Evidence map›Paper›PMID 23827025›Full record

ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2013

The utility of stool cultures for diagnosing tuberculosis in people living with the human immunodeficiency virus.

G E Oramasionwu, C M Heilig, N Udomsantisuk, M E Kimerling, B Eng, H D Nguyen, S Thai, C Keo, K D McCarthy, J K Varma and 1 more

Open access · greenAbstract read
In one paragraph

Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Recommendations for the diagnosis of pediatric tuberculosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Guideline
  3. Article
  4. Article
  5. Culturing stool specimens has no added value in diagnosing pulmonary tuberculosis.Journal of clinical tuberculosis and other mycobacterial diseases · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Comparison ofJournal of medical science and clinical research · 2017
    Article
  12. Article
  13. Incidence and correlates of tuberculosis IGRA conversion among HIV-infected postpartum women.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2015
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

G E OramasionwuEpidemic Intelligence Service, Division of Tuberculosis Elimination, US Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
C M Heilig
N Udomsantisuk
M E Kimerling
B Eng
H D Nguyen
S Thai
C Keo
K D McCarthy
J K Varma
K P Cain
Epidemic Intelligence Service · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundDelayed diagnosis of tuberculosis (TB) increases mortality.

objectiveTo evaluate whether stool culture improves the diagnosis of TB in people living with the human immunodeficiency virus (PLHIV).

designWe analysed cross-sectional data of TB diagnosis in PLHIV in Cambodia, Thailand and Viet Nam. Logistic regression was used to assess the association between positive stool culture and TB, and to calculate the incremental yield of stool culture.

resultsA total of 1693 PLHIV were enrolled with a stool culture result. Of 228 PLHIV with culture-confirmed TB from any site, 101 (44%) had a positive stool culture; of these, 91 (90%) had pulmonary TB (PTB). After adjusting for confounding factors, a positive stool culture was associated with smear-negative (odds ratio [OR] 26, 95% confidence interval [CI] 12-58), moderately smear-positive (OR 60, 95%CI 23-159) and highly smear-positive (OR 179, 95%CI 59-546) PTB compared with no PTB. No statistically significant association existed with extra-pulmonary TB compared with no extra-pulmonary TB (OR 2, 95%CI 1-5). The incremental yield of one stool culture above two sputum cultures (5%, 95%CI 3-8) was comparable to an additional sputum culture (7%, 95%CI 4-11).

conclusionNearly half of the PLHIV with TB had a positive stool culture that was strongly associated with PTB. Stool cultures may be used to diagnose TB in PLHIV.

Indexed as

AdultCross-Sectional StudiesDelayed DiagnosisFecesFemaleHIV InfectionsHumansLogistic ModelsMaleSputumThailandTuberculosisTuberculosis, PulmonaryVietnam

Identifiers

PMID23827025
PMCPMC5152914
OpenAlexW2019821643

What OpenQuestion 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 OpenQuestion graph.