Evidence map›Paper›PMID 25722613›Full record

ArticleJournal of global infectious diseases

Evaluation of Geno Type MTBDRplus Line Probe Assay for Early Detection of Drug Resistance in Tuberculous Meningitis Patients in India.

Renu Gupta, Rajeev Thakur, Prerna Gupta, Nupur Jalan, Suman Kushwaha, Meena Gupta, Piyush Gupta, Amitesh Aggarwal, Vikas Manchanda

Open access · goldAbstract read
In one paragraph

Article in Journal of global infectious diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Long-term Mortality of Patients With Tuberculous Meningitis in New York City: A Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  8. 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

9 authors at 4 institutions in 1 country.

Renu GuptaDepartment of Microbiology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
Rajeev ThakurDepartment of Microbiology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
Prerna GuptaDepartment of Microbiology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
Nupur JalanDepartment of Microbiology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
Suman KushwahaDepartment of Neurology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
Meena GuptaDepartment of Neurology, Gobind Ballabh Pant Hospital, Delhi, India.
Piyush GuptaDepartment of Pediatrics, Guru Tegh Bahadur Hospital, Delhi, India.
Amitesh AggarwalDepartment of Medicine, Guru Tegh Bahadur Hospital, Delhi, India.
Vikas ManchandaDepartment of Microbiology, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Institute of Human Behaviour and Allied Sciences · INGuru Teg Bahadur Hospital · INChacha Nehru Bal Chikitsalaya · INGovind Ballabh Pant Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMolecular methods which allow for rapid and reliable detection of drug resistance have yet not been sufficiently evaluated for timely management of patients with tuberculous meningitis.

aimsWe aimed to evaluate Geno Type MTBDRplus line probe assay for early detection of drug resistance in Mycobacterium tuberculosis isolates and CSF samples of confirmed tuberculous meningitis patients. SETTINGS AND

designThis was a multicentric prospective study carried out from July 2011 to December 2013 in tertiary care hospitals of Delhi. MATERIALS AND

methodsThe assay was performed on 89 M. tuberculosis isolates and 31 direct CSF samples from microbiologically confirmed tuberculous meningitis patients. The sensitivity and specificity of this assay was calculated in comparison to drug susceptibility testing by BACTEC MGIT 960 system.

resultsThe sensitivity, specificity for detection of resistance to Isoniazid was 93%, 97% and to Rifampicin was 80%, 98.8%, respectively by this assay in comparison with the phenotypic drug susceptibility testing. The line probe assay could detect M. tuberculosis in 55% of CSF samples from patients with microbiologically confirmed tuberculous meningitis. Only 5/89 isolates (5.6%) were resistant to both Isoniazid and Rifampicin while 9/89 (10%) isolates were additionally resistant to Isoniazid. Resistance to any of the drugs, namely Isoniazid, Rifampicin, Streptomycin or Ethambutol, was seen in 24.7% of strains.

conclusionThe line probe assay has a good sensitivity and specificity for detection of drug resistance to Isoniazid and Rifampicin in M. tuberculosis culture isolates. However, this assay has limited role in detection of M. tuberculosis and drug resistance from direct samples with confirmed diagnosis of tuberculous meningitis.

Indexed as

Cerebrospinal fluid (CSF)Geno type MTBDRplusMultidrug-resistant tuberculosis (MDR TB)Tuberculous meningitis (TBM)

Identifiers

PMID25722613
PMCPMC4338458
OpenAlexW2032730022

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.