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Time-to-positivity of Mycobacterium avium complex in broth culture associates with culture conversion

Overview of attention for article published in BMC Infectious Diseases, March 2022
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Title
Time-to-positivity of Mycobacterium avium complex in broth culture associates with culture conversion
Published in
BMC Infectious Diseases, March 2022
DOI 10.1186/s12879-022-07250-4
Pubmed ID
Authors

Christina M. Mingora, Bryan A. Garcia, Kevin C. Mange, Dayton W. Yuen, Monika Ciesielska, Jakko van Ingen, Patrick A. Flume, Susan E. Dorman

Abstract

Mycobacterial time to positivity (TTP) in liquid culture media has predictive value for longer term outcomes in pulmonary tuberculosis, but has not been thoroughly studied in nontuberculous mycobacterial pulmonary disease. This study sought to evaluate for association between TTP and sputum culture conversion to negative in pulmonary disease caused by Mycobacterium avium complex (MAC). Data from the CONVERT trial (NCT02344004) that evaluated efficacy of guideline-based-therapy with or without amikacin liposome inhalation suspension in adults with refractory MAC-PD (Mycobacterium avium complex pulmonary disease) were analyzed. We evaluated TTP measures for sputum obtained prior to study treatment initiation and at monthly visits, assessing reproducibility of measures as well as association of TTP with culture conversion on treatment. Data from 71 participants with at least one screening visit TTP value were analyzed. For participants who provided more than one sputum sample at a given visit, there was moderate between-sample reliability, with median intraclass correlation coefficient 0.62 (IQR 0.50, 0.70). Median TTP at screening was longer in those participants who subsequently achieved vs. did not achieve culture conversion (10.5 [IQR 9.4] days vs. 4.2 [IQR 2.8] days, p = 0.0002). Individuals with culture conversion by study treatment month 6 were more likely to have a screening TTP > 5 days compared to those who did not achieve culture conversion (OR 15.4, 95% CI 1.9, 716.7, p = 0.0037) and had increasing TTPs over time. TTP prior to and on treatment is associated with microbiological treatment response in patients with MAC-PD.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 15%
Unspecified 1 8%
Student > Doctoral Student 1 8%
Student > Bachelor 1 8%
Student > Master 1 8%
Other 1 8%
Unknown 6 46%
Readers by discipline Count As %
Medicine and Dentistry 3 23%
Immunology and Microbiology 2 15%
Unspecified 1 8%
Sports and Recreations 1 8%
Unknown 6 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2022.
All research outputs
#20,747,586
of 23,347,114 outputs
Outputs from BMC Infectious Diseases
#6,603
of 7,814 outputs
Outputs of similar age
#361,699
of 440,804 outputs
Outputs of similar age from BMC Infectious Diseases
#194
of 233 outputs
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