International Journal of Tuberculosis and Lung Disease最新文献_第5页

Xpert MTB/RIF Ultra enables sensitive detection of Mycobacterium tuberculosis in blood. Xpert MTB/RIF Ultra 可以灵敏地检测血液中的结核分枝杆菌。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-12-01 DOI: 10.5588/ijtld.24.0118

J Ross, M J Cummings, B Bakamutumaho, R Tokarz, S Al Jubaer, B Mathema, M R O'Donnell, M H Larsen

引用次数: 0

Performance of the DECAF score in predicting hospital mortality due to acute exacerbations of COPD. DECAF 评分在预测慢性阻塞性肺病急性加重导致的住院死亡率方面的表现。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-12-01 DOI: 10.5588/ijtld.24.0252

X Hu, W Cai, D Xu, D Li, F Chen, M Chen, Y Wu, Y Shen

{"title":"Performance of the DECAF score in predicting hospital mortality due to acute exacerbations of COPD.","authors":"X Hu, W Cai, D Xu, D Li, F Chen, M Chen, Y Wu, Y Shen","doi":"10.5588/ijtld.24.0252","DOIUrl":"10.5588/ijtld.24.0252","url":null,"abstract":"<sec><title>BACKGROUND</title>This study aimed to investigate the overall prognostic performance of the DECAF (dyspnoea, eosinopenia, consolidation, acidaemia, atrial fibrillation) score for in-hospital death in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) through a retrospective cohort study and an updated meta-analysis.</sec><sec><title>METHODS</title>Sensitivity, specificity, and predictive performance of DECAF were analysed, using receiver operating characteristic (ROC) curves and area under the curve (AUC) as criteria for accuracy. A literature search was performed in databases. The summary ROC (SROC) curve was used to assess the overall performance of the DECAF score.</sec><sec><title>RESULTS</title>Twenty-three non-survivors and 292 survivors of AECOPD were included. At a cut-off value of 1.5, DECAF scores showed good sensitivity (78.3%), low specificity (55.1%), and AUC (0.719, 95% CI 0.614-0.824). Additionally, 22 studies (including our study) with 824 non-survivors and 8,957 survivors were included in this meta-analysis. The summary estimates were listed as follows: sensitivity 0.77 (95% CI 0.69-0.83); specificity 0.76 (95% CI 0.67-0.85); positive likelihood ratio 3.2 (95% CI 2.4-4.3); negative likelihood ratio 0.31 (95% CI 0.23-0.40); and diagnostic odds ratio 10.00 (95% CI 7-16). The AUC was 0.83 (95% CI 0.79-0.86).</sec><sec><title>CONCLUSIONS</title>The DECAF score is a simple tool to predict mortality in hospitalised patients with AECOPD, and the results of this study should be further validated.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 12","pages":"564-571"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors for severe COPD exacerbation in Chinese adults. 中国成年人慢性阻塞性肺疾病严重恶化的风险因素。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-12-01 DOI: 10.5588/ijtld.24.0255

W Yu, Y Lan, D Sun, P Pei, L Yang, Y Chen, H Du, Y Peng, X Yang, J Chen, Z Chen, J Lv, L Li, C Yu

{"title":"Risk factors for severe COPD exacerbation in Chinese adults.","authors":"W Yu, Y Lan, D Sun, P Pei, L Yang, Y Chen, H Du, Y Peng, X Yang, J Chen, Z Chen, J Lv, L Li, C Yu","doi":"10.5588/ijtld.24.0255","DOIUrl":"10.5588/ijtld.24.0255","url":null,"abstract":"<sec><title>BACKGROUND</title>Severe exacerbation is the predominant cause of COPD hospitalisation. We investigated sex-specific risk factors of severe exacerbation and explored the potential interactions of regions, smoking status, and age.</sec><sec><title>METHODS</title>The present study included 13,641 males and 13,051 females with spirometry-defined COPD at baseline from the China Kadoorie Biobank. Hazard ratios (HRs) and 95% confidence intervals (CIs) of risk factors with severe exacerbation were estimated using the Cox models.</sec><sec><title>RESULTS</title>During a median of 11.5 years follow-up, 5,967 cases of COPD hospitalisation were recorded. GOLD (Global Initiative for Obstructive Lung Disease) stage, tobacco smoking, and underweight were positively associated with COPD hospitalisation in both sexes. Stronger associations were observed in females than in males; the corresponding HRs for males and females were respectively 1.87 (95% CI 1.73-2.03) and 2.47 (95% CI 2.24-2.72) for a history of respiratory diseases and 1.46 (95% CI 1.33-1.60) and 1.65 (95% CI 1.46-1.87) for coughing frequently and coughing up sputum after getting up in the morning for ≥3 months. Higher risks were found among urban residents, non-current smokers, and patients <60 years old.</sec><sec><title>CONCLUSIONS</title>Our findings may help clinicians and the public to identify COPD patients at high risk of exacerbation requiring hospitalisation and take targeted measures in time.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 12","pages":"578-584"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reasons for acceptance or nonparticipation in iAdhere: a trial of latent TB infection treatment. 接受或不参与 iAdhere：潜伏肺结核感染治疗试验的原因。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-11-01 DOI: 10.5588/ijtld.23.0599

K N Chapman Hedges, N Scott, R Belknap, S V Goldberg, M Engle, A Borisov, J Mangan

{"title":"Reasons for acceptance or nonparticipation in iAdhere: a trial of latent TB infection treatment.","authors":"K N Chapman Hedges, N Scott, R Belknap, S V Goldberg, M Engle, A Borisov, J Mangan","doi":"10.5588/ijtld.23.0599","DOIUrl":"10.5588/ijtld.23.0599","url":null,"abstract":"<sec><title>BACKGROUND</title>Understanding the motivations behind clinical trial participation can help enhance recruitment strategies and determine the generalizability of trial results. This study focuses on the reasons for participating in or declining the Tuberculosis Trials Consortium Study 33 (iAdhere), a clinical trial on the treatment of latent tuberculosis infection (LTBI).</sec><sec><title>METHODS</title>A quantitative evaluation was conducted among screened patients to ascertain their reasons for participating or not in the iAdhere trial. The study gathered data from enrolled participants and those who chose not to enroll.</sec><sec><title>RESULTS</title>Among 1,002 enrolled individuals, 290 participants provided 749 reasons for enrolling. The most common reasons included access to shorter treatment regimens (56%), avoiding progression to TB disease (45%), and improving health (21%). Of the 670 eligible persons who chose not to enroll, 551 individuals provided 800 reasons, with the most common being a preference for standard therapy (17%), disinterest in study medication or TB therapy (both 13%), and the inconvenience of daily observed treatment (12%).</sec><sec><title>CONCLUSION</title>The desire for shorter treatment options and preventing active disease motivates participation in LTBI trials. The diverse reasons for declining enrolment suggest the importance of developing targeted recruitment strategies. These findings support exploring shorter treatment regimens and can guide future recruitment efforts.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 11","pages":"521-526"},"PeriodicalIF":3.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11592393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors for and timing of presumptive recurrent TB. 推定复发性肺结核的风险因素和发病时间。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-11-01 DOI: 10.5588/ijtld.24.0019

A N Shapiro, L Scott, H Moultrie, K R Jacobson, J Bor, F Conradie, P da Silva, K Mlisana, H E Jenkins, W S Stevens

{"title":"Risk factors for and timing of presumptive recurrent TB.","authors":"A N Shapiro, L Scott, H Moultrie, K R Jacobson, J Bor, F Conradie, P da Silva, K Mlisana, H E Jenkins, W S Stevens","doi":"10.5588/ijtld.24.0019","DOIUrl":"10.5588/ijtld.24.0019","url":null,"abstract":"<sec><title>INTRODUCTION</title>Understanding factors associated with increased risk for tuberculosis (TB) recurrence is essential in lowering the TB burden. We aimed to quantify the burden, risk factors, and timing of TB presumptive recurrence.</sec><sec><title>METHODS</title>We analyzed test results from 2013 to 2017 in the South African National Health Laboratory Service's database. We defined a person's TB episode to start with their first positive TB test. In the absence of treatment outcome data, we assumed the episode concluded 6 months later for rifampicin-susceptible TB (RS-TB) and 18 months later for rifampicin-resistant TB (RR-TB), provided that at least one negative smear or culture test was recorded within this period. We defined a presumptive recurrent TB episode to start with a positive TB test after the completion of a prior episode. We calculated recurrence measures stratified by various demographics and RR-TB status.</sec><sec><title>RESULTS</title>Of 574,316 people with RS-TB, 4.7% experienced at least one presumptive recurrent TB episode. Higher local TB notification rates, HIV coinfection, and males experienced higher recurrence rates. Most (89.4%) of the first RS-TB recurrences occurred within a year of the initial episode.</sec><sec><title>CONCLUSION</title>Our findings of when and among whom recurrent TB is more likely to occur can be used to assist early interventions and inform impact on patient care.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 11","pages":"527-533"},"PeriodicalIF":3.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approaches and processes for paediatric chest X-ray classification used in the SHINE TB treatment-shortening trial. SHINE 结核病缩短治疗试验中使用的儿科胸部 X 光片分类方法和流程。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-11-01 DOI: 10.5588/ijtld.24.0076

M Palmer, M M van der Zalm, H S Schaaf, P Goussard, J Morrison, J A Seddon, S Hissar, D Baskaran, A Kinikar, P Raichur, E Wobudeya, C Chabala, K Lebeau, A M Crook, A Turkova, D Gibb, A C Hesseling

{"title":"Approaches and processes for paediatric chest X-ray classification used in the SHINE TB treatment-shortening trial.","authors":"M Palmer, M M van der Zalm, H S Schaaf, P Goussard, J Morrison, J A Seddon, S Hissar, D Baskaran, A Kinikar, P Raichur, E Wobudeya, C Chabala, K Lebeau, A M Crook, A Turkova, D Gibb, A C Hesseling","doi":"10.5588/ijtld.24.0076","DOIUrl":"10.5588/ijtld.24.0076","url":null,"abstract":"<sec><title>INTRODUCTION</title>SHINE (Shorter Treatment for Minimal Tuberculosis in Children) was the first Phase 3 paediatric TB treatment-shortening trial. Robust chest X-ray (CXR) classification methods were integral to excluding severe disease for trial eligibility and to retrospectively adjudicating TB status at baseline. We describe and critically evaluate the CXR classification approaches and processes used in the SHINE trial.</sec><sec><title>METHODS</title>Children with non-severe TB were randomised to 4- vs 6-months anti-TB treatment. Radiologically non-severe TB was defined on CXR. CXRs were systematically interpreted by on-site clinicians prospectively for eligibility determination and retrospectively by experts to inform adjudication of baseline TB status and disease severity.</sec><sec><title>RESULTS</title>A screening CXR was successfully obtained from all 1,204 enrolled children; 1,134 CXRs from children with intra-thoracic TB were reviewed by expert readers. Compared with the expert panel, enrolling clinicians classified more CXRs as abnormal and 'typical TB' and all as radiologically non-severe. The expert panel retrospectively classified 71/1,134 (6%) CXRs as severe. Of these, 4 (5.6%) had unfavourable outcomes compared with 34 (3.0%) in the trial overall.</sec><sec><title>DISCUSSION</title>Using CXRs to classify radiological disease severity and inform eligibility decisions in real-time by local enrolling clinicians was feasible and safe in this large paediatric TB trial. Retrospective central expert CXR review was successful. Refinement of the CXR methods for the classification of both disease severity and TB status could support standardised implementation in routine care and research.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 11","pages":"547-553"},"PeriodicalIF":3.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7617470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Whole-genome sequencing drug susceptibility testing is associated with positive MDR-TB treatment response. 全基因组测序药物敏感性检测与阳性 MDR-TB 治疗反应相关。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-10-01 DOI: 10.5588/ijtld.24.0052

L Larsson, C Corbett, G Kalmambetova, C Utpatel, S Ahmedov, U Antonenka, A Iskakova, A Kadyrov, T A Kohl, V Barilar, E Sahalchyk, S Niemann, H Hoffmann, K Kranzer

{"title":"Whole-genome sequencing drug susceptibility testing is associated with positive MDR-TB treatment response.","authors":"L Larsson, C Corbett, G Kalmambetova, C Utpatel, S Ahmedov, U Antonenka, A Iskakova, A Kadyrov, T A Kohl, V Barilar, E Sahalchyk, S Niemann, H Hoffmann, K Kranzer","doi":"10.5588/ijtld.24.0052","DOIUrl":"https://doi.org/10.5588/ijtld.24.0052","url":null,"abstract":"<sec><title>BACKGROUND</title>Until recently, multidrug-resistant TB (MDR-TB) was treated with lengthy and toxic regimens. New three-drug anti-TB regimens raise the question of whether they are sufficiently active for MDR-TB in Central Asia, an MDR-TB hotspot region.</sec><sec><title>METHODS</title>In a cohort of rifampicin-resistant (RR) and MDR-TB patients in the Kyrgyz Republic, we investigated the impact of the number of drugs that were tested susceptible by whole-genome sequencing (WGS) and conventional drug susceptibility testing (DST) and used for treatment on the treatment response, defined as 'matches'. Logistic regressions were performed to assess the effect of having ≥ 4 susceptible drugs in a regimen at baseline and at Month 2 on the treatment response.</sec><sec><title>RESULTS</title>The study included 227 participants with RR/MDR-TB (30.8% female; median age 30.4 years). The age- and sex-adjusted analysis showed an association between a regimen with ≥ 4 WGS matches at baseline (adjusted odds ratio [aOR] 2.10, 95% CI 1.00-4.41). No association was found when using conventional DST to define matches.</sec><sec><title>CONCLUSION</title>Our study confirms that the inclusion of four efficacious anti-TB drugs in an MDR-TB regimen increases the chances of a positive treatment response. Susceptibility of at least four drugs in WGS-DST predicts a positive treatment response.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 10","pages":"494-499"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clearing the air: microcosting the carbon impact of drug-susceptible pulmonary TB treatment. 清除空气：对药物敏感性肺结核治疗的碳影响进行微成本计算。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-10-01 DOI: 10.5588/ijtld.24.0157

M F Martins, M R Dauphinais, A Tabackman, P B Narasimhan, M C Nielsen, N S Miller, A Sahay, M Namachivayam, S Janarthanan, C Palanivel, S Lakshminarayanan, K G Koura, P Sinha

{"title":"Clearing the air: microcosting the carbon impact of drug-susceptible pulmonary TB treatment.","authors":"M F Martins, M R Dauphinais, A Tabackman, P B Narasimhan, M C Nielsen, N S Miller, A Sahay, M Namachivayam, S Janarthanan, C Palanivel, S Lakshminarayanan, K G Koura, P Sinha","doi":"10.5588/ijtld.24.0157","DOIUrl":"10.5588/ijtld.24.0157","url":null,"abstract":"<sec><title>BACKGROUND</title>More than 10 million individuals develop active TB each year. The diagnosis and treatment of TB create greenhouse gas emissions, contributing to climate change. This study estimates the carbon footprint (CF) of successfully treating one person with drug-susceptible pulmonary TB (DS-PTB) in India.</sec><sec><title>METHODS</title>We defined the cascade of care for DS-PTB using national guidelines, interviews, and direct observation. We estimated the inputs for TB diagnosis and treatment in United States dollars, kilowatts per hour, and kilometres travelled; we converted them into carbon dioxide emissions equivalents (CO₂e) using an appropriate calculator.</sec><sec><title>RESULTS</title>The CF of diagnosing and treating one person with DS-PTB in India is 103.8 kg CO₂e: 31.9% attributable to diagnosis and 68.1% to treatment. Emissions came primarily from first-line drugs (21.2%), hospitalisations (17.4%), and laboratory processes.</sec><sec><title>CONCLUSION</title>We conservatively estimate that treating all persons with TB in India would produce at least 290,640 metric tonnes of CO₂e per year, approximately the same emissions as 63,182 passenger cars in the United States. It is evident that one of India's leading public health challenges also contributes meaningfully to climate change.</sec>.","PeriodicalId":14411,"journal":{"name":"International Journal of Tuberculosis and Lung Disease","volume":"28 10","pages":"488-493"},"PeriodicalIF":3.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational transmission of TB infection during autopsy. 尸检过程中肺结核感染的职业传播。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-10-01 DOI: 10.5588/ijtld.24.0023

S Colomb, M Tricot, E Baccino, F-X Lesage

引用次数: 0

The impact of the COVID-19 pandemic on TB in a low TB burden setting. 在结核病负担较轻的环境中，COVID-19 大流行对结核病的影响。

IF 3.4 3区医学

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-10-01 DOI: 10.5588/ijtld.24.0040

A Maldari, M Brigham, T I Emeto, O Adegboye, S Barry

引用次数: 0