Evidence map›Paper›PMID 27866367›Full record

ArticleInfection2017

Risk for latent and active tuberculosis in Germany.

Christian Herzmann, Giovanni Sotgiu, Oswald Bellinger, Roland Diel, Silke Gerdes, Udo Goetsch, Helga Heykes-Uden, Tom Schaberg, Christoph Lange, TB or not TB consortium

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Tuberculosis contact investigation: an evaluation of yield and guideline adherence, Upper Bavaria, Germany, 2018 to 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Video Endoscopy-Guided Intrabronchial Spray Inoculation ofFrontiers in veterinary science · 2022
    Article
  12. Article
  13. Article
  14. Risk Analysis of Latent Tuberculosis Infection among Health Workers Compared to Employees in Other Sectors.International journal of environmental research and public health · 2020
    Article
  15. Article
  16. Article
  17. Sex differences in tuberculosis.Seminars in immunopathology · 2019
    Review
  18. Article
  19. Article
  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

10 authors at 5 institutions in 2 countries.

Christian HerzmannDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.
Giovanni SotgiuEpidemiology and Medical Statistics Unit, Department of Biomedical Sciences, University of Sassari, Sassari, Italy.
Oswald BellingerDAHW German Leprosy and Tuberculosis Relief Association, Würzburg, Germany.
Roland DielInstitute of Epidemiology, University Medical Hospital Schleswig-Holstein, Campus Kiel, Germany.
Silke GerdesMunicipal Health Authority Hannover, Hanover, Germany.
Udo GoetschMunicipal Health Authority Frankfurt, Frankfurt, Germany.
Helga Heykes-UdenMunicipal Health Authority Hannover, Hanover, Germany.
Tom SchabergCenter of Pneumology, Agaplesion Deaconess Hospital Rotenburg, Rotenburg, Germany.
Christoph LangeDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany. clange@fz-borstel.de.
TB or not TB consortium
Research Center Borstel - Leibniz Lung Center · DEAgaplesion Diakonieklinikum Rotenburg · DEDeutsche Lepra- und Tuberkulosehilfe · DELungenClinic Grosshansdorf · DEUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFew individuals that are latently infected with M. tuberculosis latent tuberculosis infection(LTBI) progress to active disease. We investigated risk factors for LTBI and active pulmonary tuberculosis (PTB) in Germany.

methodsHealthy household contacts (HHCs), health care workers (HCWs) exposed to M. tuberculosis and PTB patients were recruited at 18 German centres. Interferon-γ release assay (IGRA) testing was performed. LTBI risk factors were evaluated by comparing IGRA-positive with IGRA-negative contacts. Risk factors for tuberculosis were evaluated by comparing PTB patients with HHCs.

resultsFrom 2008-2014, 603 HHCs, 295 HCWs and 856 PTBs were recruited. LTBI was found in 34.5% of HHCs and in 38.9% of HCWs. In HCWs, care for coughing patients (p = 0.02) and longstanding nursing occupation (p = 0.04) were associated with LTBI. In HHCs, predictors for LTBI were a diseased partner (odds ratio 4.39), sexual contact to a diseased partner and substance dependency (all p < 0.001). PTB was associated with male sex, low body weight (p < 0.0001), alcoholism (15.0 vs 5.9%; p < 0.0001), glucocorticoid therapy (7.2 vs 2.0%; p = 0.004) and diabetes (7.8 vs. 4.0%; p = 0.04). No contact developed active tuberculosis within 2 years follow-up.

conclusionsPositive IGRA responses are frequent among exposed HHCs and HCWs in Germany and are poor predictors for the development of active tuberculosis.

Indexed as

AdultAgedFemaleGermanyHealth PersonnelHumansInterferon-gamma Release TestsLatent TuberculosisMaleMiddle AgedPrevalenceRisk FactorsTuberculosis, PulmonaryYoung AdultDiabetes mellitusHealth care workersHousehold contactsIGRAIncidenceLTBI

Identifiers

PMID27866367
PMCPMC5488071
OpenAlexW2557021106

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.