Evidence map›Paper›PMID 26812154›Full record

ArticlePloS one2016

Nontuberculous Mycobacterial Disease in Children - Epidemiology, Diagnosis & Management at a Tertiary Center.

Marc Tebruegge, Anastasia Pantazidou, Duncan MacGregor, Gena Gonis, David Leslie, Luigi Sedda, Nicole Ritz, Tom Connell, Nigel Curtis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 93 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2026
    Article
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Management of Infectious Lymphadenitis in Children.Children (Basel, Switzerland) · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. Non-Tuberculous Mycobacterial Diseases in Children.Pathogens (Basel, Switzerland) · 2020
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Emerging and re-emerging infectious disease in otorhinolaryngology.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018
    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

9 authors at 4 institutions in 3 countries.

Marc TebrueggeDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
Anastasia PantazidouInfectious Diseases Unit, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Duncan MacGregorDepartment of Anatomical Pathology, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Gena GonisDepartment of Microbiology, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
David LeslieMycobacterium Reference Laboratory, Victorian Infectious Diseases Reference Laboratory, North Melbourne, Australia.
Luigi SeddaDepartment of Geography and Environment, University of Southampton, Southampton, United Kingdom.
Nicole RitzDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
Tom ConnellDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
Nigel CurtisDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.
Royal Children's Hospital · AUUniversity of Southampton · GBUniversity of Melbourne · AUVictorian Infectious Diseases Reference Laboratory · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited data on the epidemiology, diagnosis and optimal management of nontuberculous mycobacterial (NTM) disease in children.

methodsRetrospective cohort study of NTM cases over a 10-year-period at a tertiary referral hospital in Australia.

resultsA total of 140 children with NTM disease, including 107 with lymphadenitis and 25 with skin and soft tissue infections (SSTIs), were identified. The estimated incidence of NTM disease was 0.6-1.6 cases / 100,000 children / year; no increasing trend was observed over the study period. Temporal analyses revealed a seasonal incidence cycle around 12 months, with peaks in late winter/spring and troughs in autumn. Mycobacterium-avium-complex accounted for most cases (77.8%), followed by Mycobacterium ulcerans (14.4%) and Mycobacterium marinum (3.3%). Polymerase chain reaction testing had higher sensitivity than culture and microscopy for acid-fast bacilli (92.0%, 67.2% and 35.7%, respectively). The majority of lymphadenitis cases underwent surgical excision (97.2%); multiple recurrences in this group were less common in cases treated with clarithromycin and rifampicin compared with clarithromycin alone or no anti-mycobacterial drugs (0% versus 7.1%; OR:0.73). SSTI recurrences were also less common in cases treated with two anti-mycobacterial drugs compared with one or none (10.5% versus 33.3%; OR:0.23).

conclusionsThere was seasonal variation in the incidence of NTM disease, analogous to recently published observations in tuberculosis, which have been linked to seasonal variation in vitamin D. Our finding that anti-mycobacterial combination therapy was associated with a reduced risk of recurrences in patients with NTM lymphadenitis or SSTI requires further confirmation in prospective trials.

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolClarithromycinCohort StudiesDNA, BacterialFemaleHumansInfantInfant, NewbornLymphadenitisMaleMycobacterium avium ComplexMycobacterium Infections, NontuberculousMycobacterium marinumAnti-Bacterial AgentsClarithromycinDNA, BacterialRifampin

Identifiers

PMID26812154
PMCPMC4727903
OpenAlexW2264760947

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.