Evidence map›Paper›PMID 23496968›Full record

ArticleBMC infectious diseases2013

Molecular epidemiology and transmission dynamics of Mycobacterium tuberculosis in Northwest Ethiopia: new phylogenetic lineages found in Northwest Ethiopia.

Belay Tessema, Joerg Beer, Matthias Merker, Frank Emmrich, Ulrich Sack, Arne C Rodloff, Stefan Niemann

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Article in BMC infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 6 of them syntheses that pooled it.

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64citing papers in PubMed, 6 pooled it
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  20. Comparative whole-genome sequence analysis ofFrontiers in microbiology · 2023
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4 more citing papers are in PubMed but not listed here.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Belay TessemaDepartment of Medical Microbiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. bt1488@yahoo.com
Joerg Beer
Matthias Merker
Frank Emmrich
Ulrich Sack
Arne C Rodloff
Stefan Niemann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough Ethiopia ranks seventh among the world's 22 high-burden tuberculosis (TB) countries, little is known about strain diversity and transmission. In this study, we present the first in-depth analysis of the population structure and transmission dynamics of Mycobacterium tuberculosis strains from Northwest Ethiopia.

methodsIn the present study, 244 M. tuberculosis isolates where analysed by mycobacterial interspersed repetitive unit - variable number tandem repeat 24-loci typing and spoligotyping methods to determine phylogenetic lineages and perform cluster analysis. Clusters of strains with identical genotyping patterns were considered as an indicator for the recent transmission.

resultsOf 244 isolates, 59.0% were classified into nine previously described lineages: Dehli/CAS (38.9%), Haarlem (8.6%), Ural (3.3%), LAM (3.3%), TUR (2.0%), X-type (1.2%), S-type (0.8%), Beijing (0.4%) and Uganda II (0.4%). Interestingly, 31.6% of the strains were grouped into four new lineages and were named as Ethiopia_3 (13.1%), Ethiopia_1 (7.8%), Ethiopia_H37Rv like (7.0%) and Ethiopia_2 (3.7%) lineages. The remaining 9.4% of the isolates could not be assigned to the known or new lineages. Overall, 45.1% of the isolates were grouped in clusters, indicating a high rate of recent transmission.

conclusionsThis study confirms a highly diverse M. tuberculosis population structure, the presence of new phylogenetic lineages and a predominance of the Dehli/CAS lineage in Northwest Ethiopia. The high rate of recent transmission indicates defects of the TB control program in Northwest Ethiopia. This emphasizes the importance of strengthening laboratory diagnosis of TB, intensified case finding and treatment of TB patients to interrupt the chain of transmission.

Indexed as

AdultAntitubercular AgentsCluster AnalysisDrug Resistance, BacterialEthiopiaFemaleGenotypeHumansMaleMicrobial Sensitivity TestsMiddle AgedMolecular EpidemiologyMolecular TypingMycobacterium tuberculosisPhylogenyTuberculosisAntitubercular Agents

Identifiers

PMID23496968
PMCPMC3605317

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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.