Evidence map›Paper›PMID 41768988›Full record

ArticleEClinicalMedicine2026

Aetiology of sepsis in adults living with HIV in East Africa: a secondary analysis of an open-label, multicentre, randomised, controlled phase 3 trial.

Eva Otoupalova, Lucas Ampaire, Megan Null, Buliga Mujaga, Jie Liu, Bibie Said, Edwin Nuwagira, Margaretha Sariko, Geofrey Gidoi, Antony Gulinja and 14 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

24 authors.

Eva OtoupalovaDivision of Pulmonary, Critical Care, and Environmental Medicine, Department of Medicine, Tulane University School of Medicine, New Orleans, USA.
Lucas AmpaireDepartment of Medical Laboratory Sciences, Mbarara University School of Science and Technology Faculty of Medicine, Mbarara, Uganda.
Megan NullDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.
Buliga MujagaBiotechnology Laboratory, Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Jie LiuDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.
Bibie SaidDepartment of Medicine, Kibong'oto Infectious Disease Hospital, Sanya Juu, Tanzania.
Edwin NuwagiraDepartment of Medicine, Mbarara University School of Science and Technology Faculty of Medicine, Mbarara, Uganda.
Margaretha SarikoBiotechnology Laboratory, Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Geofrey GidoiDepartment of Medicine, Mbarara University School of Science and Technology Faculty of Medicine, Mbarara, Uganda.
Antony GulinjaDepartment of Medicine, Kibong'oto Infectious Disease Hospital, Sanya Juu, Tanzania.
Samuel JjunjuDepartment of Medicine, Mbarara University School of Science and Technology Faculty of Medicine, Mbarara, Uganda.
Arestaricky RimoyDepartment of Medicine, Kibong'oto Infectious Disease Hospital, Sanya Juu, Tanzania.
Fredrick C MwitaMwanza Research Centre, National Institute for Medical Research, Mwanza, Tanzania.
Jeremiah KidolaMwanza Research Centre, National Institute for Medical Research, Mwanza, Tanzania.
Oscar AtwiineFort Portal Regional Referral Hospital, Fort Portal, Uganda.
David OcaakiFort Portal Regional Referral Hospital, Fort Portal, Uganda.
Dalton K MunyambaluFort Portal Regional Referral Hospital, Fort Portal, Uganda.
Prakruti RaoDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.
David R BoulwareDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, USA.
Tania A ThomasDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.
Stellah MpagamaDepartment of Medicine, Kibong'oto Infectious Disease Hospital, Sanya Juu, Tanzania.
Conrad MuzooraDepartment of Medicine, Mbarara University School of Science and Technology Faculty of Medicine, Mbarara, Uganda.
Scott K HeysellDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.
Christopher C MooreDivision of Infectious Diseases and International Health, Department of Medicine, University of Virginia School of Medicine, Charlottesville, USA.

Funding

A randomized clinical trial of early empiric anti-Mycobacterium tuberculosis therapy for sepsis in sub-Saharan AfricaU01AI150508 · NIAID · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K, MOORE, CHRISTOPHER CHARLES · 2020 to 2024
$3.3M
Developing research leaders at the intersection of malnutrition and tuberculosis in TanzaniaD43TW012247 · FIC · UNIVERSITY OF VIRGINIA · PI Scott K Heysell, STELLAH GEORGE MPAGAMA · 2022 to 2026
$1.4M
Evaluation of novel tuberculosis LAM assays among people living with HIV and sepsisR21AI172637 · NIAID · UNIVERSITY OF VIRGINIA · PI THOMAS, TANIA A · 2022 to 2023
$434k
Improving Diagnostic Strategies for Post-Tuberculosis Lung Disease in Ugandan Primary Healthcare SettingsK43TW012781 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI Edwin Nuwagira · 2024 to 2026
$327k
A global Infectious diseases framework to grow interdisciplinary researchK24AI187675 · NIAID · UNIVERSITY OF VIRGINIA · PI Scott K Heysell · 2025 to 2026
$292k
FIC NIH HHS D43 TW012247FIC NIH HHS K43 TW012781NIAID NIH HHS K24 AI187675NIAID NIH HHS R21 AI172637NIAID NIH HHS U01 AI150508
6 · The paper itself

Abstract

Background: Sepsis in people living with HIV (PLWH) in East Africa has high mortality. Regionally, the etiology of sepsis is incompletely understood. We performed a planned analysis of the microbiological data obtained from a randomised clinical trial of early empiric anti- Methods: We present a prespecified, secondary analysis of a phase three, open-label, multicentre, randomised, controlled trial conducted at four regional referral hospitals in Tanzania and Uganda. Participants were adults living with HIV admitted with concern for infection and a modified quick sepsis-related organ failure assessment (qSOFA) ≥2. Participants were randomised to (1) immediate or diagnosis-dependent antituberculosis therapy and to (2) high-dose or conventional-dose antituberculosis therapy. Tests for sepsis etiology included bacterial blood and urine cultures, multi-pathogen qPCR from blood, GeneXpert MTB/RIF Ultra from sputum and urine, urine lipoarabinomannan (LF-LAM), and Findings: From January 5, 2022 through December 9, 2024, we randomised 437 participants to receive immediate and/or high dose antituberculosis therapy. Interpretation: Funding: NIH.

Indexed as

AfricaHIVSepsisTuberculosis

Identifiers

PMID41768988
PMCPMC12947645

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.