Evidence map›Paper›PMID 35435350›Full record

ArticleThe Indian journal of medical research2021

Assessment of prevailing practices for identification of tuberculosis in children admitted in nutritional rehabilitation centres: A multicentre study.

Manjula Singh, Bhavna Dhingra, Bipra Bishnu, Dhruvendra Pandey, Praveen K Anand, Sarika Gupta, Vidyanand Ravi Das, Parul Kodan, Sushil Kumar Kabra

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in The Indian journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 54% 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, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 8 institutions in 1 country.

Manjula SinghDivision of Epidemiology & Communicable Diseases, Indian Council of Medical Research, New Delhi, India.
Bhavna Dhingra
Bipra BishnuNational Tuberculosis Elimination Program, World Health Organization, Kolkata, West Bengal, India.
Dhruvendra PandeyDepartment of Community Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.
Praveen K AnandICMR-National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, Rajasthan, India.
Sarika GuptaDepartment of Pediatrics, King George Medical University, Lucknow, Uttar Pradesh, India.
Vidyanand Ravi DasRajendra Memorial Research Institute of Medical Sciences, Patna, Bihar, India.
Parul KodanDivision of Epidemiology & Communicable Diseases, Indian Council of Medical Research, New Delhi, India.
Sushil Kumar KabraDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian Council of Medical Research · INAll India Institute of Medical Sciences · INGandhi Medical College · INGovernment Medical College · INKing George's Medical University · INNational Institute for Implementation Research on Non-Communicable Diseases · INRajendra Memorial Research Institute of Medical Sciences · INWorld Health Organization - India · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background & objectives: To eliminate tuberculosis (TB), the National TB Elimination Programme (NTEP) has given an algorithm for diagnosis and treatment of TB in children. This study was carried out to assess the prevailing practices to identify TB in severely malnourished children admitted to various nutrition rehabilitation centres (NRCs). Methods: A retrospective chart review of 41 NRCs across five States having a maximum number of NRCs was carried out. Details of children admitted to the NRCs and the investigations carried out in the form of obtaining X-ray film, tuberculin skin test (TST) and gastric aspirate for cartridge-based nucleic acid amplification test (CBNAAT) for diagnosis of TB over three months were collected. Results: A total of 2121 children with severe acute malnourished (SAM) across 41 NRCs (Bhopal, Jodhpur, Patna, Kolkata, Lucknow and Ratlam) were evaluated. X-ray of the chest was done in 473 (22%), TST was done in 135 (6%) and gastric aspirate was collected in 56 (3%) children. CBNAAT was done in only 56 SAM children. Ten children among those screened were confirmed to have pulmonary TB and were linked to treatment as per the National TB guidelines. Interpretation & conclusions: Although NTEP suggests universal screening of all malnourished children admitted in the NRCs, but the prevailing practices indicate that the NRCs are grossly under-utilizing molecular diagnostic tests for diagnosis of TB. There is a gap between prevailing practices and suggested guidelines for the identification of TB in children admitted in the NRCs.

Indexed as

Severe Acute MalnutritionTuberculosisTuberculosis, PulmonaryChildHumansRehabilitation CentersRetrospective StudiesTuberculin TestCartridge-based nucleic acid amplification testchildrenmalnutritionnutritional rehabilitation centresSAMtuberculin skin testtuberculosis

Identifiers

PMID35435350
PMCPMC9205000
OpenAlexW4225983367

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.