Evidence map›Paper›PMID 30021818›Full record

ReviewClinical microbiology reviews2018

Incipient and Subclinical Tuberculosis: a Clinical Review of Early Stages and Progression of Infection.

Paul K Drain, Kristina L Bajema, David Dowdy, Keertan Dheda, Kogieleum Naidoo, Samuel G Schumacher, Shuyi Ma, Erin Meermeier, David M Lewinsohn, David R Sherman

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04781257 (Early Risk Assessment in TB contactS by New Diagnostic tEsts), which is not on this map. Cited by 339 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
339citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

NCT04781257 unknown statusnot on this mapstarted 2021, after this paper: background citation

Early Risk Assessment in TB contactS by New Diagnostic tEsts

TypeobservationalSponsorMichael HoelscherRan2021 to 2024Enrolled2,100ConditionsTuberculosisArmsNew test candidates
3 · Its place in the literature

Who cites it

339 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Subclinical tuberculosis: a meta-analysis of prevalence and scoping review of definitions, prevalence and clinical characteristics.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Targeting Latent Tuberculosis: Immunogenic Evaluation of aInternational journal of molecular sciences · 2026
    Article
  12. Review
  13. Article
  14. Prevalence and Predictors of Tuberculosis in Adults and Adolescents With Sputum Trace Ultra Results in 2 High-Burden Clinical Settings.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

279 more citing papers are in PubMed but not listed here.

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.

Paul K DrainDepartment of Global Health, University of Washington, Seattle, Washington, USA pkdrain@uw.edu.ORCID 0000-0002-9569-4097
Kristina L BajemaDepartment of Medicine, University of Washington, Seattle, Washington, USA.
David DowdyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Keertan DhedaUniversity of Cape Town, Cape Town, South Africa.
Kogieleum NaidooCentre for the AIDS Programme of Research in Africa, Durban, South Africa.
Samuel G SchumacherFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Shuyi MaDepartment of Global Health, University of Washington, Seattle, Washington, USA.
Erin MeermeierOregon Health and Science University, Portland, Oregon, USA.
David M LewinsohnOregon Health and Science University, Portland, Oregon, USA.
David R ShermanDepartment of Global Health, University of Washington, Seattle, Washington, USA.

Funding

Diseases of Public Health Importance Training GrantT32AI007509 · NIAID · UNIVERSITY OF WASHINGTON · PI LUND, JENNIFER M · 1997 to 2024
$6.3M
Multidisciplinary Research Training in Pulmonary MedicineT32HL083808 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI LEWINSOHN, DAVID M., SLATORE, CHRISTOPHER G. · 2008 to 2025
$5.3M
NHLBI NIH HHS T32 HL083808NIAID NIH HHS T32 AI007509
6 · The paper itself

Abstract

Tuberculosis (TB) is the leading infectious cause of mortality worldwide, due in part to a limited understanding of its clinical pathogenic spectrum of infection and disease. Historically, scientific research, diagnostic testing, and drug treatment have focused on addressing one of two disease states: latent TB infection or active TB disease. Recent research has clearly demonstrated that human TB infection, from latent infection to active disease, exists within a continuous spectrum of metabolic bacterial activity and antagonistic immunological responses. This revised understanding leads us to propose two additional clinical states: incipient and subclinical TB. The recognition of incipient and subclinical TB, which helps divide latent and active TB along the clinical disease spectrum, provides opportunities for the development of diagnostic and therapeutic interventions to prevent progression to active TB disease and transmission of TB bacilli. In this report, we review the current understanding of the pathogenesis, immunology, clinical epidemiology, diagnosis, treatment, and prevention of both incipient and subclinical TB, two emerging clinical states of an ancient bacterium.

Indexed as

Antitubercular AgentsHumansLatent TuberculosisMycobacterium tuberculosisTuberculosisAntitubercular AgentsMycobacterium tuberculosistuberculosis

Identifiers

PMID30021818
PMCPMC6148193

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.