Evidence map›Paper›PMID 33462255›Full record

ArticleScientific reports2021

The impact of the Xpert MTB/RIF screening among hospitalized patients with pneumonia on timely isolation of patients with pulmonary tuberculosis.

Seung Beom Han, Joonhong Park, Seul Ki Ji, So Hee Jang, Soyoung Shin, Myung Sook Kim, Seung Soo Kim, Sun Hee Park

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Seung Beom HanInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
Joonhong ParkInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
Seul Ki JiInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
So Hee JangInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
Soyoung ShinInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
Myung Sook KimDivision of Pulmonology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Seung Soo KimDivision of Pulmonology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Sun Hee ParkInfection Prevention and Control Unit, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea. sph0103@gmail.com.
Catholic University of Korea · KRThe Catholic University of Korea Daejeon St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In South Korea where the tuberculosis (TB) burden is intermediate, the risk of in-hospital transmission of TB remains high. We conducted a retrospective cohort study of 244 inpatients diagnosed with pulmonary TB (2015-2018) to evaluate the impact of the Xpert MTB/RIF assay (Xpert) screening on timely isolation. TB screening was performed with smear microscopy and a polymerase chain reaction test, and the Xpert was additionally used from November 2016. Among all patients with pulmonary TB, the median time-to-isolation was significantly reduced (22.6 vs. 69.7 h; p < 0.001) and segmented regression analysis adjusting for the time trend showed a reduction in time-to-isolation with the introduction of the Xpert (- 39.3 h; 95% CI - 85.6, 7.0; p = 0.096). Among 213 patients who were timely screened (≤ 72 h after admission), time-to-isolation decreased significantly (- 38.2 h; 95% CI - 70.6, - 5.8; p = 0.021) with the introduction of the Xpert, and its decreasing trend continued. The Xpert provided a shorter turnaround time (4.8 vs. 49.1 h; p < 0.001) and higher sensitivity (76.6% vs. 47.8%; p < 0.001) than smear microscopy. Thus, the Xpert can be a useful screening test for pulmonary TB in real-life hospital settings with an intermediate TB burden.

Indexed as

AgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedMolecular Diagnostic TechniquesMycobacterium tuberculosisPneumoniaPredictive Value of TestsReal-Time Polymerase Chain ReactionRetrospective StudiesTuberculosis, Pulmonary

Identifiers

PMID33462255
PMCPMC7814080
OpenAlexW3123974262

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.