Evidence map›Paper›PMID 25693485›Full record

ArticleEmerging infectious diseases2015

Multidrug-resistant tuberculosis in Europe, 2010-2011.

Gunar Günther, Frank van Leth, Sofia Alexandru, Neus Altet, Korkut Avsar, Didi Bang, Raisa Barbuta, Graham Bothamley, Ana Ciobanu, Valeriu Crudu and 21 more

Abstract readHistorical ArticleMulticenter Study
In one paragraph

Article in Emerging infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Linezolid for drug-resistant pulmonary tuberculosis.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Effects of mutations in multiple Ethionamide-resistance-associated genes amongFrontiers in cellular and infection microbiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Contribution of Governance and Socioeconomic Factors to theAntibiotics (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Multidrug-resistant tuberculosis in the United States, 2011-2016: patient characteristics and risk factors.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2020
    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

31 authors.

Gunar Günther
Frank van Leth
Sofia Alexandru
Neus Altet
Korkut Avsar
Didi Bang
Raisa Barbuta
Graham Bothamley
Ana Ciobanu
Valeriu Crudu
Manfred Davilovits
Martin Dedicoat
Raquel Duarte
Gina Gualano
Heinke Kunst
Wiel de Lange
Vaira Leimane
Cecile Magis-Escurra
Anne-Marie McLaughlin
Inge Muylle
Veronika Polcová
Emanuele Pontali
Christina Popa
Rudolf Rumetshofer
Alena Skrahina
Varvara Solodovnikova
Victor Spinu
Simon Tiberi
Piret Viiklepp
Christoph Lange
TBNET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-resistant Mycobacterium tuberculosis is challenging elimination of tuberculosis (TB). We evaluated risk factors for TB and levels of second-line drug resistance in M. tuberculosis in patients in Europe with multidrug-resistant (MDR) TB. A total of 380 patients with MDR TB and 376 patients with non-MDR TB were enrolled at 23 centers in 16 countries in Europe during 2010-2011. A total of 52.4% of MDR TB patients had never been treated for TB, which suggests primary transmission of MDR M. tuberculosis. At initiation of treatment for MDR TB, 59.7% of M. tuberculosis strains tested were resistant to pyrazinamide, 51.1% were resistant to ≥1 second-line drug, 26.6% were resistant to second-line injectable drugs, 17.6% were resistant to fluoroquinolones, and 6.8% were extensively drug resistant. Previous treatment for TB was the strongest risk factor for MDR TB. High levels of primary transmission and advanced resistance to second-line drugs characterize MDR TB cases in Europe.

Indexed as

Mycobacterium tuberculosisAdultAntitubercular AgentsComorbidityCross-Sectional StudiesEuropeFemaleHistory, 21st CenturyHumansIncidenceMaleMicrobial Sensitivity TestsMiddle AgedPopulation SurveillanceRisk FactorsTuberculosis, Multidrug-ResistantAntitubercular Agents

Identifiers

PMID25693485
PMCPMC4344280

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.