Evidence map›Paper›PMID 33186846›Full record

ArticleRespiratory medicine2020

Preliminary observations on IGRA testing for TB infection in patients with severe COVID-19 eligible for immunosuppressive therapy.

Alessandro Torre, Stefano Aliberti, Paola Francesca Castellotti, Daniela Maria Cirillo, Antonella Grisolia, Davide Mangioni, Giulia Marchetti, Roberto Rossotti, Pierachille Santus, Giorgio Besozzi and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.6field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

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  6. IGRA test for TB in COVID-19: role of corticosteroids.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
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  8. The Pitfalls of Mining for QuantiFERON Gold in Severely Ill Patients With COVID-19.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022
    Article
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  14. The Relationship between Pre-Pandemic Interferon Gamma Release Assay Test Results and COVID-19 Infection: Potential Prognostic Value of Indeterminate IFN-The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2021
    Article
  15. Tuberculosis and COVID-19, the new cursed duet: what differs between Brazil and Europe?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 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

13 authors at 7 institutions in 1 country.

Alessandro TorreIII Department of Infectious Diseases, ASST Fatebenefratelli-Sacco, Milan, Italy.
Stefano AlibertiRespiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, Università Degli Studi di Milano, Milan, Italy.
Paola Francesca CastellottiRegional TB Reference Centre and Laboratory, Villa Marelli Institute/ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy; Stop TB Italia ONLUS, Milan, Italy.
Daniela Maria CirilloStop TB Italia ONLUS, Milan, Italy; Emerging Pathogens Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonella GrisoliaI Department of Infectious Diseases, ASST Fatebenefratelli Sacco, Milan, Italy.
Davide MangioniInfectious Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giulia MarchettiClinic of Infectious and Tropical Diseases, Department of Health Sciences, ASST Santi Paolo e Carlo, Milan, Italy.
Roberto RossottiDepartment of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Pierachille SantusDepartment of Biomedical and Clinical Sciences (DIBIC), Università Degli Studi di Milano, Milan, Italy; Division of Respiratory Diseases, "L. Sacco" University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy.
Giorgio BesozziStop TB Italia ONLUS, Milan, Italy.
Simone VillaStop TB Italia ONLUS, Milan, Italy; Centre for Multidisciplinary Research in Health Science, Università Degli Studi di Milano, Milan, Italy. Electronic address: simone.villa@unimi.it.
Luigi Ruffo CodecasaRegional TB Reference Centre and Laboratory, Villa Marelli Institute/ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy; Stop TB Italia ONLUS, Milan, Italy.
Milan TB-COVID-19 study group
ASST Fatebenefratelli Sacco · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Milan · ITVita-Salute San Raffaele University · ITAssociazione Italiana Vulvodinia Onlus · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale San Paolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19, the novel coronavirus pandemic, has already spread around the globe affecting more than 18 million people. As previously observed with other coronaviruses, SARS-CoV-2 deeply dysregulate the immune system eliciting respiratory failure and a state of systemic hyperinflammation in severely ill individuals. Immunotherapy is often used to downgrade the detrimental effects of the disease sustained by high-level of cytokines. Those treatments, however, are known to undermine patients' ability to contain tuberculosis (TB) infection. This study aims to describe interferon-γ release assay (IGRA) results in severe COVID-19 patients eligible for immunosuppressive treatment. Aggregate data were gathered from five hospitals in Milan, Italy, from March 1 to May 15, 2020 and retrospectively analyses. Results were summarized using absolute frequencies and percentages and compared using a two-sided Chi-squared test. Overall, 462 COVID-19 patients were eligible for immunosuppressive therapy, among which 335 were tested using IGRA testing. More than one-third of them (122/335; 36.4%) had an indeterminate IGRA result because of insufficient immune response to mitogen control, 19 (5.7%) tested positive and 194 (57.9) negative. The majority of patients with lymphocytopenia (i.e., total lymphocyte count [TLC] below 1000 cells/mm

Indexed as

Antibodies, Monoclonal, HumanizedAntirheumatic AgentsCOVID-19FemaleHumansImmunityImmunosuppression TherapyInterferon-gamma Release TestsInterleukin 1 Receptor Antagonist ProteinItalyLatent TuberculosisLymphopeniaMaleRetrospective StudiesSARS-CoV-2Severity of Illness IndexAntibodies, Monoclonal, HumanizedAntirheumatic AgentsInterleukin 1 Receptor Antagonist ProteintocilizumabAnakinraCOVID-19Cytokine-blocking agentsIGRATocilizumabTuberculosis

Identifiers

PMID33186846
PMCPMC7645275
OpenAlexW3095170644

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.