Evidence map›Paper›PMID 28095429›Full record

ArticlePloS one2017

High Rates of Non-Tuberculous Mycobacteria Isolation in Mozambican Children with Presumptive Tuberculosis.

Elisa López-Varela, Alberto L García-Basteiro, Orvalho J Augusto, Oscar Fraile, Helder Bulo, Tasmiya Ira, Kizito Gondo, Jakko van Ingen, Denise Naniche, Jahit Sacarlal and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Isolation of Nontuberculous Mycobacteria in Southeast Asian and African Human Immunodeficiency Virus-infected Children With Suspected Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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  2. Review
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  8. Pulmonary non-tuberculous mycobacterial infections: current state and future management.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
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  16. Characteristic profile of antibody responses to PPD, ESAT-6, and CFP-10 of Mycobacterium tuberculosis in pulmonary tuberculosis suspected cases in Surabaya, Indonesia.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Elisa López-VarelaCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Alberto L García-BasteiroCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Orvalho J AugustoCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Oscar FraileCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Helder BuloCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Tasmiya IraCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Kizito GondoCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Jakko van IngenDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Denise NanicheISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.
Jahit SacarlalCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Pedro L AlonsoCentro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique.
Manhiça Health Research Centre · MZHospital Clínic de Barcelona · ESUniversitat de Barcelona · ESBarcelona Institute for Global Health · ESEduardo Mondlane University · MZRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-tuberculous mycobacteria (NTM) can cause disease which can be clinically and radiologically undistinguishable from tuberculosis (TB), posing a diagnostic and therapeutic challenge in high TB settings. We aim to describe the prevalence of NTM isolation and its clinical characteristics in children from rural Mozambique.

methodsThis study was part of a community TB incidence study in children <3 years of age. Gastric aspirate and induced sputum sampling were performed in all presumptive TB cases and processed for smear testing using fluorochrome staining and LED Microscopy, liquid and solid culture, and molecular identification by GenoType® Mycobacterium CM/AS assays.

resultsNTM were isolated in 26.3% (204/775) of children. The most prevalent NTM species was M. intracellulare (N = 128), followed by M. scrofulaceum (N = 35) and M. fortuitum (N = 9). Children with NTM were significantly less symptomatic and less likely to present with an abnormal chest radiograph than those with M. tuberculosis. NTM were present in 21.6% of follow-up samples and 25 children had the same species isolated from ≥2 separate samples. All were considered clinically insignificant and none received specific treatment. Children with NTM isolates had equal all cause mortality and likelihood of TB treatment as those with negative culture although they were less likely to have TB ruled out.

conclusionsNTM isolation is frequent in presumptive TB cases but was not clinically significant in this patient cohort. However, it can contribute to TB misdiagnosis. Further studies are needed to understand the epidemiology and the clinical significance of NTM in children.

Indexed as

Child, PreschoolFemaleGastric JuiceHumansInfantMaleMozambiqueMycobacterium Infections, NontuberculousNontuberculous MycobacteriaPrevalenceProspective StudiesSputum

Identifiers

PMID28095429
PMCPMC5240942
OpenAlexW2574929726

What OpenQuestion holds

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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.