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https://www.readbyqxmd.com/read/28919150/in-vitro-anti-tuberculosis-activity-of-azole-drugs-against-mycobacterium-tuberculosis-clinical-isolates
#1
Belén R Imperiale, Ángel A Cataldi, Nora S Morcillo
BACKGROUND: Latent tuberculosis has been associated with the persistence of dormant Mycobacterium tuberculosis in the organism of infected individuals, who are reservoirs of the bacilli and the source for spreading the disease in the community. New active anti-TB drugs exerting their metabolic action at different stages and on latent/dormant bacilli are urgently required to avoid endogenous reactivations and to be part of treatments of multi- and extensively-drug resistant tuberculosis (M/XDR-TB)...
September 14, 2017: Revista Argentina de Microbiología
https://www.readbyqxmd.com/read/28911979/opening-pandora-s-box-mechanisms-of-mycobacterium-tuberculosis-resuscitation
#2
REVIEW
Ashley V Veatch, Deepak Kaushal
Mycobacterium tuberculosis (Mtb) characteristically causes an asymptomatic infection. While this latent tuberculosis infection (LTBI) is not contagious, reactivation to active tuberculosis disease (TB) causes the patient to become infectious. A vaccine has existed for TB for a century, while drug treatments have been available for over 70 years; despite this, TB remains a major global health crisis. Understanding the factors which allow the bacillus to control responses to host stress and mechanisms leading to latency are critical for persistence...
September 11, 2017: Trends in Microbiology
https://www.readbyqxmd.com/read/28910369/heightened-circulating-levels-of-antimicrobial-peptides-in-tuberculosis-diabetes-co-morbidity-and-reversal-upon-treatment
#3
Nathella Pavan Kumar, Kadar Moideen, Vijay Viswanathan, Shanmugam Sivakumar, Pradeep A Menon, Hardy Kornfeld, Subash Babu
BACKGROUND: The association of antimicrobial peptides (AMPs) with tuberculosis-diabetes comorbidity (PTB-DM) is not well understood. METHODS: To study the association of AMPs with PTB-DM, we examined the systemic levels of cathelicidin (LL37), human beta defensin- 2 (HBD2), human neutrophil peptides 1-3, (HNP1-3) and granulysin in individuals with either PTB-DM, PTB, latent TB (LTB) or no TB infection (NTB). RESULTS: Circulating levels of cathelicidin and HBD2 were significantly higher and granulysin levels were significantly lower in PTB-DM compared to PTB, LTB or NTB, while the levels of HNP1-3 were significantly higher in PTB-DM compared to LTB or NTB individuals...
2017: PloS One
https://www.readbyqxmd.com/read/28892445/applying-the-15-public-health-emergency-preparedness-capabilities-to-support-large-scale-tuberculosis-investigations-in-complex-congregate-settings
#4
Alison Jaffe Levy, Katelynne Gardner Toren, Carina Elsenboss, Masahiro Narita
Public Health-Seattle and King County, a metropolitan health department in western Washington, experiences rates of tuberculosis (TB) that are 1.6 times higher than are state and national averages. The department's TB Control Program uses public health emergency management tools and capabilities sustained with Centers for Disease Control and Prevention grant funding to manage large-scale complex case investigations. We have described 3 contact investigations in large congregate settings that the TB Control Program conducted in 2015 and 2016...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28885972/use-of-rifapentine-and-isoniazid-directly-observed-therapy-for-the-treatment-of-latent-tuberculosis-infection-in-a-military-clinic
#5
Janelle Jinbo, Michael Lustik, Gordon F West, Megan Kloetzel
BACKGROUND: There are 8.6 million cases of active tuberculosis (TB) worldwide, and an estimated one-third of the world population has latent tuberculosis infection (LTBI). In the United States, up to 80% of active cases may be caused by untreated reactivated latent infection. A case of TB can spread rapidly impacting the readiness of a unit. To prevent the development of TB, it is critical that active duty service members with LTBI complete treatment. The use of isoniazid (INH) and rifapentine (RPT) as a directly observed therapy (DOT) treatment option was recommended by the Centers for Disease Control and Prevention in late 2011...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28881482/altered-expression-of-antigen-specific-memory-and-regulatory-t-cell-subsets-differentiate-latent-and-active-tuberculosis
#6
Balaji Pathakumari, Santhi Devasundaram, Alamelu Raja
Though one-third of the world population is infected with M. tuberculosis, only 5-10% of the infected individuals will develop active TB disease and rest will remain infected with no symptoms known as latent TB infection (LTBI). Identifying biomarkers that differentiate latent and active TB disease enables effective TB control, since early detection, treatment of active TB and preventive treatment of LTBI individuals are crucial steps involved in TB control. Here, we have evaluated the frequency of antigen specific memory and regulatory T cells (Tregs) in 15 healthy household contacts (HHC) and 15 pulmonary TB patients (PTB) to identify biomarkers for differential diagnosis of LTBI and active TB...
September 7, 2017: Immunology
https://www.readbyqxmd.com/read/28875155/risk-of-tuberculosis-infection-and-disease-for-health-care-workers-an-updated-meta-analysis
#7
Lydia Uden, Ella Barber, Nathan Ford, Graham S Cooke
BACKGROUND: Tuberculosis (TB) remains a major challenge to global health. Healthcare workers (HCWs) appear to be at increased risk of TB compared with the general population, despite efforts to scale up infection control and reduce nosocomial TB transmission. This review aims to provide an updated estimate of the occupational risk of latent TB infection (LTBI) and active TB among HCWs compared with the general population. METHODS: A systematic review was performed to identify studies published over the last 10 years reporting TB prevalence or incidence among HCWs and a control group...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28856068/sero-diagnosis-of-active-mycobacterium-tuberculosis-disease-among-hiv-co-infected-persons-using-thymidylate-kinase-based-antigen-and-antibody-capture-enzyme-immuno-assays
#8
Misaki Wayengera, Ivan Mwebaza, Johnson Welishe, Cynthia Nakimuli, David P Kateete, Eddie Wampande, Samuel Kirimunda, Lois Bayigga, Carol Musubika, Peace Babirye, Benon Asiimwe, Moses L Joloba
BACKGROUND: Clinical and laboratory diagnosis of Active Tuberculosis (ATB) and latent Mycobacterium Tuberculosis (M. tuberculosis) infections (LTBI) among people living with HIV/AIDS (PLWHA) presents formidable challenges. In the past, WHO issued an advisory against the use of existing TB sero-diagnostics. Emerging evidence, however, points to a precision of TB sero-diagnostics based on secretory rather than structural M. tuberculosis antigens. We hypothesized that secretory levels of M...
June 2017: Mycobacterial Diseases: Tuberculosis & Leprosy
https://www.readbyqxmd.com/read/28837654/immune-characterization-of-the-hbha-specific-response-in-mycobacterium-tuberculosis-infected-patients-with-or-without-hiv-infection
#9
Teresa Chiacchio, Giovanni Delogu, Valentina Vanini, Gilda Cuzzi, Flavio De Maio, Carmela Pinnetti, Alessandro Sampaolesi, Andrea Antinori, Delia Goletti
INTRODUCTION: RD1-based Interferon-γ Release Assays (IGRAs) cannot distinguish latent from active tuberculosis (TB) disease. Conversely, a positive response to heparin-binding haemagglutinin (HBHA)-based IGRAs, among TB-infected subjects, correlates with Mycobacterium tuberculosis (Mtb) containment and low risk of TB progression. The aim of this study was to characterize HBHA-immune responses in HIV-infected and uninfected subjects with active TB or latent TB infection (LTBI). METHODS: 49 subjects were prospectively enrolled: 22 HIV-uninfected (13 TB, 9 LTBI) and 27 HIV-infected (12 HIV-TB, 15 HIV-LTBI)...
2017: PloS One
https://www.readbyqxmd.com/read/28837570/assessment-of-the-influence-of-direct-tobacco-smoke-on-infection-and-active-tb-management
#10
Neus Altet, Irene Latorre, María Ángeles Jiménez-Fuentes, José Maldonado, Israel Molina, Yoel González-Díaz, Celia Milà, Esther García-García, Beatriz Muriel, Raquel Villar-Hernández, Maisem Laabei, Andromeda-Celeste Gómez, Pere Godoy, Maria Luiza de Souza-Galvão, Segismundo Solano, Carlos A Jiménez-Ruiz, Jose Domínguez
BACKGROUND: Smoking is a risk factor for tuberculosis (TB) infection and disease progression. Tobacco smoking increases susceptibility to TB in a variety of ways, one of which is due to a reduction of the IFN-γ response. Consequently, an impaired immune response could affect performance of IFN-γ Release Assays (IGRAs). OBJECTIVE: In the present study, we assess the impact of direct tobacco smoking on radiological manifestations, sputum conversion and immune response to Mycobacterium tuberculosis, analyzing IFN-γ secretion by IGRAs...
2017: PloS One
https://www.readbyqxmd.com/read/28837544/an-update-of-management-of-latent-tuberculosis-infection-and-active-disease-in-patients-with-chronic-kidney-disease
#11
Katherine Myall, Heather June Milburn
In 2010, the British Thoracic Society (BTS) published guidelines on the management of tuberculosis infection and disease in patients with chronic kidney disease (CKD) [1] in response to physicians' concerns about the challenges encountered in treating this complex patient group. Later in 2010, we summarised the main messages from these Guidelines for readers of this journal.[2].
August 24, 2017: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/28832776/-latent-tuberculosis-infection-in-persons-with-hiv-aids-associated-factors-and-progression-to-active-disease-in-a-city-in-southern-brazil
#12
Danielle Talita Dos Santos, Maria Concebida Garcia, Arlete Alves Nunes Fragoso da Costa, Flávia Meneguetti Pieri, Denise Andrade Pereira Meier, Silvia Paulino Ribeiro Albanese, Ricardo Alexandre Arcêncio, Elma Mathias Dessunti
The study proposed to identify the prevalence of latent tuberculosis infection (LTBI) in persons living with HIV/AIDS (PLWHA), associated factors, and progression to active tuberculosis among the identified cases. This was an epidemiological and descriptive study. The study population consisted of PLWHA seen from 2003 and 2014 in a reference center for HIV/AIDS. Data were collected from patient files and the Brazilian Information System for Notifiable Diseases (SINAN). Bivariate statistical analysis used the chi-square test in which variables with p < 0...
August 21, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28821621/protein-kinase-g-confers-survival-advantage-to-mycobacterium-tuberculosis-during-latency-like-conditions
#13
Mehak Zahoor Khan, Ashima Bhaskar, Sandeep Upadhyay, Pooja Kumari, Raju S Rajmani, Preeti Jain, Amit Singh, Dhiraj Kumar, Neel Sarovar Bhavesh, Vinay Kumar Nandicoori
Protein Kinase G (PknG), a thioredoxin-fold containing eukaryotic like serine/threonine protein kinase (STPK), is a virulence factor in the Mycobacterium tuberculosis, required for inhibition of phago-lysosomal fusion. Here, we unravelled novel functional facets of PknG during latency like conditions. We find that PknG mediates persistence under stressful conditions like hypoxia and abets drug tolerance. PknG mutant displayed minimal growth in nutrient limiting conditions suggesting its role in modulating cellular metabolism...
August 18, 2017: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/28813434/detection-of-anti-hspx-antibodies-and-hspx-protein-in-patient-sera-for-the-identification-of-recent-latent-infection-by-mycobacterium-tuberculosis
#14
Jorge Castro-Garza, Paola García-Jacobo, Lydia G Rivera-Morales, Frederick D Quinn, James Barber, Russell Karls, Debra Haas, Shelly Helms, Tuhina Gupta, Henry Blumberg, Jane Tapia, Itza Luna-Cruz, Adrián Rendon, Javier Vargas-Villarreal, Lucio Vera-Cabrera, Cristina Rodríguez-Padilla
Mycobacterium tuberculosis is a pathogen causing tuberculosis (TB) a spectrum of disease including acute and asymptomatic latent stages. Identifying and treating latently-infected patients constitutes one of the most important impediments to TB control efforts. Those individuals can remain undiagnosed for decades serving as potential reservoirs for disease reactivation. Tests for the accurate diagnosis of latent infection currently are unavailable. HspX protein (α-crystallin), encoded by Rv2031c gene, is produced in vitro by M...
2017: PloS One
https://www.readbyqxmd.com/read/28803492/rifampin-vs-rifapentine-what-is-the-preferred-rifamycin-for-tuberculosis
#15
Omamah Alfarisi, Wael A Alghamdi, Mohammad H Al-Shaer, Kelly E Dooley, Charles A Peloquin
One-third of the world's population is infected with Mycobacterium tuberculosis (M.tb.). Latent tuberculosis infection (LTBI) can progress to tuberculosis disease, the leading cause of death by infection. Rifamycin antibiotics, like rifampin and rifapentine, have unique sterilizing activity against M.tb. What are the advantages of each for LTBI or tuberculosis treatment? Areas covered: We review studies assessing the pharmacokinetics (PK), pharmacodynamics (PD), drug interaction risk, safety, and efficacy of rifampin and rifapentine and provide basis for comparing them...
August 18, 2017: Expert Review of Clinical Pharmacology
https://www.readbyqxmd.com/read/28802403/analytical-evaluation-of-quantiferon-plus-and-quantiferon-gold-in-tube-assays-in-subjects-with-or-without-tuberculosis
#16
E Petruccioli, V Vanini, T Chiacchio, G Cuzzi, D M Cirillo, F Palmieri, G Ippolito, D Goletti
The QuantiFERON-TB Gold Plus (QFT-Plus) represents the new QuantiFERON-TB Gold In-tube (QFT-GIT) to identify latent tuberculosis infection (LTBI). The main differences is the addition of a new tube containing shorter peptides stimulating CD8 T-cells. Aim of this study is to evaluate the accuracy of QFT-Plus compared with QFT-GIT in a cross sectional study of individuals with or without tuberculosis (TB). We enrolled 179 participants: 19 healthy donors, 58 LTBI, 33 cured TB and 69 active TB. QFT-Plus and QFT-GIT were performed...
September 2017: Tuberculosis
https://www.readbyqxmd.com/read/28794233/characterization-of-mycobacterium-tuberculosis-specific-cells-using-mhc-class-ii-tetramers-reveals-phenotypic-differences-related-to-hiv-infection-and-tuberculosis-disease
#17
Natalie Strickland, Tracey L Müller, Natacha Berkowitz, Rene Goliath, Mary N Carrington, Robert J Wilkinson, Wendy A Burgers, Catherine Riou
A major challenge for the development of an effective vaccine against tuberculosis (TB) is that the attributes of protective CD4(+) T cell responses are still elusive for human TB. Infection with HIV type 1 is a major risk factor for TB, and a better understanding of HIV-induced alterations of Mycobacterium tuberculosis-specific CD4(+) T cells that leads to failed host resistance may provide insight into protective T cell immunity to TB. A total of 86 participants from a TB-endemic setting, either HIV-infected or uninfected and with latent or active TB (aTB), were screened using M...
August 9, 2017: Journal of Immunology: Official Journal of the American Association of Immunologists
https://www.readbyqxmd.com/read/28793025/environmental-aspects-related-to-tuberculosis-and-intestinal-parasites-in-a-low-income-community-of-the-brazilian-amazon
#18
Biatriz Araújo Cardoso, Fabio de Oliveira Fonseca, Antonio Henrique Almeida de Moraes, Ana Caroline Guedes Souza Martins, Nissa Vilhena da Silva Oliveira, Luana Nepomuceno Gondim Costa Lima, George Alberto da Silva Dias, Maria Helena Féres Saad
We carried out a cross-sectional study from January to December 2015 on 1,425 inhabitants from a floating population in the Brazilian Amazon (Murinin district, Pará State) to describe the population-based prevalence of tuberculosis (TB) from 2011 to 2014, recent TB contacts (rCts) latently infected with Mycobacterium tuberculosis (LTBI) , the coverage of the local health network, socio-environmental factors, and frequency of intestinal parasitic infection (IPI). We found that the sanitary structure was inadequate, with latrines being shared with other rooms within the same accommodation; well water was the main source of water, and 48% of families had low incomes...
August 7, 2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28789982/mycobacterium-tuberculosis-genotypes-and-predominant-clones-among-the-multidrug-resistant-isolates-in-spain-1998-2005
#19
Sofía Samper, Patricia Gavín, María Isabel Millán-Lou, María José Iglesias, María Soledad Jiménez, David Couvin, Nalin Rastogi
Although the incidence of tuberculosis (TB) is gradually decreasing in Spain, there is an increase in the proportion of foreign-born cases. This changing scenario is slowly shifting the local TB epidemiology from endemic to imported cases with an increased risk for multidrug-resistant (MDR) and extensively drug resistant (XDR) strains of Mycobacterium tuberculosis complex. MDR/XDR strains from Spain (n=366 MTBC isolates, 1 strain per patient) isolated between 1998 and 2005 were retained for this retrospective analysis...
August 5, 2017: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/28777204/better-completion-of-pediatric-latent-tuberculosis-treatment-using-4-months-of-rifampin-in-a-us-based-tuberculosis-clinic
#20
James Gaensbauer, Kaylynn Aiona, Michelle Haas, Randall Reves, Janine Young, Robert Belknap
BACKGROUND: Children less than five years of age have the highest age-specific rate of progression from latent tuberculosis infection (LTBI) to active disease. Therefore, regimens for treatment of pediatric LTBI must be not only efficacious but practical enough to overcome the unique childhood barriers to regimen adherence. Since 2012, a 4-month regimen of daily rifampin (4R) has been the standard recommendation for pediatric LTBI at the Denver Metro Tuberculosis Clinic (DMTBC). METHODS: Using univariate and multivariate analysis, we compared treatment completion rates between 4R and 9-month isoniazid (9H) regimens for all pediatric patients treated for LTBI at the DMTBC between 1/1/2006 and 12/31/2015, and assessed the influence of clinical and demographic characteristics on successful completion of the two regimens...
August 1, 2017: Pediatric Infectious Disease Journal
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