Evidence map›Paper›PMID 23100351›Full record

ArticleJournal of clinical microbiology2013

Prevention of false resistance results obtained in testing the susceptibility of Mycobacterium tuberculosis to pyrazinamide with the Bactec MGIT 960 system using a reduced inoculum.

Claudio Piersimoni, Alessandro Mustazzolu, Federico Giannoni, Stefano Bornigia, Giancarlo Gherardi, Lanfranco Fattorini

Abstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Pyrazinamide susceptibility testing inFrontiers in cellular and infection microbiology · 2026
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  4. Article
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  6. Enhancing diagnostic efficiency of pyrazinamide resistance inCurrent research in microbial sciences · 2025
    Article
  7. A simplified pyrazinamidase test forJournal of clinical microbiology · 2024
    Article
  8. Prediction of pyrazinamide resistance inJAC-antimicrobial resistance · 2024
    Article
  9. Resistance to pyrazinamide inJournal of clinical tuberculosis and other mycobacterial diseases · 2024
    Article
  10. Phenotypic and genotypic characterization ofFrontiers in microbiology · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Characterization ofFrontiers in microbiology · 2020
    Article
  16. Article
  17. Comprehensive Determination ofFrontiers in cellular and infection microbiology · 2020
    Article
  18. Article
  19. Article
  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.

Claudio PiersimoniRegional Reference Mycobacteria Laboratory, United Hospitals, Ancona, Italy. piersim@tin.it
Alessandro Mustazzolu
Federico Giannoni
Stefano Bornigia
Giancarlo Gherardi
Lanfranco Fattorini

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The susceptibility of 211 clinical isolates of Mycobacterium tuberculosis complex (201 M. tuberculosis and 10 Mycobacterium bovis isolates) to pyrazinamide (PZA) was assessed by the nonradiometric Bactec MGIT 960 system (M960). Detection of PZA resistance was followed by a repeat testing using a reduced inoculum (RI) of 0.25 ml instead of 0.5 ml. According to the first M960 analysis, resistance was observed in 55 samples. In the RI assay, 32 samples turned out to be susceptible and 23 proved to be resistant (58.2% false positivity). The Bactec 460 assay confirmed as resistant those strains detected by the RI assay, while discrepant results were found susceptible. Mutation analysis performed on 13 M. tuberculosis isolates detected pncA mutations in 11 samples. On the basis of our data, we suggest using the RI assay to confirm all PZA resistance results obtained with the standard M960 assay. Further studies are required to confirm our findings.

Indexed as

Drug Resistance, BacterialFalse Positive ReactionsAntitubercular AgentsHumansMicrobial Sensitivity TestsMycobacterium bovisMycobacterium tuberculosisPyrazinamideTuberculosisAntitubercular AgentsPyrazinamide

Identifiers

PMID23100351
PMCPMC3536208

What OpenQuestion holds

Textmetadata
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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.