Evidence map›Paper›PMID 42390245›Full record

Trial reportMicrobiology spectrum2026

Benefits of three consecutive sputum inductions using nebulized racemic salbutamol versus hypertonic saline in smear-negative or sputum-scarce pulmonary tuberculosis patients: a prospective randomized, double-blind study.

Warangkana Keeratichananont, Suriya Keeratichananont, Natthaphon Ubonsutvanich, Jirachaya Chaisurote

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Microbiology spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Warangkana KeeratichananontDivision of Respiratory and Respiratory Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0001-6539-3368
Suriya KeeratichananontNKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0000-0003-4457-9774
Natthaphon UbonsutvanichDepartment of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0009-0003-9048-8758
Jirachaya ChaisuroteDivision of Respiratory and Respiratory Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID 0009-0005-2589-6629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although, sputum induction (SI) with hypertonic saline increases the diagnostic yield for suspected pulmonary tuberculosis (PTB) in patients with smear-negative microscopy, but, it carries adverse effects (AEs), particularly bronchospasm. This study assessed and compared the diagnostic yields and safety profiles of three consecutive SI procedures using nebulized salbutamol vs conventional 3% sodium chloride (NaCl) in patients with suspected PTB and initially negative sputum smears. A randomized, double-blind study was conducted at Songklanagarind Hospital, Thailand, between 2016 and 2019. Three hundred forty-five adults with suspected smear-negative or sputum-scarce PTB were randomized to undergo 3 consecutive days of SI with either nebulized salbutamol ( IMPORTANCE: Delays in diagnosing pulmonary tuberculosis or initiating treatment without bacteriological confirmation increase mortality, often because of inadequate sputum samples or negative acid-fast bacilli smears from self-expectoration. Sputum induction with hypertonic saline can improve diagnostic yield in patients with scanty sputum or smear-negative disease, but it is associated with adverse effects-particularly bronchospasm-which may require stopping the procedure. We demonstrated that three consecutive sputum inductions using nebulized racemic salbutamol produced significantly higher overall diagnostic yields by acid-fast bacilli smear and

Indexed as

AlbuterolSaline Solution, HypertonicSputumTuberculosis, PulmonaryAdultAgedBacilloscopyDouble-Blind MethodFemaleHumansMaleMiddle AgedMycobacterium tuberculosisNebulizers and VaporizersProspective StudiesThailandAlbuterolSaline Solution, Hypertonicadrenergic beta-2 receptor agonistsagentsbronchodilatorhypertonicinducedpulmonarysaline solutionsputumtuberculosis

Identifiers

PMID42390245
PMCPMC13435741

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Registered trials

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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.