Evidence map›Paper›PMID 30942853›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Feasibility of Identifying Household Contacts of Rifampin-and Multidrug-resistant Tuberculosis Cases at High Risk of Progression to Tuberculosis Disease.

Amita Gupta, Susan Swindells, Soyeon Kim, Michael D Hughes, Linda Naini, Xingye Wu, Rodney Dawson, Vidya Mave, Jorge Sanchez, Alberto Mendoza and 20 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Concordance of Drug-resistance Profiles Between Persons With Drug-resistant Tuberculosis and Their Household Contacts: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Pooled it
  2. Pooled it
  3. Risk of Tuberculosis Infection in Young Children Exposed to Multidrug-resistant Tuberculosis in the TB-CHAMP Multi-site Randomized Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Trial
  4. Effect of HIV on bedaquiline and delamanid pharmacokinetics in patients with multidrug-resistant TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025
    Trial
  5. Trial
  6. Article
  7. Preventing Multidrug-Resistant Tuberculosis: The Dawn of a New Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. The Impact of Preventive Treatment for Multidrug- and Rifampin-Resistant Tuberculosis Exceeds Trial-Based Estimates.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  13. Article
  14. 1-Year Incidence of Tuberculosis Infection and Disease Among Household Contacts of Rifampin- and Multidrug-Resistant Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  15. The cascade of care for household contacts of people with drug-resistant TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  16. Caregiver willingness to give TPT to children living with drug-resistant TB patients.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  17. Responding to the post-pandemic crisis: post-exposure prophylaxis for TB.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  18. Article
  19. Article
  20. Challenges in recruiting children to a multidrug-resistant TB prevention trial.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    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

30 authors at 19 institutions in 7 countries.

Amita GuptaJohns Hopkins University, Department of Medicine, Baltimore, Maryland.
Susan SwindellsUniversity of Nebraska Medical Center, Omaha.
Soyeon KimFrontier Science & Technology Research Foundation, Amherst, New York.
Michael D HughesHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Linda NainiSocial & Scientific Systems, Silver Spring, Maryland.
Xingye WuHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Rodney DawsonUniversity of Cape Town Lung Institute and Department of Medicine, University of Cape Town, South Africa.
Vidya MaveJohns Hopkins University, Department of Medicine, Baltimore, Maryland.
Jorge SanchezAsociación Civil Impacta Salud y Educación, Lima, Peru.
Alberto MendozaTASK Applied Science Clinical Research Site, Bellville, South Africa.
Pedro GonzalesAsociación Civil Impacta Salud y Educación, Lima, Peru.
Nagalingeswaran KumarasamyChennai Antiviral Research and Treatment Clinical Research Site, India.
Kyla CominsTASK Applied Science Clinical Research Site, Bellville.
Francesca ConradieUniversity of the Witwatersrand Helen Joseph Hospital, Johannesburg, South Africa.
Justin ShenjeSouth African Tuberculosis Vaccine Initiative, Cape Town, South Africa.
Sandy Nerette FontainGHESKIO Centers Institute of Infectious Diseases and Reproductive Health, Port-au-Prince, Haiti.
Anthony Garcia-PratsDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Aida AsmelashGaborone Clinical Research Site, Botswana.
Supalert NedsuwanPHPT-Changrai Prachanukroh Hospital, Chiang Rai, Thailand.
Lerato MohapiSoweto Clinical Research Site, University of the Witwatersrand, Johannesburg, South Africa.
Umesh G LallooDurban International Clinical Research Site, Durban University of Technology, South Africa.
Ana Cristina Garcia FerreiraInstituto Nacional de Infectologia - INI/Fiocruz, Brazil.
Christopher MugahKenya Medical Research Institute, Kisumu.
Mark HarringtonTreatment Action Group, New York, New York.
Lynne JonesFrontier Science & Technology Research Foundation, Amherst, New York.
Samyra R CoxJohns Hopkins University, Department of Medicine, Baltimore, Maryland.
Betsy SmithNational Institutes of Health, Bethesda, Maryland.
N Sarita ShahUS Centers for Disease Control and Prevention, Atlanta, Georgia.
Anneke C HesselingDesmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Gavin ChurchyardAurum Institute, Parktown, South Africa.
Johns Hopkins University · USAsociación Civil Impacta Salud y Educación · PEDesmond Tutu HIV Foundation · ZAFrontier Science & Technology Research Foundation · USHarvard University · USTask Applied Science · ZAUniversity of the Witwatersrand · ZACenters for Disease Control and Prevention · USChiangRai Prachanukroh Hospital · THDurban University of Technology · ZAGheskio Centers · HTKenya Medical Research Institute · KENational Institutes of Health · USSocial and Scientific Systems (United States) · USSouth African Medical Research Council · ZASouth African Tuberculosis Vaccine Initiative · ZATreatment Action Group · USUniversity of Cape Town · ZAUniversity of Nebraska Medical Center · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGUM1AI068616 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Sean Scott Brummel, Marlene Ann Cooper · 2011 to 2026
$155.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
Statistical and Data Management Center for the AIDS Clinical Trials GroupU01AI068634 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HUGHES, MICHAEL DAVID · 2006 to 2010
$71.9M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
Soweto Clinical Trials UnitUM1AI069453 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI Glenda E Gray, Lerato Mohapi · 2012 to 2026
$40.9M
The Johns Hopkins University - Uganda Clinical Trials UnitUM1AI069530 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARY Glenn Fowler, Philippa Musoke · 2012 to 2026
$34.8M
The Johns Hopkins Baltimore-Washington-India Clinical Trials Unit (BWI CTU)UM1AI069465 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner, Amita Gupta · 2012 to 2026
$34.1M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
Botswana-Harvard T.H. Chan School of Public Health AIDS Initiative Partnership CTU Y18 SupplementUM1AI069456 · NIAID · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2012 to 2026
$29.4M
FIC NIH HHS D43 TW010062NIAID NIH HHS U01 AI068634NIAID NIH HHS U01 AI069463NIAID NIH HHS UM1 AI068616NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069453NIAID NIH HHS UM1 AI069456NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI069465NIAID NIH HHS UM1 AI069521NIAID NIH HHS UM1 AI069530NIAID NIH HHS UM1 AI106701NIAID NIH HHS UM1 AI106716NICHD NIH HHS HHSN275201800001CNICHD NIH HHS HHSN275201800001INIMH NIH HHS R21 MH083308
6 · The paper itself

Abstract

backgroundWe assessed multidrug-resistant tuberculosis (MDR-TB) cases and their household contacts (HHCs) to inform the development of an interventional clinical trial.

methodsWe conducted a cross-sectional study of adult MDR-TB cases and their HHCs in 8 countries with high TB burdens. HHCs underwent symptom screenings, chest radiographies, sputum TB bacteriologies, TB infection (TBI) testing (tuberculin skin test [TST] and interferon gamma release assay [IGRA]), and human immunodeficiency virus (HIV) testing.

resultsFrom October 2015 to April 2016, 1016 HHCs from 284 MDR-TB cases were enrolled. At diagnosis, 69% of MDR-TB cases were positive for acid-fast bacilli sputum smears and 43% had cavitary disease; at study entry, 35% remained smear positive after a median MDR-TB treatment duration of 8.8 weeks. There were 9 HHCs that were diagnosed with TB prior to entry and excluded. Of the remaining 1007 HHCs, 41% were male and the median age was 25 years. There were 121 (12%) HHCs that had new cases of TB identified: 17 (2%) were confirmed, 33 (3%) probable, and 71 (7%) possible TB cases. The TBI prevalence (defined as either TST or IGRA positivity) was 72% and varied by age, test used, and country. Of 1007 HHCs, 775 (77%) were considered high-risk per these mutually exclusive groups: 102 (10%) were aged <5 years; 63 (6%) were aged ≥5 and were infected with HIV; and 610 (61%) were aged ≥5 years, were negative for HIV or had an unknown HIV status, and were TBI positive. Only 21 (2%) HHCs were on preventive therapy.

conclusionsThe majority of HHCs in these high-burden countries were at high risk of TB disease and infection, yet few were receiving routine preventive therapy. Trials of novel, preventive therapies are urgently needed to inform treatment policy and practice.

Indexed as

TuberculosisTuberculosis, Multidrug-ResistantAdultChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFeasibility StudiesFemaleHumansMaleRifampinTuberculin TestRifampinhousehold contactsmultidrug-resistant tuberculosispreventive therapyTB diseaseTB infection

Identifiers

PMID30942853
PMCPMC7188224
OpenAlexW2933196882

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.