Evidence map›Paper›PMID 42745786›Full record

ArticleFrontiers in public health2026

Risk factors and prediction modeling for drug-resistant tuberculosis in Shenzhen: a 9-year retrospective study.

Jin Wang, Moru Chen, Xiaoliang Zha, Feng Ding, He Zhang, Shui-Hua Lu, Xiangxiang Liu

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Article in Frontiers in public health, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jin Wang *Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Moru Chen *National Clinical Research Center for Infectious Disease of Shenzhen, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Xiaoliang Zha *Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Feng DingNational Clinical Research Center for Infectious Disease of Shenzhen, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
He ZhangNational Clinical Research Center for Infectious Disease of Shenzhen, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Shui-Hua LuNational Clinical Research Center for Infectious Disease of Shenzhen, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Xiangxiang LiuNational Clinical Research Center for Infectious Disease of Shenzhen, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance in Methods: We retrospectively analyzed 16,466 TB patients managed at Shenzhen Third People's Hospital from January 2017 and December 2025. Risk factors for DR-TB were identified using univariate and multivariate logistic regression. Based on these factors, we constructed four prediction models (demographic, demographic+clinical symptom, demographic+clinical symptom+diagnostic, and demographic+clinical symptom+diagnostic+treatment delay), and evaluated their performance using Receiver Operating Characteristic (ROC) curves and calibration curves. Results: The prevalence of DR-TB decreased from 11.36% in 2017 to 10.42% in 2019, dropped sharply to 7.9% in 2020-2021 (likely due to COVID-19 disruptions), rebounded to 14.63% in 2022 (above pre-pandemic levels), peaked in 2023, and then gradually declined after 2024. Multivariate logistic regression identified multiple factors significantly associated with drug resistance: gender (female), age (25-44, 45-64, ≥65 years), occupation (unemployed, family workers, business/service providers, office workers, students), HIV/AIDS comorbidity, clinical symptoms (cough, sputum production), ≥1 negative etiological test result, re-treatment status, concurrent extra pulmonary TB, time from symptom onset to first medical visit (28-42 days), and time from first visit to diagnosis (≥42 days). The AUC values for the four models were 0.571, 0.599, 0.760, and 0.787, respectively (all Conclusion: We successfully developed a DR-TB risk prediction model with good discrimination and calibration. Early identification of risk factors is crucial for improving clinical awareness and management of DR-TB. Enhancing early diagnosis and treatment is essential for controlling the disease. Clinical trial registration: https://www.chictr.org.cn/showproj.html?proj=188950, Identifier [ChiCTR2300067585].

Indexed as

Tuberculosis, Multidrug-ResistantAdultChinaFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk Factorsdrug-resistant tuberculosisprediction modelreceiver operating characteristic (ROC)risk factorstuberculosis

Identifiers

PMID42745786
PMCPMC13574663

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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.