Evidence map›Paper›PMID 28065210›Full record

ArticleEpidemiology and infection2017

Prevalence of tuberculosis infection in healthcare workers of the public hospital network in Medellín, Colombia: a Bayesian approach.

J Ochoa, A L León, I C Ramírez, C M Lopera, E Bernal, M P Arbeláez

Open access · bronzeAbstract read
In one paragraph

Article in Epidemiology and infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

J OchoaFacultad Nacional de Salud Pública,'Héctor Abad Gómez',Grupo de Epidemiología,Universidad de Antioquia,Medellín,Colombia.
A L LeónFacultad Nacional de Salud Pública,'Héctor Abad Gómez',Grupo de Epidemiología,Universidad de Antioquia,Medellín,Colombia.
I C RamírezEscuela de Estadística,Universidad Nacional de Colombia,Sede Medellín.
C M LoperaEscuela de Estadística,Universidad Nacional de Colombia,Sede Medellín.
E BernalFacultad de Medicina,Universidad de Antioquia,Medellín,Colombia.
M P ArbeláezFacultad Nacional de Salud Pública,'Héctor Abad Gómez',Grupo de Epidemiología,Universidad de Antioquia,Medellín,Colombia.
Universidad de Antioquia · COUniversidad Nacional de Colombia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A latent tuberculosis infection (LTBI) prevalence survey was conducted using tuberculin skin test (TST) and Quantiferon test (QFT) in 1218 healthcare workers (HCWs) in Medellín, Colombia. In order to improve the prevalence estimates, a latent class model was built using a Bayesian approach with informative priors on the sensitivity and specificity of the TST. The proportion of concordant results (TST+,QFT+) was 41% and the discordant results contributed 27%. The marginal estimate of the prevalence P(LTBI+) was 62·1% [95% credible interval (CrI) 53·0-68·2]. The probability of LTBI+ given positive results for both tests was 99·6% (95% CrI 98·1-99·9). Sensitivity was 88·5 for TST and 74·3 for QFT, and specificity was 87·8 for TST and 97·6 for QFT. A high LTBI prevalence was found in HCWs with time-accumulated exposure in hospitals that lack control plans. In a context of intermediate tuberculosis (TB) incidence it is recommended to use only one test (either QFT or TST) in prevalence surveys or as pre-employment tests. Results will be useful to help implement TB infection control plans in hospitals where HCWs may be repeatedly exposed to unnoticed TB patients, and to inform the design of TB control policies.

Indexed as

Health PersonnelAdultBayes TheoremColombiaCross-Sectional StudiesFemaleHospitals, PublicHumansInterferon-gamma Release TestsMaleMiddle AgedPrevalenceSensitivity and SpecificityTuberculin TestTuberculosisLatent class modeloccupational exposuresensitivityspecificity

Identifiers

PMID28065210
PMCPMC9507830
OpenAlexW2568577006

What OpenQuestion holds

Textmetadata
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.