Evidence map›Paper›PMID 24970328›Full record

ArticleBMC infectious diseases2014

Clinical and epidemiological characteristics of individuals resistant to M. tuberculosis infection in a longitudinal TB household contact study in Kampala, Uganda.

Ningning Ma, Sarah Zalwango, LaShaunda L Malone, Mary Nsereko, Eddie M Wampande, Bonnie A Thiel, Brenda Okware, Robert P Igo, Moses L Joloba, Ezekiel Mupere and 4 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
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

41 citing papers in PubMed.

  1. A proteome-wide atlas of humoral immunity toFrontiers in immunology · 2026
    Article
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Capturing RecentTropical medicine and infectious disease · 2024
    Article
  9. Frontiers in immunology · 2024
    Article
  10. Article
  11. Review
  12. Research progress on genetic control of host susceptibility to tuberculosis.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Review
  13. Article
  14. Article
  15. Resistance to Mycobacterium tuberculosis Infection Among Household Contacts: A Multinational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  16. Review
  17. Phenotype Definition for "Resisters" toFrontiers in immunology · 2021
    Review
  18. Genetics and evolution of tuberculosis pathogenesis: New perspectives and approaches.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2020
    Review
  19. Host defense mechanisms against Mycobacterium tuberculosis.Cellular and molecular life sciences : CMLS · 2020
    Review
  20. Article
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

14 authors.

Ningning Ma
Sarah Zalwango
LaShaunda L Malone
Mary Nsereko
Eddie M Wampande
Bonnie A Thiel
Brenda Okware
Robert P Igo
Moses L Joloba
Ezekiel Mupere
Harriet Mayanja-Kizza
W Henry Boom
Catherine M SteinDepartment of Epidemiology & Biostatistics, Case Western Reserve University, 2103 Cornell Rd, Wolstein Research Building room 1316, Cleveland, OH 44106, USA. catherine.stein@case.edu.
Tuberculosis Research Unit (TBRU)

Funding

Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
Pathway analysis of tuberculosis pathogenesisR01HL096811 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI STEIN, CATHERINE MARIE · 2009 to 2013
$2.2M
NHLBI NIH HHS R01 HL096811NHLBI NIH HHS R01HL096811NIAID NIH HHS N01-AI70022NIAID NIH HHS N01-AI95383
6 · The paper itself

Abstract

backgroundDespite sustained exposure to a person with pulmonary tuberculosis (TB), some M. tuberculosis (Mtb) exposed individuals maintain a negative tuberculin skin test (TST). Our objective was to characterize these persistently negative TST (PTST-) individuals and compare them to TST converters (TSTC) and individuals who are TST positive at study enrollment.

methodsDuring a TB household contact study in Kampala, Uganda, PTST-, TSTC, and TST + individuals were identified. PTST- individuals maintained a negative TST over a 2 year observation period despite prolonged exposure to an infectious tuberculosis (TB) case. Epidemiological and clinical characteristics were compared, a risk score developed by another group to capture risk for Mtb infection was computed, and an ordinal regression was performed.

resultsWhen analyzed independently, epidemiological risk factors increased in prevalence from PTST- to TSTC to TST+. An ordinal regression model suggested age (p < 0.01), number of windows (p < 0.01) and people (p = 0.07) in the home, and sleeping in the same room (p < 0.01) were associated with PTST- and TSTC. As these factors do not exist in isolation, we examined a risk score, which reflects an accumulation of risk factors. This compound exposure score did not differ significantly between PTST-, TSTC, and TST+, except for the 5-15 age group (p = 0.009).

conclusionsThough many individual factors differed across all three groups, an exposure risk score reflecting a collection of risk factors did not differ for PTST-, TSTC and TST + young children and adults. This is the first study to rigorously characterize the epidemiologic risk profile of individuals with persistently negative TSTs despite close exposure to a person with TB. Additional studies are needed to characterize possible epidemiologic and host factors associated with this phenotype.

Indexed as

Family CharacteristicsAdaptive ImmunityAdolescentAdultChildChild, PreschoolFemaleHumansInfantLongitudinal StudiesMalePrevalenceRisk FactorsTuberculin TestTuberculosis, Multidrug-ResistantUganda

Identifiers

PMID24970328
PMCPMC4091673

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Registered trials

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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.