Evidence map›Paper›PMID 24565645›Full record

ArticleEmerging infectious diseases2014

Minimal diversity of drug-resistant Mycobacterium tuberculosis strains, South Africa.

Neel R Gandhi, James C M Brust, Prashini Moodley, Darren Weissman, Moonseong Heo, Yuming Ning, Anthony P Moll, Gerald H Friedland, A Willem Sturm, N Sarita Shah

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Trial
  3. Transmission of bedaquiline-resistant Mycobacterium tuberculosis in KwaZulu-Natal, South Africa.American journal of respiratory and critical care medicine · 2026
    Article
  4. Article
  5. Consequences ofAfrican journal of laboratory medicine · 2023
    Article
  6. Beijing genotype ofNew microbes and new infections · 2021
    Article
  7. Review
  8. Article
  9. Pre-detection history of extensively drug-resistant tuberculosis in KwaZulu-Natal, South Africa.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Diversity ofBioMed research international · 2018
    Article
  17. 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

10 authors.

Neel R Gandhi
James C M Brust
Prashini Moodley
Darren Weissman
Moonseong Heo
Yuming Ning
Anthony P Moll
Gerald H Friedland
A Willem Sturm
N Sarita Shah

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI GOLDSTEIN, HARRIS · 2003 to 2013
$18.6M
Impact of HIV, Antiretroviral Therapy and TB Genotype on Survival in MDR TBR01AI087465 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2010 to 2014
$3.9M
Transmission of HIV-Associated XDR TB in Rural South AfricaR01AI089349 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2010 to 2014
$3.7M
Integrated, Home-based Treatment for MDR TB and HIV in Rural South AfricaK23AI083088 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BRUST, JAMES C M · 2010 to 2014
$665k
Howard Hughes Medical Institute 55006543NIAID NIH HHS AI-51519NIAID NIH HHS K23 AI083088NIAID NIH HHS P30 AI050409NIAID NIH HHS P30 AI051519NIAID NIH HHS R01 AI087465NIAID NIH HHS R01 AI089349NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

Multidrug- (MDR) and extensively drug-resistant tuberculosis (XDR TB) are commonly associated with Beijing strains. However, in KwaZulu-Natal, South Africa, which has among the highest incidence and mortality for MDR and XDR TB, data suggest that non-Beijing strains are driving the epidemic. We conducted a retrospective study to characterize the strain prevalence among drug-susceptible, MDR, and XDR TB cases and determine associations between strain type and survival. Among 297 isolates from 2005-2006, 49 spoligotype patterns were found. Predominant strains were Beijing (ST1) among drug-susceptible isolates (27%), S/Quebec (ST34) in MDR TB (34%) and LAM4/KZN (ST60) in XDR TB (89%). More than 90% of patients were HIV co-infected. MDR TB and XDR TB were independently associated with mortality, but TB strain type was not. We conclude that, although Beijing strain was common among drug-susceptible TB, other strains predominated among MDR TB and XDR TB cases. Drug-resistance was a stronger predictor of survival than strain type.

Indexed as

AdultAntitubercular AgentsCoinfectionFemaleGenetic VariationGenotyping TechniquesHIV InfectionsHumansIncidenceMaleMicrobial Sensitivity TestsMycobacterium tuberculosisRetrospective StudiesSouth AfricaSurvival AnalysisTuberculosis, Multidrug-ResistantAntitubercular Agentsantimicrobial resistancebacteriadrug resistancegenotypeHIVMycobacterium tuberculosisSouth Africatransmissiontuberculosistuberculosis and other mycobacteria

Identifiers

PMID24565645
PMCPMC3944869

What OpenQuestion holds

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Registered trials

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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.