Evidence map›Paper›PMID 23152552›Full record

ArticleJournal of clinical microbiology2013

Diagnostic accuracy of the genotype MTBDRsl assay for rapid diagnosis of extensively drug-resistant tuberculosis in HIV-coinfected patients.

Irina Kontsevaya, Olga Ignatyeva, Vladyslav Nikolayevskyy, Yanina Balabanova, Alexander Kovalyov, Andrey Kritsky, Olesya Matskevich, Francis Drobniewski

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Effectiveness of GenoType MTBDRThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    Article
  3. Article
  4. GenoTypeThe Cochrane database of systematic reviews · 2016
    Review
  5. Diagnostics for pulmonary tuberculosis.Postgraduate medical journal · 2016
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Performance of the MTBDRsl assay in Georgia.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2014
    Article
  12. Review
  13. Using Xpert MTB/RIF.Current respiratory medicine reviews · 2013
    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

8 authors.

Irina KontsevayaSamara Oblast Tuberculosis Dispensary, Samara, Russia.
Olga Ignatyeva
Vladyslav Nikolayevskyy
Yanina Balabanova
Alexander Kovalyov
Andrey Kritsky
Olesya Matskevich
Francis Drobniewski

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Russian Federation is a high-tuberculosis (TB)-burden country with high rates of Mycobacterium tuberculosis multidrug resistance (MDR) and extensive drug resistance (XDR), especially in HIV-coinfected patients. Rapid and reliable diagnosis for detection of resistance to second-line drugs is vital for adequate patient management. We evaluated the performance of the GenoType MTBDRsl (Hain Lifescience GmbH, Nehren, Germany) assay on smear-positive sputum specimens obtained from 90 HIV-infected MDR TB patients from Russia. Test interpretability was over 98%. Specificity was over 86% for all drugs, while sensitivity varied, being the highest (71.4%) for capreomycin and lowest (9.4%) for kanamycin, probably due to the presence of mutations in the eis gene. The sensitivity of detection of XDR TB was 13.6%, increasing to 42.9% if kanamycin (not commonly used in Western Europe) was excluded. The assay is a highly specific screening tool for XDR detection in direct specimens from HIV-coinfected TB patients but cannot be used to rule out XDR TB.

Indexed as

Drug Resistance, Multiple, BacterialAdultBacteriological TechniquesExtensively Drug-Resistant TuberculosisFemaleGenotypeHIV InfectionsHumansMaleMass ScreeningMolecular Diagnostic TechniquesMycobacterium tuberculosisSensitivity and Specificity

Identifiers

PMID23152552
PMCPMC3536261

What OpenQuestion holds

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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.