Publications by authors named "Yan-An Zhang"

Background: Interferon-gamma release assays (IGRA) are widely used for diagnosis of latent tuberculosis infection. However, with repeat testing, IGRA transformation (conversion or reversion) may be detected and is challenging to interpret. We reviewed the frequency of and risk factors for IGRA transformation.

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Accumulating evidence are available on the efficacy of high-dose isoniazid (INH) for multidrug-resistant tuberculosis (MDR-TB) treatment. We aimed to perform a systematic review and meta-analysis to compare clinical efficacy and safety outcomes of high-dose INH- containing therapy against other regimes. We searched the following databases PubMed, Embase, Scopus, Web of Science, CINAHL, the Cochrane Library, and ClinicalTrials.

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Article Synopsis
  • - This systematic review evaluates how well cerebrospinal fluid (CSF) lipoarabinomannan (LAM) tests can diagnose tuberculous meningitis (TBM), analyzing studies published until April 2023.
  • - Six studies with a total of 999 patients were reviewed, revealing that while the CSF LAM assay has decent specificity (89%), its sensitivity (44%) is low, indicating it misses many cases of TBM.
  • - The findings suggest that more prospective studies are needed, and improvements in CSF collection and preparation methods might enhance the accuracy of the CSF LAM test for TBM diagnosis.
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Background: The actual positive rate of interferon gamma release assays (IGRAs) in patients with nontuberculous mycobacteria (NTM) infections remains unclear. This review and meta-analysis present the prevalence of positive IGRAs (T-SPOT.TB and QuantiFERON [QFT] tests) among patients infected with NTM isolates (with or without ESAT-6/CFP-10).

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Background: There are many risk factors for severe acute pancreatitis (SAP) complicated with acute gastrointestinal injury (AGI), but few reports on the interaction between these risk factors.

Aim: To analyze the risk factors for SAP complicated with AGI and their interactive effects.

Methods: We selected 168 SAP patients admitted to our hospital between December 2019 and June 2022.

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Background: Previous cohort studies have found an association between Bacillus Calmette-Guérin (BCG) administration and incident dementia. In the systematic review and meta-analysis, we aimed to summarize the current evidence of the effect of BCG use on the risk of developing dementia.

Methods: We searched six databases until 20 May 2023 for studies investigating the risk of dementia and BCG administration.

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Aim: Until now, the performance of interferon-γ release assay (IGRA) and Mantoux tests remains unclear in infant tuberculous meningitis (TBM). Therefore, a systematic review is performed to evaluate the sensitivity of IGRA and Mantoux tests for the diagnosis of infant TBM in low and intermediate tuberculosis (TB) burden countries, while following PRISMA.

Methods: Several databases, including PubMed, EBSCO, Embase, Scopus, Web of Science, ClinicalTrials.

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Article Synopsis
  • The effectiveness of oral specimen nucleic acid amplification tests (NAATs) for diagnosing pulmonary tuberculosis (PTB) is debated, prompting a systematic review of their diagnostic performance.
  • An analysis of 23 studies showed that NAATs in oral samples have a sensitivity of 50% and a high specificity of 97%, indicating they are better at ruling out PTB than detecting it.
  • The review highlighted significant variability in the results, suggesting that factors like age may influence outcomes, so the findings should be interpreted carefully.
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Objective: To evaluate the performance of interferon-γ release assays (IGRAs) in patients with infection.

Methods: Consecutive patients between May 2012 and June 2021 who had positive for mycobacterial cultures and who underwent IGRAs (T-SPOT.TB or QuantiFERON-TB Gold [QFT-G]) were included in the analysis.

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Background: Cerebrospinal fluid (CSF) examinations play an important role in the diagnosis of tuberculous meningitis (TBM). However, their yield in the diagnosis of infant TBM remains unclear. This scoping review aims to detail the role of CSF examination for the diagnosis of infant TBM.

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Article Synopsis
  • * Out of 997 strains from 828 inpatients, 261 (31.5%) were identified with NTM disease, with a mean age of 55.7 years and a majority being male (64%).
  • * Among these NTM patients, the prevalence of culture-confirmed TB was found to be 8.0%, indicating that TB co-infection is common in those diagnosed with NTM disease, suggesting careful treatment considerations.
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Background: To establish the sensitivity of the diagnostic criteria published by Marais and co-workers in 2010 for childhood tuberculous meningitis (TBM), a retrospective study on children with confirmed TBM was conducted.

Methods: Between January 2006 and December 2019, children consecutively diagnosed with TBM were recruited retrospectively at our center. TBM was defined in cases where any of the following criteria were met: the presence of acid-fast bacilli (AFB) in cerebrospinal fluid (CSF) microscopy, CSF nucleic acid amplification test (NAAT, +), or cultured from CSF.

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Pleural loculation in childhood pleural tuberculosis (TB) remains a problem in practice, it is usually associated with failure drainage. Therefore, to improve the management of childhood pleural TB, a retrospective study was conducted to identify the risk factors associated with loculated effusion in childhood pleural TB. Between January 2006 and December 2019, consecutive children (≤15 years old) with tuberculous pleural effusion (definite and possible) were included for further analysis.

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The clinical characteristics of patients with tuberculosis (TB) and schizophrenia remain largely unknown. Furthermore, TB retreatment is associated with a poor outcome. Hence, we aimed to address the risk factors of TB retreatment in schizophrenia patients in this retrospective cohort.

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The first general protocol for the synthesis of 1,3-benzothiazepine derivatives was established. With the aid of bench-stable hypervalent iodine promoter fluoro-HTIB, these seven-membered heterocycles can be rapidly synthesized from readily available thioamides under air atmosphere and metal-free conditions. The transformation can be completed within 1 min at room temperature and features a broad substrate scope.

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Article Synopsis
  • The study aimed to analyze the molecular characteristics of Mycobacterium tuberculosis and factors behind the transmission of drug-resistant strains in Shandong.
  • Researchers genotyped tuberculosis isolates from active patients across 13 counties using MIRU methods, finding 143 distinct patterns among 558 samples.
  • The findings revealed a significant clustering of strains, particularly from the Beijing family, while suggesting that the transmission of multi-drug resistant strains was not as high as that of susceptible strains, indicating concerns over their ability to spread.
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