Evidence map›Paper›PMID 24932706›Full record

ArticlePloS one2014

Molecular approaches for detection of the multi-drug resistant tuberculosis (MDR-TB) in Bangladesh.

Tafsina Haque Aurin, Saurab Kishore Munshi, S M Mostofa Kamal, Md Mostafizur Rahman, Md Shamim Hossain, Thaythayhla Marma, Farjana Rahman, Rashed Noor

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
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  12. The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2017
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  13. Pyrazinamide Susceptibility andAntimicrobial agents and chemotherapy · 2017
    Article
  14. Review
  15. Review
  16. Prevalence of vancomycin resistantTzu chi medical journal
    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.

Tafsina Haque AurinDepartment of Microbiology, Stamford University Bangladesh, Dhaka, Bangladesh.
Saurab Kishore MunshiDepartment of Microbiology, Stamford University Bangladesh, Dhaka, Bangladesh.
S M Mostofa KamalNational Tuberculosis Reference Laboratory (NTRL), NIDCH, Mohakhali, Dhaka, Bangladesh.
Md Mostafizur RahmanUniversity Research Co., LLC (URC), Banani, Dhaka, Bangladesh.
Md Shamim HossainNational Tuberculosis Reference Laboratory (NTRL), NIDCH, Mohakhali, Dhaka, Bangladesh.
Thaythayhla MarmaNational Tuberculosis Reference Laboratory (NTRL), NIDCH, Mohakhali, Dhaka, Bangladesh.
Farjana RahmanDepartment of Microbiology, Stamford University Bangladesh, Dhaka, Bangladesh.
Rashed NoorDepartment of Microbiology, Stamford University Bangladesh, Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The principal obstacles in the treatment of tuberculosis (TB) are delayed and inaccurate diagnosis which often leads to the onset of the drug resistant TB cases. To avail the appropriate treatment of the patients and to hinder the transmission of drug-resistant TB, accurate and rapid detection of resistant isolates is critical. Present study was designed to demonstrate the efficacy of molecular techniques inclusive of line probe assay (LPA) and GeneXpert MTB/RIF methods for the detection of multi-drug resistant (MDR) TB. Sputum samples from 300 different categories of treated and new TB cases were tested for the detection of possible mutation in the resistance specific genes (rpoB, inhA and katG) through Genotype MTBDRplus assay or LPA and GeneXpert MTB/RIF tests. Culture based conventional drug susceptibility test (DST) was also carried out to measure the efficacy of the molecular methods employed. Among 300 samples, 191 (63.7%) and 193 (64.3%) cases were found to be resistant against rifampicin in LPA and GeneXpert methods, respectively; while 189 (63%) cases of rifampicin resistance were detected by conventional DST methods. On the other hand, 196 (65.3%) and 191 (63.7%) isolates showed isoniazid resistance as detected by LPA and conventional drug susceptibility test (DST), respectively. Among the drug resistant isolates (collectively 198 in LPA and 193 in conventional DST), 189 (95.6%) and 187 (96.9%) were considered to be MDR as examined by LPA and conventional DST, respectively. Category-II and -IV patients encountered higher frequency of drug resistance compared to those from category-I and new cases. Considering the higher sensitivity, specificity and accuracy along with the required time to results significantly shorter, our study supports the adoption of LPA and GeneXpert assay as efficient tools in detecting drug resistant TB in Bangladesh.

Indexed as

BangladeshDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsMolecular Diagnostic TechniquesMycobacterium tuberculosisPolymerase Chain ReactionRifampinTuberculosis, Multidrug-ResistantRifampin

Identifiers

PMID24932706
PMCPMC4059658

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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.