Evidence map›Paper›PMID 40895131›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2025

Symptomatic (STB) and Asymptomatic (ATB) tuberculosis in Italy: Results from a multicenter retrospective study.

Sergio Cotugno, Giacomo Guido, Francesco Di Gennaro, Francesco Cavallin, Mariantonietta Pisaturo, Lorenzo Onorato, Federica Zimmerhofer, Luca Pipitò, Giuseppina De Iaco, Giuseppe Bruno and 32 more

Abstract read
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

42 authors.

Sergio CotugnoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Giacomo GuidoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Francesco Di GennaroClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Francesco CavallinIndependent Statistician, Solagna, Italy.
Mariantonietta PisaturoDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Lorenzo OnoratoDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Federica ZimmerhoferInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Luca PipitòInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Giuseppina De IacoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Giuseppe BrunoInfectious Disease, Saint Giuseppe Moscati Hospital, Taranto, Italy.
Massimo FasanoUOC Malattie Infettive - ASL BA PO Della Murgia Altamura (BA), Italy.
Agostina PontarelliRespiratory Infectious Disease Unit, AORN Dei Colli, Cotugno Hospital, Naples, Italy.
Annarita BottaRespiratory Infectious Disease Unit, AORN Dei Colli, Cotugno Hospital, Naples, Italy.
Tiziana IacovazziUOC Malattie Infettive - ASL BA PO Della Murgia Altamura (BA), Italy.
Rossana LattanzioClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Roberta PapagniClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Elda De VitaClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Alberto ZolezziRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Gianfranco PanicoUOC Malattie Infettive, Osp. V. Emanuele II, ASL BT, Bisceglie (BT), Italy.
Raffaella LibertoneRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Caterina MonariDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Gaetano BrindicciClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Carmen Rita SantoroClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Alessia MustoUOC Malattie Infettive P.O. Perrino Brindisi, Italy.
Luigi RongaClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.
Mariangela NiglioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Francesco IevaUOC Malattie Infettive, Osp. V. Emanuele II, ASL BT, Bisceglie (BT), Italy.
Federica De GregorioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Federica CiminelliDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Loredana AlessioDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Caterina CuratoloDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Gina GualanoRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Salvatore MinnitiUOC Malattie Infettive P.O. Perrino Brindisi, Italy.
Giovanni Battista BuccolieroInfectious Disease, Saint Giuseppe Moscati Hospital, Taranto, Italy.
Teresa SantantonioDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Sergio Lo CaputoDepartment of Medical and Surgical Sciences, Infectious Diseases Unit, University of Foggia, Foggia, Italy.
Sergio CarbonaraUOC Malattie Infettive, Osp. V. Emanuele II, ASL BT, Bisceglie (BT), Italy.
Antonio CascioInfectious and Tropical Disease Unit - Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G D'Alessandro", University of Palermo 90127 Palermo, Italy.
Roberto ParrellaRespiratory Infectious Disease Unit, AORN Dei Colli, Cotugno Hospital, Naples, Italy.
Fabrizio PalmieriRespiratory Infectious Diseases Unit, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy.
Nicola CoppolaDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Via L. Armanni 5, 80131 Naples, Italy.
Annalisa SaracinoClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Jonian Area (DiMePreJ), Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Asymptomatic tuberculosis (ATB) represents a significant proportion of tuberculosis (TB) cases. This study aimed to compare ATB and symptomatic TB (STB) cases in terms of demographic and clinical characteristics, adverse events, hospital length of stay, and treatment outcomes. Methods: This multicenter retrospective study included 510 microbiologically confirmed pulmonary TB patients across ten Italian hospitals between 2018 and 2023. STB cases presented with at least one symptom such as cough, fever, chest pain, hemoptysis, dyspnea, night sweats or weight loss. ATB cases presented with no symptoms. The endpoints included adverse events, length of hospital stay, and incompleteness of the treatment. Results: ATB accounted for 36.4 % of cases (184/510). STB was significantly associated with diabetes (p = 0.03), hepatitis B/C infections (p < 0.0001), and history of TB (p = 0.01). Adjusting for clinically relevant confounders, STB was associated with higher occurrence of adverse events (odds ratio 2.04, 95 % confidence interval 1.31 to 3.23; p = 0.002), more severe adverse events (odds ratio 8.07, 95 % confidence interval 2.58 to 33.34; p = 0.001) and a 24 % increase in length of hospital stay (95 % confidence interval 7 % to 47 %; p = 0.005), but was not associated with incomplete treatment (odds ratio 0.79, 95 % confidence interval 0.47 to 1.32; p = 0.37). Conclusions: STB is associated with a higher burden of adverse events. ATB poses challenges for TB elimination due to its asymptomatic nature.

Indexed as

AsymptomaticClinicalCoughSubclinicalSymptomsTuberculosis

Identifiers

PMID40895131
PMCPMC12392758

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.