{"title":"Peer-led education on treatment success and patient-reported outcomes in drug-susceptible pulmonary TB.","authors":"M G Workie, F Ambaw, M A Asemahegn","doi":"10.5588/ijtld.26.0102","DOIUrl":"10.5588/ijtld.26.0102","url":null,"abstract":"<p><p><sec><title>BACKGROUND</title>Peer-led education has shown effectiveness in improving adherence and psychosocial outcomes for HIV and chronic disease through shared experience and social learning. Despite its potential, peer involvement remains underutilised in TB care, particularly in low-income settings. Existing studies primarily focus on microbiological cure and treatment completion with minimal attention to patient-reported outcomes such as quality of life, disability, and mental health.</sec><sec><title>OBJECTIVE</title>The aim of this study is to evaluate the effect of a peer-led educational intervention on treatment success, quality of life, disability, and depression among adults with drug-susceptible pulmonary TB in South Omo and Ari zones, in southern Ethiopia.</sec><sec><title>METHODS</title>A cluster randomised controlled trial will be conducted in 30 randomly selected health facilities, enrolling 250 participants. Data will be collected at three time points using structured questionnaires. Mixed-effects logistic regression will assess treatment outcomes. Changes in quality of life, disability, and depression will be analysed using generalised estimating equations. Statistical significance will be set at <i>P</i> < 0.05 with 95% confidence intervals.</sec><sec><title>CONCLUSION</title>The study aims to provide evidence on whether peer-led education improves TB treatment and psychosocial outcomes, informing patient-centred TB control strategies in Ethiopia.</sec>.</p>","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"409-413"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Q Shaikh, M Atif, H Aslam, M Z Samad, M J Khawaja, Q M Abbasi, R Fatima
{"title":"Trends in resistance to key TB drugs in Pakistan, 2015-2024.","authors":"R Q Shaikh, M Atif, H Aslam, M Z Samad, M J Khawaja, Q M Abbasi, R Fatima","doi":"10.5588/ijtld.26.0022","DOIUrl":"https://doi.org/10.5588/ijtld.26.0022","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"417-419"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M de Vos, B Ajide, C A Moe, J Barrameda, M Chirwa, L Rockman, P de Haas, M Kato-Maeda, B Tasca, J Bimba, C Yu, C M Denkinger, K Kremer, P Nahid, A Cattamanchi, G Theron, M Muyoyeta
{"title":"Overall sensitivity of tongue swab Xpert MTB/RIF Ultra testing for TB.","authors":"M de Vos, B Ajide, C A Moe, J Barrameda, M Chirwa, L Rockman, P de Haas, M Kato-Maeda, B Tasca, J Bimba, C Yu, C M Denkinger, K Kremer, P Nahid, A Cattamanchi, G Theron, M Muyoyeta","doi":"10.5588/ijtld.26.0298","DOIUrl":"https://doi.org/10.5588/ijtld.26.0298","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"423-424"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J G Aldaba, M A Catalig, A L Lopez, M M Alejandria, M E V Uy, A M Salonga, M Morales-Dizon, P F Raguindin
{"title":"High levels of recurrent TB in the Philippines: results from a rural community cohort using a pragmatic design.","authors":"J G Aldaba, M A Catalig, A L Lopez, M M Alejandria, M E V Uy, A M Salonga, M Morales-Dizon, P F Raguindin","doi":"10.5588/ijtld.25.0808","DOIUrl":"https://doi.org/10.5588/ijtld.25.0808","url":null,"abstract":"<p><p><sec><title>BACKGROUND</title>TB remains a major public health problem in the Philippines, which is among the 30 highest TB-burden countries. While treatment success rates are often used as indicators of programme performance, recurrence rates provide a more objective measure of long-term treatment effectiveness. Currently, the Philippines has limited data on recurrent TB.</sec><sec><title>METHODS</title>This cohort from an active TB surveillance study in San Juan, Batangas (2013-2015), was followed up from March 2018 to January 2022. Recurrent TB, defined as an active TB case diagnosed and treated before with anti-TB drugs, was identified using national guidelines. Socio-demographic and clinical data were obtained from interviews and medical records. Incidence rates (per 1,000 person-years) and factors associated with recurrence were analysed using Cox proportional hazards models.</sec><sec><title>RESULTS</title>A total of 284 individuals were followed up for a median of 7.1 years, during which 71 participants (25%) developed recurrent TB, corresponding to an incidence rate of 38.3 cases per 1,000 person-years. Most recurrent cases were clinically diagnosed (87%) and occurred more than 2 years after the initial episode. Older age and lower socio-economic status were significantly associated with recurrence (<i>P</i> < 0.01).</sec><sec><title>CONCLUSION</title>Using pragmatic study design, we found TB recurrence is common in this high-burden setting.</sec>.</p>","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"389-395"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Vijayakumar, A Kunoor, A Pradeep, A Ashok, A Kumar
{"title":"Clinical significance of Xpert MTB/RIF Ultra trace results in the diagnosis and treatment of TB.","authors":"D Vijayakumar, A Kunoor, A Pradeep, A Ashok, A Kumar","doi":"10.5588/ijtld.25.0551","DOIUrl":"https://doi.org/10.5588/ijtld.25.0551","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"414-416"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aldomoro Burua, Deus Lukoye, Bruce Kirenga, Sabine Hermans, Frank Cobelens
{"title":"Sensitivity of chest X-ray from community screening: a meta-reanalysis of TB prevalence survey data.","authors":"Aldomoro Burua, Deus Lukoye, Bruce Kirenga, Sabine Hermans, Frank Cobelens","doi":"10.5588/ijtld.25.0744","DOIUrl":"10.5588/ijtld.25.0744","url":null,"abstract":"<p><p><sec><title>BACKGROUND</title>Community TB screening using chest X-ray (CXR) is recommended for high-burden settings. The sensitivity of CXR for community screening is regarded high but may be overestimated due to incorporation bias. We conducted a meta-reanalysis of data used to provide more accurate estimates for CXR sensitivity.</sec><sec><title>METHODS</title>We considered 23 studies from a published systematic review and meta-analysis where participants were screened for TB using a combination of TB symptoms and CXR and received bacteriological sputum testing as the reference standard. We compared the sensitivity of CXR among symptom screen-positive study participants to that among all study participants.</sec><sec><title>RESULTS</title>Twenty-one studies were included for the meta-reanalysis. The pooled sensitivity (95% confidence interval) of CXR among symptom screen-positive participants was 86% (83%-90%), lower than the pooled sensitivity based on all study participants (94% [92%-96%]) reported in the original meta-analysis. The pooled difference in sensitivity between the two approaches was 6% (4%-8%).</sec><sec><title>CONCLUSION</title>The sensitivity of CXR among symptomatic participants was lower than the published sensitivity, indicating incorporation bias. The sensitivity among symptomatic participants should be considered the realistic maximum sensitivity for community screening; the combined sensitivity for symptomatic and asymptomatic TB is likely lower.</sec>.</p>","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"396-402"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Fuangprachakorn, S Jittimanee, P Sutipanwihan, S Sriburin, C Sengthong, O Wongsathit, K Munmueng, N Chamkuntod, A Kokiatinun, T Sawangngam, K Janthima, A Chonlathep
{"title":"Screening, pharmacogenetic testing, and treatment challenges of TB infection in a Thai prison.","authors":"S Fuangprachakorn, S Jittimanee, P Sutipanwihan, S Sriburin, C Sengthong, O Wongsathit, K Munmueng, N Chamkuntod, A Kokiatinun, T Sawangngam, K Janthima, A Chonlathep","doi":"10.5588/ijtld.26.0215","DOIUrl":"https://doi.org/10.5588/ijtld.26.0215","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"420-422"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y A Sekarini, F F Yani, S Suyanto, I W Gede Artawan Eka Putra, T T Pakasi, G B Leksono Adhi
{"title":"Factors associated with unsuccessful TB treatment outcomes in children and adolescents in Indonesia, 2018-2023.","authors":"Y A Sekarini, F F Yani, S Suyanto, I W Gede Artawan Eka Putra, T T Pakasi, G B Leksono Adhi","doi":"10.5588/ijtld.26.0066","DOIUrl":"https://doi.org/10.5588/ijtld.26.0066","url":null,"abstract":"<p><p><sec><title>BACKGROUND</title>Non-adherence to TB treatment is associated with substantially increased mortality risk among children, yet determinants of unsuccessful treatment outcomes remain under-recognised. We examined factors associated with unsuccessful TB treatment outcomes among children and adolescents in Indonesia from 2018 to 2023.</sec><sec><title>METHODS</title>We conducted a retrospective cohort study using the National TB Registry, including 509,290 patients aged 0-19 years with evaluated treatment outcomes. Outcomes were classified as successful (cured or treatment completed) or unsuccessful (death, loss to follow-up, or treatment failure). Multivariable logistic regression was used to identify factors associated with unsuccessful outcomes.</sec><sec><title>RESULTS</title>Adolescents aged 10-19 years had higher odds of unsuccessful treatment compared with children aged 0-4 years (adjusted odds ratio [AOR]: 1.25, 95% confidence interval [CI]: 1.21-1.28). The strongest predictors of unsuccessful outcomes were drug-resistant TB (AOR: 21.90, CI: 8.58-60.10), HIV co-infection (AOR: 3.70, CI: 3.35-4.08), and retreatment status (AOR: 1.98, CI: 1.83-2.14). Marked geographic disparities were observed, with significantly higher odds in Eastern Indonesia (AOR: 2.80, CI: 2.71-2.91).</sec><sec><title>CONCLUSION</title>Adolescents and children with drug-resistant TB and HIV co-infection, or those receiving retreatment, face markedly increased risks of unsuccessful outcomes, alongside substantial geographic inequities. Strengthened adherence support and regionally targeted interventions are urgently needed.</sec>.</p>","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 9","pages":"403-408"},"PeriodicalIF":3.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing TB diagnosis from tongue swabs: global challenges and marginal strategic opportunities.","authors":"P R Mohapatra, N Kaushik, B Mishra","doi":"10.5588/ijtld.26.0264","DOIUrl":"10.5588/ijtld.26.0264","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 8","pages":"387-388"},"PeriodicalIF":3.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M C Pires, B S Nunes, A M Garcia, A P Lemos, R Valsassina, H Choon, C Conceição, R Lopes da Silva, J P Vieira, T M Silva, C Gouveia, M J Brito, L Varandas
{"title":"Paediatric central nervous system TB: analysis of a 13-year retrospective cohort.","authors":"M C Pires, B S Nunes, A M Garcia, A P Lemos, R Valsassina, H Choon, C Conceição, R Lopes da Silva, J P Vieira, T M Silva, C Gouveia, M J Brito, L Varandas","doi":"10.5588/ijtld.25.0798","DOIUrl":"10.5588/ijtld.25.0798","url":null,"abstract":"","PeriodicalId":520801,"journal":{"name":"The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease","volume":"30 8","pages":"384-386"},"PeriodicalIF":3.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}