicas y Técnicas · ARHospital General de Niños Ricardo Gutierrez · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn regions with controlled vector transmission of T. cruzi, congenital transmission is the most frequent route of infection. Treatment with benznidazole (BZ) or nifurtimox (NF) for 60 days in girls and women of childbearing age showed to be effective in preventing mother to child transmission of this disease. Reports on short-course treatment (≤30 days) are scarce.

methodsRetrospective cohort study. Offspring of women with Chagas disease who received short-course treatment (≤30 days) with BZ or NF, attended between 2003 and 2022, were evaluated. Parasitemia (microhaematocrit and/or PCR) was performed at <8 months of age, and serology (ELISA and IHA) at ≥8 months to rule out congenital infection.

resultsA total of 27 women receiving ≤30 days of treatment and their children were included in this study. NF was prescribed in 17/27 (63%) women, and BZ in 10/27 (37%). The mean duration of treatment was 29.2 days. None of the women experienced serious adverse events during treatment, and no laboratory abnormalities were observed. Forty infants born to these 27 treated women were included. All newborns were full term, with appropriate weight for their gestational age. No perinatal infectious diseases or complications were observed. DISCUSSION: Several studies have shown that treatment of infected girls and women of childbearing age for 60 days is an effective practice to prevent transplacental transmission of T. cruzi. Our study demonstrated that short-duration treatment (≤30 days) is effective and beneficial in preventing transplacental transmission of Chagas disease.

Indexed as

Chagas DiseaseNitroimidazolesTrypanocidal AgentsTrypanosoma cruziChildFemaleHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMaleNifurtimoxRetrospective StudiesbenzonidazoleNifurtimoxNitroimidazolesTrypanocidal Agents

Identifiers

PMID38252673
PMCPMC10833510
OpenAlexW4391095365

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.