Evidence map›Paper›PMID 34752316›Full record

ArticleThe Indian journal of tuberculosis2021

Positive QuantiFERON test and the severity of COVID-19 disease: A prospective study.

Ajay Gupta, Sumit Sural, Ayush Gupta, Shashank Rousa, Bidhan Chandra Koner, Anju Bhalotra, Rohit Chawla

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Indian journal of tuberculosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. The effect of BCG vaccination on infection and antibody levels against SARS-CoV-2-The results of ProBCG: a multicenter randomized clinical trial in Brazil.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Trial
  3. Article
  4. Diverse interactions ofFrontiers in tuberculosis · 2024
    Review
  5. Article
  6. Article
  7. Suppressive myeloid cells in SARS-CoV-2 andFrontiers in immunology · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Prevalence of Tuberculosis Infection among Various Risk Groups in India: A Systematic Review and Meta-Analysis.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Review
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

7 authors at 2 institutions in 1 country.

Ajay GuptaDepartment of Orthopaedics, Maulana Azad Medical College, New Delhi, India. Electronic address: drajaygupta@hotmail.com.
Sumit SuralDepartment of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Ayush GuptaDepartment of Orthopaedics, Swami Rama Himalayan University, Dehradun, India.
Shashank RousaDepartment of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Bidhan Chandra KonerDepartment of Biochemistry, Maulana Azad Medical College, New Delhi, India.
Anju BhalotraDepartment of Anaesthesia, Maulana Azad Medical College, New Delhi, India.
Rohit ChawlaDepartment of Microbiology, Maulana Azad Medical College, New Delhi, India.
Maulana Azad Medical College · INSwami Rama Himalayan University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA strong negative correlation is reported between the Bacille Calmette Guerin (BCG) index and COVID-19 mortality. The present study explored if frequent exposure to strong Th1 antigens like Mycobacteria or Salmonella have any effect on the progression of the disease in COVID-19 patients.

methodsThis prospective comparative study comprised of 3 groups of 20 each of mild or asymptomatic COVID-19 patients (A), severely ill patients (S) and healthy volunteers with a COVID Negative report (H).

resultsQuantiFERON TB Gold (QFT) which is interferon gamma release assay (IGRA) against Mtb antigen was used to quantify immunity status of patients against the tuberculosis. Group S showed positive QFT in only 15% patients as against 50% QFT positive patients in group A and H. All fourteen patients in group S with QFT negative report died while 5 of six survived patients showed positive QFT report either on initial or repeat testing done at 6 weeks. The sixth survived patient was QFT negative but showed high antibody titre against H antigen (TH) on Widal test. All severely ill group S patients showed huge reduction of IGRA even to the mitogen stimulus thus suggesting gross general unresponsiveness of T cells. Presence of BCG scar showed no correlation with prevalence or progression of the disease.

conclusionPopulation in an endemic area of tuberculosis and typhoid with good community exposure to these antigen is likely to withstand COVID -19 better and show reduced mortality following it.

Indexed as

AdultAgedAged, 80 and overAntigens, BacterialCOVID-19FemaleHumansInterferon-gamma Release TestsLatent TuberculosisMaleMiddle AgedPredictive Value of TestsPrevalenceProspective StudiesSARS-CoV-2Severity of Illness IndexAntigens, BacterialH antigenMycobacterium tuberculosis antigensCOVID-19IGRAMycobacteriaQuantiFERRONSalmonella

Identifiers

PMID34752316
PMCPMC7927586
OpenAlexW3134454133

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.