Evidence map›Paper›PMID 42138367›Full record

SynthesisAIDS (London, England)2026

Tuberculosis in children who are HIV-exposed uninfected.

Jeffrey I Campbell, Ojasvi Vachharajani, Melanie M Dubois, Leonardo Martinez, Paul J Christos, Julie M Herlihy, Helen E Jenkins, C Robert Horsburgh, Karen R Jacobson, Kathleen M Powis

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in AIDS (London, England), 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. 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

10 authors.

Jeffrey I CampbellSection of Pediatric Infectious Diseases, Boston Medical Center.
Ojasvi VachharajaniBoston University School of Public Health, Boston, MA.
Melanie M DuboisSection of Pediatric Infectious Diseases, Weill Cornell Medicine, New York, NY.
Leonardo MartinezDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Paul J ChristosDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY.
Julie M HerlihyDepartment of Global Health.
Helen E JenkinsDepartment of Biostatistics.
C Robert HorsburghDepartment of Global Health, Boston University School of Public Health.
Karen R JacobsonSection of Infectious Diseases, Boston Medical Center.
Kathleen M PowisDepartments of Internal Medicine and Pediatrics, Massachusetts General Hospital.

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
The relationship between HIV exposure, contact networks, and TB in children under 5 years oldK23AI186597 · NIAID · BOSTON MEDICAL CENTER · PI Jeffrey Ian Campbell · 2024 to 2026
$574k
NCATS NIH HHS UL1 TR002384NIAID NIH HHS K23 AI186597
6 · The paper itself

Abstract

objectives1.3 million children are born each year to mothers with HIV but remain HIV-uninfected; more than 70% of these children live in settings with high tuberculosis (TB) burden. Whether children who are HIV-exposed uninfected (cHEU) are at increased risk of TB infection and disease is debated.

designWe performed a systematic review and meta-analysis of TB infection and disease in cHEU versus children who are HIV-unexposed uninfected (cHUU) and children with HIV (CWH).

methodsWe searched PubMed, Embase, Web of Science, the Cumulative Index to Nursing and Allied Health Literature, and publication bibliographies through October 2025, using terms related to gestational HIV exposure and TB. We performed a qualitative synthesis and a meta-analysis of TST/IGRA positivity prevalence and disease cumulative incidence in cHEU versus cHUU, and cHEU versus CWH.

results: We included 26 studies in a systematic review and 18 studies in meta-analyses; 21/26 (81%) studies were restricted to children less than 2 years of age. Prevalence of TST/IGRA positivity [RR 1.26; 95% confidence interval (CI) 0.92-1.72, I2  = 0.0%] and cumulative disease incidence (RR 0.72; 95% CI 0.48-1.08, I2  = 0.0%) were similar between cHEU and cHUU. Prevalence of TST/IGRA positivity (RR 0.24; 95% CI 0.02-3.91, I2  = 93.2%) was not significantly different between cHEU and CWH. cHEU had lower risk of TB disease cumulative incidence than CWH (RR 0.29; 95% CI 0.16-0.51, I2  = 71.5%).

conclusioncHEU and cHUU experience similar risk of TB infection and disease, while cHEU experience lower risk of disease than CWH. Findings were limited by a lack of studies after infancy and a small number of studies.

Indexed as

HIV InfectionsTuberculosisChildChild, PreschoolFemaleHumansIncidenceInfantMalePregnancyPrevalencechildHIV-exposedmaternal HIVtuberculosis

Identifiers

PMID42138367
PMCPMC13252986

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.