Evidence map›Paper›PMID 37234516›Full record

ArticleOpen forum infectious diseases2023

A Systematic Review on the Safety of

Yohhei Hamada, Irina Kontsevaya, Elena Surkova, Ting Ting Wang, Liu Wan-Hsin, Aleksandr Matveev, Liliya Eugenevna Ziganshina, Claudia M Denkinger, Alexei Korobitsyn, Nazir Ismail and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% 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, 15 citations in OpenAlex.

  1. Trial
  2. What is new in tuberculosis?Clinical medicine (London, England) · 2026
    Review
  3. Article
  4. Article
  5. Screening and preclinical assessment of novelFrontiers in immunology · 2025
    Article
  6. Review
  7. Article
  8. Capturing RecentTropical medicine and infectious disease · 2024
    Article
  9. Article
  10. Article
  11. 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

12 authors at 9 institutions in 6 countries.

Yohhei HamadaInstitute for Global Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-9845-4267
Irina KontsevayaDivision of Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center, Borstel, Germany.ORCID https://orcid.org/0000-0003-3421-7550
Elena SurkovaRoyal Brompton and Harefield Hospitals, Part of Guy's and St Thomas' NHS Foundation Trust London, London, United Kingdom.ORCID https://orcid.org/0000-0001-5334-8551
Ting Ting WangInstitute for Global Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1695-5835
Liu Wan-HsinDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-0041-0010
Aleksandr MatveevDepartment of Clinical Pharmacology and Therapy named after Acad. B. Ye. Votchal, Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation.ORCID https://orcid.org/0000-0002-6636-3950
Liliya Eugenevna ZiganshinaRussian Medical Academy for Continuing Professional Education of the Ministry of Health, Cochrane Russia, Centre for Knowledge Translation, Moscow, Russian Federation.ORCID https://orcid.org/0000-0003-1999-0705
Claudia M DenkingerDivision of Tropical Medicine, Centre of Infectious Disease, Heidelberg University Hospital, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-7216-7067
Alexei KorobitsynUnit for Prevention, Diagnosis, Treatment, Care and Innovation, Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0003-4086-114X
Nazir IsmailUnit for Prevention, Diagnosis, Treatment, Care and Innovation, Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-7696-3776
Ibrahim AbubakarInstitute for Global Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-0370-1430
Molebogeng X RangakaInstitute for Global Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-9594-188X
University College London · GBWorld Health Organization · CHGerman Center for Infection Research · DEGuy's and St Thomas' NHS Foundation Trust · GBHeidelberg University · DEPeoples' Friendship University of Russia · RURussian Medical Academy of Continuous Professional Education · RUTaipei Veterans General Hospital · TWUniversity of Cape Town · ZA

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: A systematic review showed that the accuracy of Methods: We searched for studies reporting injection site reactions (ISRs) and systemic adverse events associated with TBSTs. We searched Medline, Embase, e-library, the Chinese Biomedical Literature Database, and the China National Knowledge Infrastructure database for studies through 30 July 2021, and the database search was updated until 22 November 2022. Results: We identified 7 studies for Cy-Tb (Serum Institute of India), 7 (including 2 found through the updated search) for C-TST (Anhui Zhifei Longcom), and 11 for Diaskintest (Generium). The pooled risk of any injection site reactions (ISRs) due to Cy-Tb (n = 2931; 5 studies) did not differ significantly from that for tuberculin skin tests (TSTs; risk ratio, 1.05 [95% confidence interval, .70-1.58]). More than 95% of ISRs were reported as mild or moderate; common ISRs included pain, itching, and rash. In 1 randomized controlled study, 49 of 153 participants (37.6%) given Cy-Tb experience any systemic adverse event (eg, fever and headache), compared with 56 of 149 participants (37.6%) given TST (risk ratio, 0.85 [95% confidence interval, .6-1.2]). In a randomized controlled study in China (n = 14 579), the frequency of systemic adverse events in participants given C-TST was similar to that for TST, and the frequency of ISRs was similar to or lower than that for TST. Reporting of the safety data on Diaskintest was not standardized, precluding meta-analysis. Conclusion: The safety profile of TBSTs appears similar to that of TSTs and is associated with mostly mild ISRs.

Indexed as

diagnostics classification descriptionIGRALTBIskin testsTST

Identifiers

PMID37234516
PMCPMC10205553
OpenAlexW4367677627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.