Evidence map›Paper›PMID 39848912›Full record

ArticleMedical mycology2025

Insights into Pneumocystis jirovecii pneumonia in South Africa (2018-2022).

Mbali Precious Nkosi, Keegan John Hoog, Michelle Lowe

Abstract read
In one paragraph

Article in Medical mycology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Mbali Precious NkosiDepartment of Clinical Microbiology and Infectious Diseases, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-4175-797X
Keegan John HoogIneos Oxford Institute for Antimicrobial Research, University of Oxford, Oxford, UK.
Michelle LoweDepartment of Clinical Microbiology and Infectious Diseases, University of the Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumocystis jirovecii causes P. jirovecii pneumonia (PJP)-a leading opportunistic infection among persons with advanced human immunodeficiency virus. Furthermore, individuals with underlying conditions such as cancer and transplant recipients are susceptible to PJP. Most data on PJP come from other countries, with limited knowledge about its prevalence in Africa. The aim was to describe changes in the proportion of positive PJP tests in South Africa from 2018 to 2022. A 5-year retrospective study was conducted on patients with suspected P. jirovecii, detected by polymerase chain reaction. Data were obtained from the National Health Laboratory Service, where laboratory diagnostics were done as part of routine patient care. Mann-Whitney test and Χ2 tests were used to compare the age, sex, and wards with both the negative and positive results of PJP. From 2018 to 2022, a total of 8110 patients' results were retrieved, and 8059 met the inclusion criteria. The positive test proportions of PJP in South Africa were 32.66%, 29.93%, 34.02%, 24.98%, and 25.78%, respectively. The median age was 35 years, with interquartile range of 24-43 years (P = .002). Female patients had a higher positive test proportion than males (59.39% vs. 38.74%, P < .001). The proportion of positive PJP tests was higher in general wards (48.54%) and intensive care units (18.99%) (P = .012). The epidemiology of PJP in South Africa is similar to that of other countries in some respects but is influenced by unique factors specific to the country. These findings are crucial for public health planning, emphasising the need for targeted PJP prevention strategies considering sex- and age-specific vulnerabilities in South Africa.

Indexed as

Pneumocystis cariniiPneumonia, PneumocystisAdolescentAdultAgedChildChild, PreschoolFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesSouth AfricaYoung AdultepidemiologyPneumocystis jirovecii pneumoniaproportionretrospective studySouth Africa

Identifiers

PMID39848912
PMCPMC11761960

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