Open research questions in Tuberculosis Research and Epidemiology
1,542 gap statements mined from Tuberculosis Research and Epidemiology papers in our 7.9M-paper local library, which holds 5,162 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The study highlights the need for improved global tuberculosis control strategies. The study identifies the challenge of understanding the attributable risk factors for these diseases.
The burden of multidrug-resistant tuberculosis and extensively drug-resistant tuberculosis and its attributable risk factors in 204 countries and territories, 1990–2021 · 2026 · DOIThe study aims to address the gap in understanding the genetic diversity and genotypic resistance profiles of Mycobacterium tuberculosis isolates in Indonesia. The study aims to identify drug resistance-associated mutations and determine strain lineage/sub-lineages.
Genomic profiling and drug resistance patterns of Mycobacterium tuberculosis in Indonesia: whole-genome sequencing of isolates from the 2017–2018 national Tuberculosis Drug Resistance Survey · 2026 · DOIThe previous baseline study in Ecuador reported a low prevalence of 2.09% for 2012-2016, but there is a need to update the molecular epidemiology of the RDRio genotype. The large influx of migrants from Venezuela, where RDRio is highly endemic, has occurred since 2015, which may have affected the prevalence of the RDRio genotype.
Molecular epidemiology of the RDRio genotype of Mycobacterium tuberculosis in Ecuador: a tracking update for the years 2018 and 2023 · 2026 · DOIThe prevalence of the Beijing sublineage in Ecuador is not well understood. There is a need to update the molecular epidemiology of the Beijing sublineage in Ecuador. The study aims to fill this gap by analyzing recent isolates from 2018 and 2023.
Monitoring changes in the prevalence of the Beijing lineage of Mycobacterium tuberculosis in Ecuador: 2018 and 2023 · 2026 · DOICurrent diagnostic methods for extrapulmonary tuberculosis have limitations such as low sensitivity and long turnaround times. There is a need for more sensitive and rapid diagnostic tools for extrapulmonary tuberculosis. The performance of the MPT64 antigen detection test in a high-TB, low-HIV setting is not well established.
Advancing Extrapulmonary Tuberculosis Diagnosis: Potential of MPT64 Immunochemistry-Based Antigen Detection Test in a High-TB, Low-HIV Endemic Setting · 2025 · DOIThe effect of TB preventive therapy in adolescents is unstudied in China. There is a lack of research on the protective effect of isoniazid-rifampicin preventive therapy in Chinese adolescents. The study aims to fill this gap by evaluating the protective effect of TPT in this group.
Efficacy of Isoniazid–Rifampicin Preventive Therapy in Adolescent Contacts in School Outbreaks: A Retrospective Cohort Study in Eastern China · 2025 · DOIIt also highlights the need for more accurate and efficient diagnostic tools. The gap in TB drug discovery is also identified, including the need for new anti-TB medications to treat drug-resistant TB.
Integration of AI and ML in Tuberculosis (TB) Management: From Diagnosis to Drug Discovery · 2025 · DOIThere is a lack of adherence to national guidelines in EPTB diagnosis and treatment. The study identifies gaps in the diagnosis and treatment of EPTB, including limited access to microbiological testing.
Evaluating the Gaps in the Diagnosis and Treatment in Extra-Pulmonary Tuberculosis Patients Under National Tuberculosis Elimination Programme (NTEP) Guidelines: A Multicentric Cohort Study · 2025 · DOILimited understanding of the facilitators and barriers to tuberculosis preventive treatment initiation and completion among people living with HIV in Uganda. Limited evaluation of the tuberculosis preventive treatment cascade among people living with HIV in Uganda.
Tuberculosis Preventive Treatment in People Living with HIV in Uganda: Facilitators and Barriers for Initiation and Completion · 2025 · DOIIssues of tastelessness and food insecurity were also reported. Access-related gaps in Direct Benefit Transfer (DBT) were identified as a challenge.
Qualitative Study of Nutritional Support-Related Perceptions and Preferences Among Persons Affected by TB, Family Caregivers, and Healthcare Providers in India · 2025 · DOILimited evidence on the implementation aspects of nutritional support interventions for persons with TB in India. Lack of understanding of the knowledge, perceptions, and practices of persons with TB, family caregivers, and healthcare providers regarding nutritional support. Need for more research on the delivery of nutritional support to persons with TB in India.
Qualitative Study of Nutritional Support-Related Perceptions and Preferences Among Persons Affected by TB, Family Caregivers, and Healthcare Providers in India · 2025 · DOIHealthcare providers noted the need for more training sessions. The study faced challenges in ensuring facility readiness to implement the intervention.
Process Evaluation of Pragmatic Cluster-Randomized Trials of Digital Adherence Technologies for Tuberculosis Treatment Support: A Mixed-Method Study in Five Countries · 2025 · DOIThe need for more evidence on the effectiveness of digital adherence technologies for tuberculosis treatment support. The mixed results from recent studies suggest a gap in understanding the fidelity of digital adherence technologies.
Process Evaluation of Pragmatic Cluster-Randomized Trials of Digital Adherence Technologies for Tuberculosis Treatment Support: A Mixed-Method Study in Five Countries · 2025 · DOILimited access to shorter regimens and adherence counseling.
Tuberculosis Preventive Treatment in People Living with HIV in Uganda: Facilitators and Barriers for Initiation and Completion · 2025 · DOIInfrastructure constraints, including limited access to molecular diagnostics and capacity-building for health workers. Limited community involvement, with weak engagement of civil society organizations and community health workers in TB prevention and care activities.
Ending the TB Crisis in Low- and Middle-Income Countries of the Eastern Mediterranean Region—Overcoming Inaction Through Strategical Leaps · 2025 · DOIDeveloping safe and effective strategies for Mtb elimination without drug resistance, - Investigating the multifaceted implications of Z-DNA in biofilm integrity and immune…
Nano-NucleOTAC-mediated Z-DNA transformation disrupts mycobacterium tuberculosis biofilms and activates antibacterial immunity · 2026 · DOILow quality of evidence due to non-uniform definition of cure, - Lack of bacteriological confirmation of cure, - Non-representative study population, - Use of a single method with low discriminatory power for distinguishing between relapse and reinfection, - Geographical imbalance in the application…
Impact of Follow-Up Duration and Geographical Distribution of Whole-Genome Sequencing Studies on Estimates of Exogenous Reinfection in Recurrent Tuberculosis: A Systematic Review and Meta-Analysis · 2026 · DOIInherent limitations of short-read sequencing technologies, - Limited to 12 clinical MTB isolates, - No mention of limitations on generalizability to other…
Long-read sequencing of clinical multidrug-resistant Mycobacterium tuberculosis reveals a novel ethA structural variant conferring ethionamide resistance · 2026 · DOIFurther study of the novel ethA structural variant, - Investigation of other potential SVs conferring drug resistance, - Expansion to larger and more diverse…
Long-read sequencing of clinical multidrug-resistant Mycobacterium tuberculosis reveals a novel ethA structural variant conferring ethionamide resistance · 2026 · DOISmall sample size of 14 participants, - Limited to urban Blantyre, Malawi, - No repeat interviews were conducted, - Study only explored pre-diagnostic experiences of TB…
Navigating uncertainty: pre-diagnostic tuberculosis experiences and care-seeking in Blantyre, Malawi · 2026 · DOIFurther research on diagnostic delays and treatment outcomes, - Investigation of health system factors contributing to diagnostic and treatment delay, - Exploration of patient-centered approaches to improve TB diagnosis…
Navigating uncertainty: pre-diagnostic tuberculosis experiences and care-seeking in Blantyre, Malawi · 2026 · DOISmall sample size of 56 participants, - Limited to adult Peruvian patients, - No comparison with other diagnostic…
IL-5 and IP-10 Detected in Quantiferon Supernatants Distinguish Latent Tuberculosis from Healthy Individuals in Areas with High Burden in Lima, Peru · 2025 · DOIResearch into biomarkers for TB is crucial to achieving global goals for eliminating the disease, - Efforts to understand immunological changes such as cytokines and their differential expression during the different stages…
IL-5 and IP-10 Detected in Quantiferon Supernatants Distinguish Latent Tuberculosis from Healthy Individuals in Areas with High Burden in Lima, Peru · 2025 · DOIDeveloping new anti-TB medications, - Identifying pharmacological action targets, - Exploring the use of sophisticated AI models in global TB…
Integration of AI and ML in Tuberculosis (TB) Management: From Diagnosis to Drug Discovery · 2025 · DOIInvestment in local research ecosystems - Addressing the gap between evidence and policy in TB prevention and control - Embedding evidence generation into national TB…
Ending the TB Crisis in Low- and Middle-Income Countries of the Eastern Mediterranean Region—Overcoming Inaction Through Strategical Leaps · 2025 · DOI
Most-cited papers in Tuberculosis Research and Epidemiology
- Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence · Nature · 1998 · 6,528 citations
- Tuberculosis Associated with Infliximab, a Tumor Necrosis Factor α–Neutralizing Agent · New England Journal of Medicine · 2001 · 2,938 citations
- Global Burden of Tuberculosis · JAMA · 1999 · 2,064 citations
- Efficacy of BCG Vaccine in the Prevention of Tuberculosis · JAMA · 1994 · 2,059 citations
- The Growing Burden of Tuberculosis · Archives of Internal Medicine · 2003 · 1,788 citations
- Rapid Molecular Detection of Tuberculosis and Rifampin Resistance · New England Journal of Medicine · 2010 · 1,775 citations
- Global epidemiology of tuberculosis. Morbidity and mortality of a worldwide epidemic · JAMA · 1995 · 1,655 citations
- Extensively drug-resistant tuberculosis as a cause of death in patients co-infected with tuberculosis and HIV in a rural area of South Africa · The Lancet · 2006 · 1,170 citations
- Detection of rifampicin-resistance mutations in Mycobacterium tuberculosis · The Lancet · 1993 · 1,027 citations
- Treatment of Highly Drug-Resistant Pulmonary Tuberculosis · New England Journal of Medicine · 2020 · 1,004 citations
Most recent work
- Global estimates of tuberculosis incidence during pregnancy and postpartum: a rapid review and modelling analysis · The Lancet Global Health · 2026
- The immunometabolic topography of cellular organization and bacterial control in tuberculosis granulomas · Nature Immunology · 2026
- The power of resistance: mechanisms of antimicrobial resistance in Mycobacterium tuberculosis and its impact on tuberculosis management · Clinical Microbiology Reviews · 2026
- Pulmonary Tuberculosis Detection with MiniDock MTB Using Swab Samples · New England Journal of Medicine · 2026
- The lipid language of tuberculosis: Mycobacterium tuberculosis surface molecules in host interaction and drug resistance · mBio · 2026
- Estimating the global burden of viable Mycobacterium tuberculosis infection: A mathematical modelling study · PLoS Medicine · 2026
- Efficacy and safety of VPM1002 and Immuvac in preventing tuberculosis: phase 3 randomised clinical trial (PreVenTB trial) · BMJ · 2026
- Tuberculosis in older adults (≥ 65 years): Global trends, sex differences, and regional variations, 2000–2023 · BMC Geriatrics · 2026
- The tuberculogenic environment · The Lancet Global Health · 2026
- Host- and pathogen-related determinants of pulmonary versus extrapulmonary tuberculosis · European Respiratory Review · 2026
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