Evidence map›Paper›PMID 25784643›Full record

ArticleEuropean journal of internal medicine2015

"Multidrug-resistant tuberculosis" may be nontuberculous mycobacteria.

Abdolrazagh Hashemi Shahraki, Parvin Heidarieh, Saeed Zaker Bostanabad, Azar Dokht Khosravi, Mohammad Hashemzadeh, Solmaz Khandan, Maryam Biranvand, Dean E Schraufnagel, Mehdi Mirsaeidi

Abstract read
In one paragraph

Article in European journal of internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–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

50 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Abdolrazagh Hashemi ShahrakiDepartment of Epidemiology, Pasteur Institute of Iran, Tehran, Iran.
Parvin HeidariehDepartment of Microbiology, Alborz University of Medical Science, Karaj, Iran.
Saeed Zaker BostanabadDepartment of Biology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Azar Dokht KhosraviHealth Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Mohammad HashemzadehHealth Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Solmaz KhandanHealth Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Maryam BiranvandHealth Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Dean E SchraufnagelDivision of Pulmonary and Critical Care, University of Illinois at Chicago, Chicago, IL, USA.
Mehdi MirsaeidiDivision of Pulmonary and Critical Care, University of Illinois at Chicago, Chicago, IL, USA. Electronic address: mmirsae@uic.edu.

Funding

Pulmonary and Critical Care Post-Doctoral Research Training ProgramT32HL082547 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI FINN, PATRICIA W · 2007 to 2017
$2.7M
NHLBI NIH HHS 5T32 HL 82547-7NHLBI NIH HHS T32 HL082547
6 · The paper itself

Abstract

introductionMultidrug resistant tuberculosis (MDR-TB) presents a great challenge to public health, especially for developing countries. Some nontuberculous mycobacteria (NTM) cause the similar clinical and radiological characteristics with tuberculosis. We aimed to identify the frequency of NTM infections among subjects who were suspected to have MDR-TB due to lack of response to anti-TB treatment.

methodsThis retrospective study evaluated patients with suspected MDR-TB due to lack of sputum conversion after 2-3 month therapy with first line anti-TB treatment from 2009 through 2014. Cultures for mycobacteria were performed and identification was done to species level by phenotypic and molecular tests. The outcome of the patients with NTM disease and related risk factors for poor outcome were evaluated.

resultsOut of 117 consecutive strains isolated from suspected MDR-TB subjects, 35 (30%) strains were identified as NTM by using conventional and molecular approaches. Of these patients with positive NTM cultures, 32 (27%) patients met ATS/IDSA diagnostic criteria. Out of 32, 29 (90%) individuals with confirmed NTM diseases had underlying disorders including 8 subjects with malignancy, 5 with organ transplantations, and 4 with the human immunodeficiency virus. No known underlying disorder was found in 3 (9%) subjects. Treatment outcomes were available for 27 subjects, 17 (63%) of whom were cured and 10 (37%) had poor outcome including 6 (60%) who failed and 4 (40%) who died during treatment.

conclusionThe high costs to the patient and society should lead health care providers to consider NTM in all patients suspected of having TB.

Indexed as

AdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedMycobacterium Infections, NontuberculousNontuberculous MycobacteriaRetrospective StudiesRisk FactorsSputumTreatment OutcomeTuberculosis, Multidrug-ResistantMDR-TBNontuberculous mycobacteriaNTMTuberculosis

Identifiers

PMID25784643
PMCPMC4414892

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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.