Evidence map›Paper›PMID 30322790›Full record

ReviewThe Lancet. Infectious diseases2019

Tuberculosis susceptibility and protection in children.

Robindra Basu Roy, Elizabeth Whittaker, James A Seddon, Beate Kampmann

Open access · greenAbstract readReview
In one paragraph

Review in The Lancet. Infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
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  3. Timing ofThorax · 2021
    Pooled it
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  6. Twice-Daily Dosing of Dolutegravir in Infants on Rifampicin Treatment: A Pharmacokinetic Substudy of the EMPIRICAL Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
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21 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 2 countries.

Robindra Basu RoyCentre for International Child Health, Department of Paediatrics, Imperial College London, London, UK; Vaccines and Immunity Theme MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Elizabeth WhittakerCentre for International Child Health, Department of Paediatrics, Imperial College London, London, UK.
James A SeddonCentre for International Child Health, Department of Paediatrics, Imperial College London, London, UK.
Beate KampmannCentre for International Child Health, Department of Paediatrics, Imperial College London, London, UK; Vaccines and Immunity Theme MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Fajara, The Gambia. Electronic address: bkampmann@mrc.gm.
Imperial College London · GBMRC Unit the Gambia · GM

Funding

Department of Health SRF-2009-02-07Medical Research Council MC_EX_MR/K011944/1Medical Research Council MC_EX_MR/P024270/1Medical Research Council MC_UP_A900_1122Medical Research Council MC_UU_00026/2Medical Research Council MR/K023446/1Medical Research Council MR/R007942/1
6 · The paper itself

Abstract

Children represent both a clinically important population susceptible to tuberculosis and a key group in whom to study intrinsic and vaccine-induced mechanisms of protection. After exposure to Mycobacterium tuberculosis, children aged under 5 years are at high risk of progressing first to tuberculosis infection, then to tuberculosis disease and possibly disseminated forms of tuberculosis, with accompanying high risks of morbidity and mortality. Children aged 5-10 years are somewhat protected, until risk increases again in adolescence. Furthermore, neonatal BCG programmes show the clearest proven benefit of vaccination against tuberculosis. Case-control comparisons from key cohorts, which recruited more than 15 000 children and adolescents in total, have identified that the ratio of monocytes to lymphocytes, activated CD4 T cell count, and a blood RNA signature could be correlates of risk for developing tuberculosis. Further studies of protected and susceptible populations are necessary to guide development of novel tuberculosis vaccines that could facilitate the achievement of WHO's goal to eliminate deaths from tuberculosis in childhood.

Indexed as

VaccinationAdolescentAdultAnimalsBCG VaccineCD4-Positive T-LymphocytesChildChild, PreschoolCoinfectionDisease SusceptibilityHumansInfantInfant, NewbornInterferon-gammaMycobacterium tuberculosisRisk FactorsBCG VaccineIFNG protein, humanInterferon-gamma

Identifiers

PMID30322790
PMCPMC6464092
OpenAlexW2896592294

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.