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Incident Mycobacterium tuberculosis infection in household contacts of infectious tuberculosis patients in Brazil

Overview of attention for article published in BMC Infectious Diseases, August 2017
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Title
Incident Mycobacterium tuberculosis infection in household contacts of infectious tuberculosis patients in Brazil
Published in
BMC Infectious Diseases, August 2017
DOI 10.1186/s12879-017-2675-3
Pubmed ID
Authors

Edward C. Jones-López, Carlos Acuña-Villaorduña, Geisa Fregona, Patricia Marques-Rodrigues, Laura F. White, David Jamil Hadad, Lucilia Pereira Dutra-Molina, Solange Vinhas, Avery I. McIntosh, Mary Gaeddert, Rodrigo Ribeiro-Rodrigues, Padmini Salgame, Moises Palaci, David Alland, Jerrold J. Ellner, Reynaldo Dietze

Abstract

In household contact investigations of tuberculosis (TB), a second tuberculin skin test (TST) obtained several weeks after a first negative result consistently identifies individuals that undergo TST conversion. It remains unclear whether this delay in M. tuberculosis infection is related to differences in the infectious exposure, TST boosting, partial host resistance, or some other factor. We conducted a household contact study Vitória, Brazil. Between 2008 and 2013, we identified culture-positive pulmonary TB patients and evaluated their household contacts with both a TST and interferon gamma release assay (IGRA), and identified TST converters at 8-12 weeks post study enrollment. Contacts were classified as TST-positive (≥10 mm) at baseline, TST converters, or persistently TST-negative. We compared TST converters to TST-positive and to TST-negative contacts separately, using generalized estimating equations. We enrolled 160 index patients and 838 contacts; 523 (62.4%) were TST+, 62 (7.4%) TST converters, and 253 (30.2%) TST-. TST converters were frequently IGRA- at 8-12 weeks. In adjusted analyses, characteristics distinguishing TST converters from TST+ contacts (no contact with another TB patient and residence ownership) were different than those differentiating them from TST- contacts (stronger cough in index patient and contact BCG scar). The individual risk and timing of M. tuberculosis infection within households is variable and dependent on index patient, contact and environmental factors within the household, and the surrounding community. Our findings suggest a threshold effect in the risk of infection in humans.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 83 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 83 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 17%
Researcher 9 11%
Student > Bachelor 9 11%
Student > Postgraduate 5 6%
Student > Ph. D. Student 5 6%
Other 16 19%
Unknown 25 30%
Readers by discipline Count As %
Medicine and Dentistry 25 30%
Nursing and Health Professions 6 7%
Biochemistry, Genetics and Molecular Biology 5 6%
Immunology and Microbiology 4 5%
Environmental Science 2 2%
Other 9 11%
Unknown 32 39%
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 20 August 2017.
All research outputs
#18,569,430
of 22,999,744 outputs
Outputs from BMC Infectious Diseases
#5,652
of 7,718 outputs
Outputs of similar age
#244,387
of 318,830 outputs
Outputs of similar age from BMC Infectious Diseases
#124
of 169 outputs
Altmetric has tracked 22,999,744 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,718 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.0. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 169 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.