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Combined drug therapy to treat TB and HIV significantly improves survival

A new study published in the New England Journal of Medicine found that initiating antiretroviral therapy during tuberculosis treatment significantly reduces mortality rates for co-infected patients. The trial, which involved 642 patients, showed a 56% reduction in mortality rates compared to those who received sequential therapy.

SourceColumbia University's Mailman School of Public Health·JournalNew England Journal of Medicine·DateFeb 25, 2010

Each pound at birth lowers risk of developing TB

A study published in the Journal of Infectious Diseases found that each additional 1.1 pounds of birth weight decreases tuberculosis risk by 46% among identical twins. The association is stronger for males, with an 87% reduced risk, and sheds light on the developmental origins of health and disease.

SourceUniversity of Michigan·JournalThe Journal of Infectious Diseases·DateJan 7, 2010

Study casts doubt on provocative tuberculosis theory

Researchers at Loyola University Health System failed to find evidence of TB bacteria forming spores, contradicting a provocative theory. The new findings could help ensure that efforts to improve treatments for tuberculosis are focused on productive directions.

SourceLoyola Medicine·JournalProceedings of the National Academy of Sciences·DateDec 21, 2009

Tuberculosis: On the path to prevention

Scientists at MUHC and international colleagues discovered a chromosomal site controlling natural resistance to TB infection, found in 20% of individuals from high-exposure areas. The findings hold promise for preventing TB infection in the general population by stimulating resistance mechanisms.

SourceMcGill University Health Centre·JournalJournal of Experimental Medicine·DateNov 30, 2009

The Malawi government's program to cut childhood pneumonia deaths

The Malawi government has introduced a national program to deliver effective pneumonia treatment, known as standard case management, to children. This initiative aims to reduce the high mortality rate of childhood pneumonia in low-income countries by providing timely and appropriate antibiotic therapy and oxygen support.

SourcePLOS·JournalPLOS Medicine·DateNov 9, 2009

UAB researchers find TB-prevention therapy is cost-effective option

Researchers at UAB found that preventive antibiotic TB therapy for HIV-infected patients is approximately $950 per case, compared to a previously reported range of $900-$1500 for treating new smear-positive TB cases. The integrated care approach also offers economic benefits by reducing productivity losses and preventing the spread of TB.

SourceUniversity of Alabama at Birmingham·JournalThe International Journal of Tuberculosis and Lung Disease·DateSep 9, 2009

Urine LAM-ELISA poor at diagnosing TB

A new diagnostic test, urine LAM-ELISA, was tested on 291 Tanzanian patients suspected of having TB and found to have a disappointing sensitivity of 50.7%. The specificity of the test was also low at 87.8%, raising concerns about its reliability as a standalone diagnostic tool.

SourceBMC (BioMed Central)·JournalBMC Infectious Diseases·DateAug 27, 2009

Smoking increases risk of developing active TB

A recent study found that smoking is a significant risk factor for active tuberculosis (TB), with current smokers twice as likely to develop active TB as never-smokers. The study analyzed data from nearly 17,000 individuals in Taiwan and found that younger smokers were more likely to develop active TB.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateAug 24, 2009

Tuberculosis drugs under development expected to have major impact on the disease

New vaccines, drug regimens, and diagnostics under development have the potential to significantly impact tuberculosis. The study predicts a 39-52% decrease in TB incidence through vaccination, while new drug regimens could reduce incidence by 10-27%. Diagnostic tools may also contribute to improved outcomes.

SourceFred Hutchinson Cancer Center·JournalProceedings of the National Academy of Sciences·DateAug 3, 2009

Measurements fail to identify TB patients who could benefit from shorter treatment course

Researchers at Case Western Reserve University and University Hospitals Cleveland Medical Center found that two simple clinical measurements failed to identify TB patients who could benefit from a shorter treatment course. The study involved over 1,000 TB patients in Africa, Brazil, and Asia, but ultimately showed that these measures w...

SourceUniversity Hospitals Cleveland Medical Center·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateJun 30, 2009

Risk of tuberculosis from arthritis medication examined

A new study examined cases of TB associated with anti-TNF therapy and found that the risk of TB is higher for patients receiving anti-TNF monoclonal antibody therapy. The study also showed that the risk of TB was higher during the first year of anti-TNF treatment, favoring the reactivation of latent TB.

SourceWiley·JournalArthritis & Rheumatism·DateJun 30, 2009

TB -- hiding in plain sight

Researchers found that Mycobacterium tuberculosis evades the immune response by promoting regulatory T cells, which suppress the host response. This compartmentalization leads to chronic disease rather than complete eradication of the infection.

SourceAmerican Journal of Pathology·JournalAmerican Journal Of Pathology·DateMay 22, 2009

TB vaccine gets its groove back

Researchers at Vanderbilt University Medical Center have cracked the mystery of a failed TB vaccine by modifying it to reduce antioxidant production, leading to stronger immune responses in mice. The modified BCG vaccine could offer improved protection against pulmonary TB and serve as a platform for other vaccines.

NIAID and Chinese officials sign agreement to foster TB research in China's Henan province

The NIAID and Chinese officials have signed an agreement to develop a collaborative TB research program at the Henan Provincial Chest Hospital. Researchers will focus on clinical trials of new drugs or drug combinations for MDR and XDR TB treatment. The goal is to improve diagnosis and treatment methods for this devastating disease.