Evidence map›Paper›PMID 36584035›Full record

ReviewPloS one2022

Usefulness of Mycobacterium tuberculosis-polymerase chain reaction with bronchial washing samples in predicting discontinuation of airborne infection isolation in patients hospitalized with suspected pulmonary tuberculosis.

Tae-Ok Kim, Young-Ok Na, Hwa Kyung Park, Jae-Kyeong Lee, Hyung-Joo Oh, Bo Gun Kho, Ha-Young Park, Yong-Soo Kwon, Yu-Il Kim, Sung-Chul Lim and 1 more

Abstract readReview
In one paragraph

Review in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors.

Tae-Ok KimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Young-Ok NaDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Hwa Kyung ParkDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Jae-Kyeong LeeDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Hyung-Joo OhDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.ORCID 0000-0002-9420-9096
Bo Gun KhoDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Ha-Young ParkDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Yong-Soo KwonDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Yu-Il KimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Sung-Chul LimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Hong-Joon ShinDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.ORCID 0000-0002-0146-3491

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn-hospital tuberculosis (TB) transmission remains a concern. Airborne infection isolation (AII) can be discontinued in hospitalized patients with suspected active pulmonary TB when the results of three consecutive sputum acid-fast bacilli (AFB) smears are negative. However, fiberoptic bronchoscopy can be performed in patients who may have difficulty in producing sputum samples. This study aimed to investigate the usefulness of Mycobacterium tuberculosis-polymerase chain reaction (MTB-PCR) with bronchial washing specimens in predicting AII discontinuation in hospitalized patients with suspected active pulmonary TB.

methodsWe reviewed the medical charts of patients admitted to a tertiary hospital who were isolated and underwent fiberoptic bronchoscopy for suspicious pulmonary TB from January 2016 to December 2019. Patients with positive MTB-PCR results in the initial sputum examination were excluded. Criteria for discontinuing AII were defined as negative results for three consecutive AFB smears from respiratory specimens, or cases diagnosed other than TB. The study patients were divided into two groups: TB group and non-TB group.

resultsIn total, 166 patients were enrolled in the study. Of them, 35 patients were diagnosed with TB. There was no significant difference between the number of males in the TB (81; 61.8%) and non-TB (21; 60.0%) group. Though 139 patients had negative results on MTB-PCR using washing specimens, eight showed positive AFB culture. Of the 139 patients with negative MTB-PCR results, 138 had negative results for three consecutive AFB smears or were established to not have pulmonary TB. Therefore, the predictive accuracy of MTB-PCR with bronchial washing samples for discontinuing AII was 99.2%.

conclusionAlthough a negative result from MTB-PCR with bronchial washing samples cannot exclude pulmonary TB, it can predict AII discontinuation in hospitalized patients with suspected active pulmonary TB.

Indexed as

Mycobacterium tuberculosisTuberculosis, PulmonaryBronchoalveolar LavageHumansMalePolymerase Chain ReactionSensitivity and SpecificitySputumTertiary Care Centers

Identifiers

PMID36584035
PMCPMC9803188

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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.