Evidence map›Paper›PMID 40487460›Full record

ArticlePublic health action2025

Difficulty of isolating recalcitrant patients with infectious TB.

Y Nagata, T Zama, S Hirao, M Urakawa, M Ota

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Y NagataResearch Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kekkaku, Kenkyusho, Kiyose, Tokyo, Japan.
T ZamaResearch Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kekkaku, Kenkyusho, Kiyose, Tokyo, Japan.
S HiraoResearch Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kekkaku, Kenkyusho, Kiyose, Tokyo, Japan.
M UrakawaResearch Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kekkaku, Kenkyusho, Kiyose, Tokyo, Japan.
M OtaResearch Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Matsuyama 3-1-24, Kekkaku, Kenkyusho, Kiyose, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingHospitals in Japan with more than five TB isolation beds.

objectivesApproximately 4,000 cases of sputum smear-positive TB were reported in 2022, who were isolated in a TB ward at least until they became sputum smear-negative. However, some recalcitrant patients are difficult to isolate because of their behaviour. This study aims to characterise recalcitrant patients with TB and determine why they left the hospitals.

designThis was a descriptive study. We sent a self-administered questionnaire to the hospitals asking about recalcitrant inpatients with TB from April 2022 through March 2023.

resultsA total of 12 recalcitrant patients were identified, of whom 8 (66.7%) self-discharged, and the other 4 (33.3%) were discharged by the hospital. All were male with an average age of 58.9 years. The main reason why the patients were considered recalcitrant was related to psychiatric problems (41.7%), including 2 with possible dementia (16.7%). However, 3 (25.0%) patients verbally insulted or physically assaulted staff members and other patients.

conclusionAlthough the number of recalcitrant patients was small, we recommend that there should be one or two TB facilities readily available for law enforcement officials to enforce isolation.

Indexed as

epidemiologyJapantuberculosis

Identifiers

PMID40487460
PMCPMC12143240

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