Evidence map›Paper›PMID 41266982›Full record

ArticleBMC infectious diseases2025

Analysis of factors influencing high infectivity in patients with tuberculosis using clinical and imaging methods.

Jing Han, Wenlong Ding, Wanjie Yang, Zhiheng Xing, Xue Li, Yonghui Li, Yi Xie, Zhen Wan

Abstract read
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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jing Han *Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Wenlong Ding *Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Wanjie Yang *Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Zhiheng Xing *Haihe Hospital, Tianjin University, Tianjin, 300350, China.
Xue LiHaihe Hospital, Tianjin University, Tianjin, 300350, China.
Yonghui LiTianjin University, Tianjin, 300350, China.
Yi XieHaihe Hospital, Tianjin University, Tianjin, 300350, China. xieyi1223@163.com.
Zhen WanHaihe Hospital, Tianjin University, Tianjin, 300350, China. 18920180078@189.cn.

Funding

Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-067CTianjin Science and Technology Plan Project 23JCQNJC01490Tianjin Science and Technology Plan Project 23JCZDJC00970
6 · The paper itself

Abstract

backgroundTo optimise early screening for hospitalised patients with highly contagious tuberculosis (TB) to allow for effective isolation measures to reduce the risk of TB transmission.

methodsData were collected from 9458 newly diagnosed patients with TB from 1 January 2015 to 31 December 2023 at a designated TB hospital in Tianjin. The patients were divided into two groups based on their infection status: highly infectious and less infectious. Data, including clinical characteristics and computerised tomography (CT) examination results, were extracted from the hospital information system. High-resolution chest CT was performed using standardised protocols. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the predictive model.

resultsUnivariate analysis revealed significant differences in sex, age ≥ 60, patient delay, and CT findings (cavitation, consolidation, tree-in-bud sign, bronchial lesions, pleural effusion, lymphadenopathy, and pericardial effusion) between the two groups (P < 0.001). Multivariate logistic regression identified age ≥ 60 (odds ratio (OR) = 1.382), patient delay (OR = 1.830), cavitation (OR = 3.146), consolidation (OR = 2.077), tree-in-bud sign (OR = 2.764), and bronchial lesions (OR = 1.213) as independent risk factors for high infectiousness in patients with TB. The ROC curve analysis showed good discriminative ability, with an area under the curve of 0.71 (95% CI, 0.7–0.72).

conclusionsAge ≥ 60, patient delay, cavitation, consolidation, tree-in-bud sign, and bronchial lesions can effectively predict the high infectiousness of patients with TB, aiding in early screening and isolation measures to reduce the risk of TB transmission within hospitals.

Indexed as

TuberculosisAdultAgedChinaFemaleHumansMaleMiddle AgedRisk FactorsROC CurveTomography, X-Ray ComputedClinical characteristicsCT examinationInfectivityPrediction modelTuberculosis

Identifiers

PMID41266982
PMCPMC12632116

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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.