Evidence map›Paper›PMID 16825345›Full record

ArticleJournal of clinical microbiology2006

Mutations prevalent among rifampin- and isoniazid-resistant Mycobacterium tuberculosis isolates from a hospital in Vietnam.

M Caws, Phan Minh Duy, Dau Quang Tho, Nguyen Thi Ngoc Lan, Dai Viet Hoa, Jeremy Farrar

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. The reliability of rifampicin resistance as a proxy for multidrug-resistant tuberculosis: a systematic review of studies from Iran.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Pooled it
  2. Microbiology spectrum · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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  12. Mutations Associated with Rifampicin Resistance inInterdisciplinary perspectives on infectious diseases · 2020
    Review
  13. Observational
  14. Article
  15. Uncovering the Resistance Mechanism ofFrontiers in chemistry · 2019
    Article
  16. Article
  17. The American journal of tropical medicine and hygiene · 2018
    Article
  18. Article
  19. Review
  20. Article
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

6 authors at 3 institutions in 1 country.

M CawsOxford University Clinical Research Unit, Hospital for Tropical Diseases, 190 Ben Ham Tu, Quan 5, Ho Chi Minh City, Vietnam. mcaws@hotmail.com
Phan Minh Duy
Dau Quang Tho
Nguyen Thi Ngoc Lan
Dai Viet Hoa
Jeremy Farrar
Oxford University Clinical Research Unit · VNPham Ngoc Thach Hospital · VNHospital for Tropical Diseases · VN

Funding

Wellcome Trust
6 · The paper itself

Abstract

Vietnam is ranked 13th among the WHO list of 22 high-burden countries, based upon estimated total number of tuberculosis cases. Despite having a model national tuberculosis program, consistently achieving and exceeding WHO targets for detection and cure, drug-resistant and multidrug-resistant tuberculosis cases continue to rise. Rapid multidrug-resistant tests applicable in this setting, coupled with effective treatment regimens, would be a useful tool in reversing this trend, allowing early identification of patients with multidrug-resistant tuberculosis and avoiding resistance-amplifying regimens. Sequencing of consecutive isolates identified by the National Tuberculosis Program showed 89% of isoniazid-resistant isolates could be detected by targeting just 2 codons, katG 315 and -15C-->T in the inhA promoter, while rifampin resistance will be more complex to detect, with many different mutation and insertion events in rpoB. The most prevalent rifampin resistance-conferring mutations, as in other countries, were in rpoB codons 531 (43%), 526 (31%), and 516 (15%). However, a hybridization-based resistance test with probes targeting the 5 most common mutations would only detect 78% of rifampin-resistant isolates. Overall, these data suggest that rifampin resistance may be used as a surrogate marker for multidrug-resistant tuberculosis and that a sensitivity of between 70 to 80% may be possible for rapid molecular detection of multidrug-resistant tuberculosis in this setting.

Indexed as

Amino Acid SubstitutionAntitubercular AgentsBacterial ProteinsCatalaseDNA, BacterialDNA-Directed RNA PolymerasesDrug Resistance, BacterialHospitalsHumansIsoniazidMutationMycobacterium tuberculosisPromoter Regions, GeneticRecombination, GeneticRifampinSequence Analysis, DNAAntitubercular AgentsBacterial ProteinsCatalaseDNA, BacterialDNA-Directed RNA PolymerasesIsoniazidkatG protein, Mycobacterium tuberculosisRifampinrpoB protein, Mycobacterium tuberculosis

Identifiers

PMID16825345
PMCPMC1489476
OpenAlexW2122261512

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.