Tuberculosis: a narrative review on epidemiology, risks, implications, preventions and treatments

Authors

  • Megharani Okram Department of Microbiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical sciences, Sawangi, Wardha, Maharashtra, India
  • O. Mukherjee Singh Department of Chemistry, Manipur University, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241585

Keywords:

Tuberculosis, Mycobacterium tuberculosis, Prevention, Multi-drug therapy, Drug resistance

Abstract

Tuberculosis (TB) is an airborne disease that generally affects the pulmonary portion of the human body leading to severe coughing, fever and chest pain. It is caused by a bacterium known as Mycobacterium tuberculosis, which kills human beings each and every year globally more than the death toll of combined HIV and malaria. However, it is preventable, treatable, and curable. The world is suffering due to this dreaded disease with an approximate number of 11 million TB cases and 1.6 million deaths annually. Tuberculosis increases the public health attention because of its high mortality rates after HIV/AIDS. World Health Organisation (WHO) and Centre for Chronic Disease Control (CCDC) are the leading organizations playing an important role to combat against TB by publishing proper health guidelines and treatments through reliable awareness campaigns whenever there is sudden outbreaks of TB, COVID-19 and related diseases. A wide range of research findings, clinical reports and new treatment methods like multi-drug therapy have been developed to combat TB. It is still necessary to develop new research and innovative ideas and proper implementations of the treatment and prevention guidelines of WHO and CCDC to fight against this fatal disease. In countries having higher increase of populations due to immunosuppressed chronic diseases like HIV, diabetes and pandemics like COVID-19, eradication of TB infection is a very difficult and challenging task. This mini review is based on the critical analyses of the data available from the official websites of WHO (Global Tuberculosis Report), CCDC, and search engines like Medline, PubMed, Google Scholar, and research findings of selected articles, textbooks were used as additional sources which are cited in the reference section.

Metrics

Metrics Loading ...

References

Daniel TM. The history of tuberculosis. Respir Med. 2006;100(11):1862-70.

Barberis I, Bagazzi NL, galluzzo L, Martini M. The history of tuberculosis: from the first historical records to the isolation of Koch's bacillus. J Prev Med Hyg. 2017;58(1):E9-12.

Hirsh AE, Tsolaki AG, DeRiemer K, Feldman MW, Small PM. Stable association between strains of Mycobacterium tuberculosis and their human host populations. Proc Natl Acad Sci USA. 2004;101:4871-6.

Rothschild BM, Martin LD, Lev G, Bercovier H, Bar-Gal GK, Greenblatt C, et al. Mycobacterium tuberculosis Complex DNA from an Extinct Bison Dated 17,000 Years before the Present. Clin Infec Dis. 2001;33:305-11.

Hershkovitz I, Donoghue HD, Minnikin DE, Besra GS, Lee OY-C, Gernaey AM, et al. Detection and molecular characterization of 9000-year-old Mycobacterium tuberculosis from a neolithic settlement in the Eastern Mediterranean. PLoS ONE 2008;3:e3426.

Nobelprize.org. Sweden: The Nobel Prize in Physiology or Medicine 1905: Robert Koch; c2010. Available at: http://nobelprize. org/nobel_prizes/ medicine/laureates/1905/koch.html. Accessed on 16 March 2024.

Hardie RM, Watson JM. Mycobacterium bovis in England and Wales: Past, present and future. Epidemiol Infect. 1992;109:23-33.

Prasad H, Singhal A, Mishra A, Shah N, Katoch V, Thakral S, et al. Bovine tuberculosis in India: Potential basis for zoonosis. Tuberculosis. 2005;85:421-8.

O’Reilly LM, Daborn CJ. The epidemiology of Mycobacterium bovis infections in animals and man: A review. Tuber Lung Dis. 1995;76:S1-46.

World Health Organization. The End TB Strategy. Available at: https://www.who.int/publications/i/ item/WHO-HTM-TB-2015.19. Accessed on 16 March 2024.

Daniel TM, Bates JH, Downes KA. History of Tuberculosis. In: Tuberculosis. John Wiley & Sons, Ltd; 1994: p.13–24. Available at: https://online library.wiley.com/doi/abs/10.1128/9781555818357.ch2. Accessed on 16 March 2024.

Global Tuberculosis Report 1997-2023. Geneva: World Health Organization. Available at: https://www.who.int/tb/publications/global report/en/ (including information sheets of 1997-2023). Accessed on 16 March 2024.

Selwyn PA, Hartel D, Lewis VA, Schoenbaum EE, Vermund SH, Klein RS, et al. A prospective study of the risk of tuberculosis among intravenous drug users with human immunodeficiency virus infection. N Engl J Med. 1989;320(9):545–50.

Antonucci G, Girardi E, Raviglione MC, Ippolito G. Risk factors for tuberculosis in HIV-infected persons: a prospective cohort study. JAMA. 1995;274(2):143–8.

Collins KR, Quinones-Mateu ME, Toossi Z, Arts EJ. Impact of tuberculosis on HIV-1 replication, diversity, and disease progression. AIDS Reviews. 2002;4(30):165–76.

Jeon CY, Murray MB. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med. 2008;5(7):e152.

Alisjahbana B, Sahiratmadja E, Nelwan EJ, Purwa AM, Ahmad Y, Ottenhoff THM, et al. The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis. Clin Infect Dis. 2007;45(4):428–35.

Tulu B, Amsalu E, Zenebe Y, Abebe M, Fetene Y, Agegn M, et al. Diabetes mellitus and HIV infection among active tuberculosis patients in Northwest Ethiopia: health facility-based cross-sectional study. Trop Med Health. 2021;49(68).

Baker M, Harries A, Jeon C, Hart J, Kapur A, Lonnroth K, et al. The impact of diabetes on tuberculosis treatment outcomes: a systematic review. BMC Medicine. 2011;9(81).

Gao Y, Liu M, Chen Y, Shi S, Geng J, Tian J. Association between tuberculosis and COVID-19 severity and mortality: a rapid systematic review and meta-analysis. J Med Virol. 2021;93:194–6.

Tadolini M, García-García J-M, Blanc F-X, Borisov S, Goletti D, Motta I, et al. On tuberculosis and COVID-19 co-infection. Eur Respir J. 2020;56:2002328.

Global Tuberculosis Network and TB/COVID-19 Global Study Group, Casco N, Jorge AV, Palmero DJ, Alffenaar J-W, Fox GJ, et al. Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort Global Tuberculosis Network and TB/COVID-19 Global Study Group. Eur Respir J. 2023;62:2300925.

Siddalingaiah N, Chawla K, Nagaraja SB, Hazra D. Risk factors for the development of tuberculosis among the pediatric population: a systematic review and meta-analysis. Eur J Pediatr. 2023;182:3007-19.

Caraux-Paz P, Diamantis S, de Wazières B, Gallien S. Tuberculosis in the Elderly. J Clin Med. 2021;10(24):5888.

Vynnycky E, Fine PEM. The natural history of tuberculosis: the implications of age-dependent risks of disease and the role of reinfection. Epidemiol Infec. 1997;119(2):183–201.

World Health Organization, Tuberculosis (TB), 2023. Available online: https://www.who.int/news-room/fact-sheets/detail/tuberculosis. Accessed on 16 March 2024.

Miller PB, Zalwango S, Galiwango R, Kakaire R, Sekandi J, Steinbaum L, et al. Association between tuberculosis in men and social network structure in Kampala, Uganda. BMC Infect Dis. 2021;30,21(1):1023.

Allotey P, Gyapong M. Gender in tuberculosis research. Int J Tuberc Lung Dis. 2008;12(7):831-6.

Kolappan C, Gopi PG, Subramani R, Narayanan PR. Selected biological and behavioural risk factors associated with pulmonary tuberculosis. Int J Tuberc Lung Dis. 2007;11:999–1003.

Lönnroth K, Williams BG, Stadlin S, Jaramillo E, Dye C. Alcohol use as a risk factor for tuberculosis - A systematic review. BMC Public Health. 2008;8:289.

Thakur G, Thakur S, Thakur H. Status and challenges for tuberculosis control in India – Stakeholders’ perspective. Indian J Tuberc; 2020. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550054. Accessed on 16 March 2024.

Fojo AT, Dowdy DW. Multidrug-resistant tuberculosis in India: looking back, thinking ahead. Lancet Public Health. 2017;2(1):E8–9.

Hopewell PC, Jasmer RM. Overview of Clinical Tuberculosis. In: Tuberculosis and the Tubercle Bacillus. John Wiley & Sons, Ltd; 2004: p. 13–31.

Mitchison DA. Role of individual drugs in the chemotherapy of tuberculosis. Int J Tuberc Lung Dis. 2000;4(9):796–806.

The Nobel Prize in Physiology or Medicine 1952. NobelPrize.org. Available at: https://www. nobelprize.org/prizes/medicine/1952/summary/. Accessed on 16 March 2024.

Jawahar MS. Current trends in chemotherapy of tuberculosis. Indian J Med Res. 2004;120(4):398-417.

Society JTC of the BT. Chemotherapy and management of tuberculosis in the United Kingdom: recommendations 1998. Thorax. 1998;53(7):536–48.

Centers for Disease Control and Prevention. Tuberculosis (TB) - Drug-Resistant TB; 2022. Available at: https://www.cdc.gov/tb/topic/ drtb/default.htm. Accessed on 16 March 2024.

Fact Sheets | Drug-Resistant TB | Extensively Drug-Resistant Tuberculosis (XDR TB) | TB | CDC, 2023. Available at: https://www.cdc.gov/tb/publications/ factsheets/drtb/xdrtb.htm. Accessed on 16 March 2024.

Maitra A, Bates S, Kolvekar T, Devarajan PV, Guzman JD, Bhakta S. Repurposing-a ray of hope in tackling extensively drug resistance in tuberculosis. Int J Infect Dis. 2015;32,50-5.

Dharmadhikari AS, Mphahlele M, Stoltz A, Venter K, Mathebula R, Masotla T, et al. Surgical Face Masks Worn by Patients with Multidrug-Resistant Tuberculosis. Am J Respir Crit Care Med. 2012;185(10):1104–9.

Benefits of face masks and social distancing in Tuberculosis - a lesson learnt the hard way during the COVID-19 pandemic, 2023. Available online: https://www.bmj.com/content/369/bmj.m1728/rr-1. Accessed on 16 March 2024.

Diel R, Nienhaus A, Witte P, Ziegler R. Protection of healthcare workers against transmission of Mycobacterium tuberculosis in hospitals: a review of the evidence. ERJ Open Res. 2020;6(1).

Kuwahara M, Takahashi C, Nishimura S, Shinkai T, Noma M, Sunakawa T, et al. N95 masks worn to protect against COVID-19 prevented tuberculosis exposure in healthcare workers. Ann Med Surg. 2022;76:103515.

Kang NM, Zhang N, Luo BJ, Wu ED, Shi JQ, Li L, et al. Sequential non-invasive following short-term invasive mechanical ventilation in the treatment of tuberculosis with respiratory failure: a randomized controlled study. BMC Pulm Med. 2021;21:203.

Lee PL, Jerng JS, Chang YL, Chen CF, Hsueh PR, Yu CJ, et al. Patient mortality of active pulmonary tuberculosis requiring mechanical ventilation. Eur Respir J. 2003;22(1):141–7.

Escombe AR, Ticona E, Chávez-Pérez V, Espinoza M, Moore DAJ. Improving natural ventilation in hospital waiting and consulting rooms to reduce nosocomial tuberculosis transmission risk in a low resource setting. BMC Infect Dis. 2019;19(1):88.

Memarzadeh F, Olmsted RN, Bartley JM. Applications of ultraviolet germicidal irradiation disinfection in health care facilities: Effective adjunct, but not stand-alone technology. Am J Infect Control. 2010;38:S13-24.

Mphahlele M, Dharmadhikari AS, Jensen PA, Rudnick SN, van Reenen TH, Pagano MA, et al. Institutional Tuberculosis Transmission. Controlled trial of Upper Room Ultraviolet Air Disinfection: A Basis for New Dosing Guidelines. Am J Resp Critic Care Med. 2015;192:477-84.

Mondoni M, Centanni S, Sotgiu G. New perspectives on difficult-to-treat tuberculosis based on old therapeutic approaches, Int J Infect Dis. 2020;92:S91-9.

Downloads

Published

2024-05-31

How to Cite

Okram, M., & Singh, O. M. (2024). Tuberculosis: a narrative review on epidemiology, risks, implications, preventions and treatments. International Journal of Research in Medical Sciences, 12(6), 2172–2178. https://doi.org/10.18203/2320-6012.ijrms20241585

Issue

Section

Review Articles