Evidence map›Paper›PMID 26180817›Full record

Observational studyBioMed research international2015

Clinical Relevance of Nontuberculous Mycobacteria Isolated from Sputum in a Gold Mining Workforce in South Africa: An Observational, Clinical Study.

Clare L van Halsema, Violet N Chihota, Nicolaas C Gey van Pittius, Katherine L Fielding, James J Lewis, Paul D van Helden, Gavin J Churchyard, Alison D Grant

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Molecular Identification, and Characterization ofInfection and drug resistance · 2020
    Article
  6. Article
  7. Article
  8. Mycobacterium kansasii.Microbiology spectrum · 2017
    Review
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

8 authors.

Clare L van HalsemaLondon School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Violet N ChihotaThe Aurum Institute, Postnet Suite No. 300, Private Bag X30500, Houghton, Johannesburg 2041, South Africa.
Nicolaas C Gey van PittiusDST/NRF Centre of Excellence for Biomedical Tuberculosis Research, MRC Centre for Molecular and Cellular Biology, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Private Bag X1, Matieland, Cape Town 7602, South Africa.
Katherine L FieldingLondon School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
James J LewisLondon School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Paul D van HeldenDST/NRF Centre of Excellence for Biomedical Tuberculosis Research, MRC Centre for Molecular and Cellular Biology, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Private Bag X1, Matieland, Cape Town 7602, South Africa.
Gavin J ChurchyardLondon School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK ; The Aurum Institute, Postnet Suite No. 300, Private Bag X30500, Houghton, Johannesburg 2041, South Africa ; School of Public Health, University of Witwatersrand, Private Bag 3, Wits 2050, South Africa.
Alison D GrantLondon School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

Funding

South Africa Tuberculosis AIDS Training (SATBAT)U2RTW007370 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI MARTINSON, NEIL A · 2007 to 2011
$1.9M
South Africa Tuberculosis/AIDS TrainingU2RTW007373 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VAN DER HORST, CHARLES MICHAEL · 2007 to 2012
$1.4M
Department of HealthFIC NIH HHS U2R TW007370FIC NIH HHS U2R TW007373Medical Research Council MR/K007467/1Medical Research Council MR/K012126/1PHS HHS 5U2RTW007370PHS HHS 5U2RTW007373
6 · The paper itself

Abstract

backgroundThe clinical relevance of nontuberculous mycobacteria (NTM), detected by liquid more than solid culture in sputum specimens from a South African mining workforce, is uncertain. We aimed to describe the current spectrum and relevance of NTM in this population.

methodsAn observational study including individuals with sputum NTM isolates, recruited at workforce tuberculosis screening and routine clinics. Symptom questionnaires were administered at the time of sputum collection and clinical records and chest radiographs reviewed retrospectively.

resultsOf 232 individuals included (228 (98%) male, median age 44 years), M. gordonae (60 individuals), M. kansasii (50), and M. avium complex (MAC: 38) were the commonest species. Of 38 MAC isolates, only 2 (5.3%) were from smear-positive sputum specimens and 30/38 grew in liquid but not solid culture. MAC was especially prevalent among symptomatic, HIV-positive individuals. HIV prevalence was high: 57/74 (77%) among those tested. No differences were found in probability of death or medical separation by NTM species.

conclusionsM. gordonae, M. kansasii, and MAC were the commonest NTM among miners with suspected tuberculosis, with most MAC from smear-negative specimens in liquid culture only. HIV testing and identification of key pathogenic NTM in this setting are essential to ensure optimal treatment.

Indexed as

GoldHIV InfectionsMinersMiningMycobacterium Infections, NontuberculousNontuberculous MycobacteriaSputumAdultHumansMaleMiddle AgedPrevalenceSouth AustraliaGold

Identifiers

PMID26180817
PMCPMC4477445

What OpenQuestion holds

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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.