Publications

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Treated HIV Infection and Progression of Carotid Atherosclerosis in Rural Uganda: A Prospective Observational Cohort Study.

Abstract

Background Although ≈70% of the world's population of people living with HIV reside in sub-Saharan Africa, there are minimal prospective data on the contributions of HIV infection to atherosclerosis in the region.

Siedner MJ Bibangambah P Kim JH Lankowski A Chang JL Yang IT Kwon DS North CM Triant VA Longenecker C Ghoshhajra B Peck RN Sentongo RN Gilbert R Kakuhikire B Boum Y Haberer JE Martin JN Tracy R Hunt PW Bangsberg DR Tsai AC Hemphill LC Okello S
Journal of the American Heart Association 2021 Jun 05; e019994. doi: 10.1161/JAHA.120.019994. Epub 2021 06 05
HIV infection Uganda antiretroviral therapy atherosclerosis cardiovascular disease risk carotid intima media thickness

What gaps remain in the HIV cascade of care? Results of a population-based survey in Nsanje District, Malawi.

Abstract

INTRODUCTION: The Malawi Ministry of Health (MoH) has been in collaboration with Médecins sans Frontières (MSF) to increase access to quality HIV care through decentralization of antiretroviral therapy (ART) diagnosis and treatment fro

Conan N Paye CP Ortuno R Chijuwa A Chiwandira B Goemaere E Belen Garone D Coulborn RM Chihana M Maman D
PloS one 2021 ; 16(4); e0248410. doi: 10.1371/journal.pone.0248410. Epub 2021 04 22

Potential value of urine lateral-flow lipoarabinomannan (LAM) test for diagnosing tuberculosis among severely acute malnourished children.

Abstract

BACKGROUND: Tuberculosis (TB) is a serious co-morbidity among children with severe acute malnutrition (SAM) and TB diagnosis remains particularly challenging in the very young.

Schramm B Nganaboy RC Uwiragiye P Mukeba D Abdoubara A Abdou I Nshimiymana JC Sounna S Hiffler L Flevaud L Huerga H
PloS one 2021 ; 16(5); e0250933. doi: 10.1371/journal.pone.0250933. Epub 2021 05 05

Thin-Layer-Agar-Based Direct Phenotypic Drug Susceptibility Testing on Sputum in Eswatini Rapidly Detects Mycobacterium tuberculosis Growth and Rifampicin Resistance Otherwise Missed by WHO-Endorsed Diagnostic Tests.

Abstract

Xpert MTB/RIF rapidly detects resistance to rifampicin (RR); however, this test misses I491F-RR conferring mutation, common in southern Africa. In addition, Xpert MTB/RIF does not distinguish between viable and dead (MTB).

Ardizzoni E Ariza E Mulengwa D Mpala Q de La Tour R Maphalala G Varaine F Kerschberger B Graulus P Page AL Niemann S Dreyer V Van Deun A Decroo T Rigouts L de Jong BC
Antimicrobial agents and chemotherapy 2021 05 18; 65(6); doi: 10.1128/AAC.02263-20. Epub 2021 05 18
MDR TLA XDR Xpert MTB/RIF resistance detection rpoB I491F mutant tuberculosis

Urgently seeking efficiency and sustainability of clinical trials in global health.

Abstract

This paper shows the scale of global health research and the context in which we frame the subsequent papers in the Series.

Park JJH Grais RF Taljaard M Nakimuli-Mpungu E Jehan F Nachega JB Ford N Xavier D Kengne AP Ashorn P Socias ME Bhutta ZA Mills EJ
The Lancet. Global health 2021 May ; 9(5); e681-e690. doi: 10.1016/S2214-109X(20)30539-8. Epub 2021 04 18
Essai clinique

The role and challenges of cluster randomised trials for global health.

Abstract

Evaluating whether an intervention works when trialled in groups of individuals can pose complex challenges for clinical research.

Dron L Taljaard M Cheung YB Grais R Ford N Thorlund K Jahan F Nakimuli-Mpungu E Xavier D Bhutta ZA Park JJH Mills EJ
The Lancet. Global health 2021 May ; 9(5); e701-e710. doi: 10.1016/S2214-109X(20)30541-6. Epub 2021 04 18
Essai clinique