Evidence map›Paper›PMID 27493800›Full record

ArticleTuberculosis research and treatment2016

The Use of Xpert MTB/Rif for Active Case Finding among TB Contacts in North West Province, South Africa.

Limakatso Lebina, Nigel Fuller, Tolu Osoba, Lesley Scott, Katlego Motlhaoleng, Modiehi Rakgokong, Pattamukkil Abraham, Ebrahim Variava, Neil Alexander Martinson

Open access · hybridAbstract read
In one paragraph

Article in Tuberculosis research and treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 6 pooled it
1.6field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 6 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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  9. Housing Quality in a Rural and an Urban Settlement in South Africa.International journal of environmental research and public health · 2021
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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 at 3 institutions in 2 countries.

Limakatso LebinaPerinatal HIV Research Unit, University of Witwatersrand, Johannesburg 2000, South Africa.ORCID 0000-0001-6825-0573
Nigel FullerPublic Health, School of Medicine, University of Liverpool, Liverpool L69 7ZX, UK.ORCID 0000-0003-0120-9378
Tolu OsobaPublic Health, School of Medicine, University of Liverpool, Liverpool L69 7ZX, UK.
Lesley ScottDepartment of Molecular Medicine and Hematology, University of the Witwatersrand, Johannesburg 2000, South Africa.
Katlego MotlhaolengPerinatal HIV Research Unit, University of Witwatersrand, Johannesburg 2000, South Africa.
Modiehi RakgokongPerinatal HIV Research Unit, University of Witwatersrand, Johannesburg 2000, South Africa.
Pattamukkil AbrahamPerinatal HIV Research Unit, University of Witwatersrand, Johannesburg 2000, South Africa.ORCID 0000-0001-6776-5129
Ebrahim VariavaDepartment of Internal Medicine, Klerksdorp/Tshepong Hospital Complex, North West Department of Health and University of the Witwatersrand, Johannesburg 2000, South Africa.ORCID 0000-0003-2888-789X
Neil Alexander MartinsonPerinatal HIV Research Unit, University of Witwatersrand, Johannesburg 2000, South Africa; DST/NRF Centre of Excellence for Biomedical TB Research, University of the Witwatersrand, Johannesburg 2000, South Africa.
Perinatal HIV Research Unit · ZAUniversity of the Witwatersrand · ZAUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. Tuberculosis is a major cause of morbidity and mortality especially in high HIV burden settings. Active case finding is one strategy to potentially reduce TB disease burden. Xpert MTB/Rif has recently been recommended for diagnosis of TB. Methods. Pragmatic randomized trial to compare diagnosis rate and turnaround time for laboratory testing for Xpert MTB/Rif with TB microscopy and culture in household contacts of patients recently diagnosed with TB. Results. 2464 household contacts enrolled into the study from 768 active TB index cases. 1068 (44%) were unable to give sputum, but 24 of these were already on TB treatment. 863 (53%) participants sputum samples were tested with smear and culture and 2.7% (23/863; CI: 1.62-3.78) were diagnosed with active TB. Xpert MTB/Rif was used in 515 (21%) participants; active TB was diagnosed in 1.6% (8/515; CI: 0.52-2.68). Discussion and Conclusions. Additional 31 cases were diagnosed with contact tracing of household members. When Xpert MTB/Rif is compared with culture, there is no significant difference in diagnostic yield.

Identifiers

PMID27493800
PMCPMC4963585
OpenAlexW2472025792

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.