Evidence map›Paper›PMID 40065241›Full record

ArticleBMC infectious diseases2025

Risk factors for rifampicin-susceptible and isoniazid-resistant tuberculosis in adult patients with type 2 diabetes mellitus in Nanjing.

Jing Guo, Xuebing Feng, Jialei Pang, Wenchao Li, Min Cai, Zhiyun Cao, Feishen Lin, Xia Zhang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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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.

Jing GuoDepartment of Tuberculosis, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 211132, China.
Xuebing FengDepartment of Rheumatology and Immunology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, China.
Jialei PangDepartment of Intensive Care Unit, Nanjing Chest Hospital,The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, 210029, China.
Wenchao LiDepartment of Rheumatology and Immunology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, China.
Min CaiDepartment of Institutional Office, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 211132, China.
Zhiyun CaoDepartment of Tuberculosis, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 211132, China.
Feishen LinDepartment of Tuberculosis, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 211132, China. feishenlin1974@hotmail.com.
Xia ZhangDepartment of Tuberculosis, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 211132, China. zhangxia365@sina.com.

Funding

Nanjing Health Science and Technology Development Special Fund YKK19113
6 · The paper itself

Abstract

objectiveGlobally, Tuberculosis(TB) with type 2 diabetes mellitus (T2DM) is becoming increasingly serious, especially the emergence of rifampicin-susceptible and isoniazid-resistant tuberculosis (Hr-TB), which increases the difficulty of treatment and the burden of disease. Therefore, this single-center retrospective cohort study analyzed risk factors of Hr-TB in adult patients with T2DM and pulmonary tuberculosis (PTB) in Nanjing to guide clinical practice and improve the long-term prognosis of patients.

methodsThe clinical data of 279 adult inpatients diagnosed with culture-positive PTB and T2DM in the Second Hospital of Nanjing from January 2019 and December 2021 were collected. According to the drug susceptibility testing (DST) results, 44 patients with Hr-TB were categorized as the Hr-TB group, while the remaining 235 patients with drug-susceptible tuberculosis (DS-TB) were classified as DS-TB group. Hierarchical logistic regression was employed for multivariate analysis to identify variables associated with Hr-TB in patients with T2DM.

resultsThere were no significant differences in age, sex, body mass index (BMI), smoking, drinking, ethnicity, education level, or comorbidities between the DS-TB and Hr-TB groups. Multivariate logistic regression analysis revealed that, history of previous tuberculosis treatment (OR = 2.348, 95%CI: 1.025 ~ 5.379, P = 0.044), poor FPG control (OR = 2.402, 95%CI: 1.208 ~ 4.776, P = 0.012), and serum iron levels ≥ 14.3µmol/l (OR = 2.808, 95%CI: 1.334 ~ 5.910, P = 0.007) are independent risk factors for Hr-TB in adult patients with T2DM in Nanjing. Within the cohort, 241 patients were Newly treatment tuberculosis patients, and among them, poor FPG control (OR = 2.296, 95%CI: 1.073 ~ 4.915, P = 0.032), and serum iron levels ≥ 14.3µmol/l (OR = 2.418, 95%CI: 1.048 ~ 5.577, P = 0.038) were identified as risk factors for Hr-TB.

conclusionPoor fasting glycemic control and serum iron levels ≥ 14.3µmol/L are independent risk factors for the development of Hr-TB in adults with T2DM and PTB, moreover, the contribution of these as risk factors were more pronounced in the newly treatment tuberculosis patients subgroup than patients with a history of previous tuberculosis treatment. History of previous tuberculosis treatment was also found to be a risk factor for Hr-TB in adults with T2DM.

Indexed as

Antitubercular AgentsDiabetes Mellitus, Type 2IsoniazidRifampinTuberculosis, Multidrug-ResistantTuberculosis, PulmonaryAdultAgedChinaFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedMycobacterium tuberculosisRetrospective StudiesAntitubercular AgentsIsoniazidRifampinIronIsoniazid-resistant and rifampicin-susceptible tuberculosisIsoniazid-resistant tuberculosisRisk factorTuberculosisType 2 diabetes mellitus

Identifiers

PMID40065241
PMCPMC11892190

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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.