Evidence map›Paper›PMID 16418526›Full record

ReviewClinical microbiology reviews2006

Drug resistance in leishmaniasis.

Simon L Croft, Shyam Sundar, Alan H Fairlamb

Open access · greenAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 633 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
633citing papers in PubMed, 4 pooled it
67.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

633 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,652 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. BrazilianToxins · 2026
    Article
  8. High and Selective TrypanocidalMicroorganisms · 2026
    Article
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573 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Simon L CroftDrugs for Neglected Diseases Initiative, 1 Place Saint-Gervais, CH-1201 Geneva, Switzerland. scroft@dndi.org
Shyam Sundar
Alan H Fairlamb
Banaras Hindu University · INLondon School of Hygiene & Tropical Medicine · GBWellcome Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Leishmaniasis is a complex disease, with visceral and cutaneous manifestations, and is caused by over 15 different species of the protozoan parasite genus Leishmania. There are significant differences in the sensitivity of these species both to the standard drugs, for example, pentavalent antimonials and miltefosine, and those on clinical trial, for example, paromomycin. Over 60% of patients with visceral leishmaniasis in Bihar State, India, do not respond to treatment with pentavalent antimonials. This is now considered to be due to acquired resistance. Although this class of drugs has been used for over 60 years for leishmaniasis treatment, it is only in the past 2 years that the mechanisms of action and resistance have been identified, related to drug metabolism, thiol metabolism, and drug efflux. With the introduction of new therapies, including miltefosine in 2002 and paromomycin in 2005-2006, it is essential that there be a strategy to prevent the emergence of resistance to new drugs; combination therapy, monitoring of therapy, and improved diagnostics could play an essential role in this strategy.

Indexed as

Drug ResistanceAnimalsAntiprotozoal AgentsHumansLeishmaniaLeishmaniasisParasitic Sensitivity TestsAntiprotozoal Agents

Identifiers

PMID16418526
PMCPMC1360270
OpenAlexW1963542761

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.