Evidence map›Paper›PMID 30092861›Full record

ReviewThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2018

Droplets, dust and guinea pigs: an historical review of tuberculosis transmission research, 1878-1940.

P R Donald, A H Diacon, C Lange, A-M Demers, F von Groote-Bidlingmaier, E Nardell

Erratum issuedAbstract readHistorical ArticleReview
PubMed Publisher
In one paragraph

Review in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2018. 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 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–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.

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

41 citing papers in PubMed.

  1. Article
  2. Microbiology spectrum · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Detection of AerosolizedOpen forum infectious diseases · 2025
    Article
  7. Article
  8. Article
  9. Candidate transmission survival genome ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

P R DonaldDesmond Tutu TB Centre, Paediatrics and Child Health, Stellenbosch University.
A H DiaconTASK Applied Science, Bellville, Cape Town, Division of Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
C LangeClinical Infectious Diseases, German Centre for Infection Research (DZIF), Research Centre Borstel, Borstel, International Health/Infectious Diseases, University of Lübeck, Lübeck, Germany, Department of Medicine, Karolinska Institute, Stockholm, Sweden.
A-M DemersDesmond Tutu TB Centre, Paediatrics and Child Health, Stellenbosch University.
F von Groote-BidlingmaierTask Applied Science, Brooklyn Hospital for Chest Diseases, Cape Town, South Africa.
E NardellDivision of Pulmonary and Critical Care Medicine, and Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The transmission of tuberculosis (TB) occurs mainly via inhalation of airborne droplet nuclei; however, the precise details of this process remain uncertain. We reviewed the literature from 1870 to 1940, when Mycobacterium tuberculosis was discovered and the concept of transmission emerged as a hallmark of the infectious disease. By 1940, laboratory experiments, animal studies and clinical observation had demonstrated that cough was central to TB transmission, and that guinea pigs close to patients with cough could be infected, mainly by patients coughing small droplets likely containing only 1-2 bacilli. A minority of pulmonary TB patients, usually during the early stages of the disease, with thin watery sputum, more successfully coughed small infectious droplets than patients with heavily smear-positive tenacious sputum who were often too ill and too weak to cough vigorously. There was ongoing debate regarding the possible importance of desiccated sputum particles found in surface dust. Investigation of TB transmission has a history of more than 130 years.

Indexed as

AerosolsAnimalsCoughDisease Models, AnimalDustGuinea PigsHistory, 19th CenturyHistory, 20th CenturyHumansMycobacterium tuberculosisResearchSputumTuberculosis, PulmonaryAerosolsDust

Identifiers

PMID30092861

What OpenQuestion holds

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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.