Table 3.
Clinical significance of respiratory pathogens among tuberculosis (TB) patients at the time of TB diagnosis
| Respiratory pathogens detected | Severe TB scorea |
High sputum bacterial loadb |
Lung cavitationc |
Lung infiltrationsc |
Diagnostic delayd |
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| aOR (95%CI) | p | aOR (95%CI) | p | aOR (95%CI) | p | aOR (95%CI) | p | aOR (95%CI) | p | |
| Respiratory viruses | ||||||||||
| Any viral species | 0.072 | 0.69 | 0.089 | 0.88 | 0.46 | |||||
| Yes | 1.52 (0.96–2.4) | 1.10 (0.69–1.76) | 1.58 (0.93–2.68) | 1.04 (0.60–1.83) | 0.80 (0.45–1.43) | |||||
| Respiratory bacteria | ||||||||||
| Any bacterial species | 0.17 | 0.89 | 0.65 | 0.85 | 0.77 | |||||
| Yes | 1.32 (0.89–1.94) | 1.03 (0.69–1.53) | 0.90 (0.56–1.44) | 0.95 (0.58–1.56) | 1.07 (0.67–1.71) | |||||
| Combined detection of viral and bacterial species | 0.01 | 0.95 | 0.7 | 0.71 | 0.53 | |||||
| Yes | 1.64 (1.11–2.37) | 1.00 (0.68–1.46) | 1.09 (0.70–1.71) | 0.92 (0.57–1.46) | 0.87 (0.55–1.37) | |||||
aOR, adjusted odds ratios; 95% CI, 95% confidence interval
Logistic regression model adjusted for age-group, sex, and HIV infection.
Severe TB score (6 to 12) compared to mild TB score (1 to 5).
High sputum bacterial load (≥2+ according to qualitative AFB smear microscopy grading) compared to low load (scanty up to 1+).
As determined by chest x-ray features.
Diagnostic delay defined as defined symptoms duration of ≥3 weeks.